Philadelphia CyberKnife presents the different options for treating prostate cancer.

1. ì
PROSTATE
CANCER
TREATMENT
OPTIONS
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

2. PROSTATE
CANCER
OVERVIEW
ì The
prostate
is
located
in
a
man’s
lower
abdomen
and
controls
the
flow
of
urine
and
semen.
ì Second
only
to
lung
cancer,
prostate
cancer
is
the
leading
cause
of
cancer
death
among
American
men.
ì According
to
the
American
Cancer
Society,
an
esEmated
238,590
cases
of
prostate
cancer
will
occur
in
the
US
during
2013.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

3. TREATING
PROSTATE
CANCER
ì The
stage
of
the
cancer
ì The
patient’s
age
and
health
ì The
patient’s
Gleason
Score
—
This
determines
how
likely
it
is
that
a
tumor
will
spread
ì Whether
the
cancer
is
recently
diagnosed
or
recurring
ì The
patient’s
prostate-­‐specific
antigen
(PSA)
levels
—
PSA
is
a
substance
made
by
the
prostate
that
may
be
found
in
an
increased
amount
in
the
blood
of
men
who
have
prostate
cancer
Prostate
cancer
treatments
differ
primarily
in
technical
nature
and
potenEal
side
effects.
Treatment
options
can
depend
on
the
following:
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

4. TREATMENT
OPTIONS
ì Prostate
cancer
treatment
options
include:
ì Watchful
Waiting
ì Surgery
ì External-­‐Beam
Radiation
Therapy
ì Brachytherapy
ì Proton
Therapy
ì Stereotactic
Body
Radiation
Therapy
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

5. WATCHFUL
WAITING
ì The
concept
of
watchful
waiting
has
emerged
as
a
viable
option
for
men
who
decide
not
to
undergo
immediate
surgery
or
radiation
therapy.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

6. SURGERY
ì Procedure
&
Recovery
Time
ì Procedure
lasts
3
–
4
hours
ì Requires
general
anesthesia
and
a
three-­‐day
hospital
stay
ì Recovery
usually
requires
a
few
weeks
at
home
and
often
a
post-­‐treatment
catheter
for
approximately
6
weeks
ì Patients
may
experience
pain
associated
with
surgery
ì Potential
side
effects
ì Erectile
dysfunction
ì Urinary
incontinence
Radical
Retropubic
Prostatectomy:
Surgery
in
which
the
prostate
gland
is
removed
and
that
may
include
biopsies
of
nearby
lymph
nodes.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

7. EXTERNAL-­‐BEAM
RADIATION
THERAPY
ì Procedure
&
Recovery
Time
ì Approximately
40
daily
radiation
treatments
over
a
period
of
seven
to
eight
weeks
ì Treatment
takes
approximately
15
minutes
ì Outpatient
procedure
that
allows
most
patients
to
return
to
their
normal
routine
ì Potential
side
effects
ì Temporary
rectal
and
urinary
irritation
ì Erectile
dysfunction
ì Lacks
the
ability
to
correct
for
movement
of
the
prostate
during
treatment,
resulting
in
possible
damage
to
healthy
tissue
surrounding
the
prostate
Intensity
Modulated
Radiation
Therapy
or
IMRT:
IMRT
targets
radiation
beams
to
the
location
of
the
patient’s
tumor.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

8. BRACHYTHERAPY
ì Procedure
&
Recovery
Time
ì One-­‐time
procedure
that
requires
patients
to
remain
in
the
hospital
for
several
hours
ì Patients
are
usually
allowed
to
return
home
on
the
same
day
ì Potential
side
effects
ì Erectile
dysfunction
ì Urinary
irritation,
frequency
and
obstruction
ì Rectal
injury
Brachytherapy:
Small
radioactive
seeds
are
implanted
within
the
prostate
gland
and
give
off
radiation
to
the
immediate
surrounding
area
over
the
course
of
several
months.
After
a
year,
the
radioactive
material
degrades,
and
the
seeds
that
remain
are
harmless.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

9. PROTON
THERAPY
ì Procedure
&
Recovery
Time
ì Treatment
is
usually
delivered
five
days
a
week
for
approximately
eight
weeks
ì Patients
are
usually
able
to
return
to
their
normal
routine
after
treatment
ì Potential
side
effects
ì Few
to
no
side
effects
when
compared
to
traditional
radiation
therapy
Proton
Therapy:
Noninvasive
treatment
that
uses
a
particle
accelerator
to
deliver
a
focused
ray
of
proton
particles
that
destroy
cancer
cells.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

10. STEREOTACTIC
BODY
RADIATION
THERAPY
ì Procedure
&
Recovery
Time
ì Patients
are
treated
in
five
or
fewer
outpatient
sessions
over
the
course
of
one
to
two
weeks
ì Treatment
procedures
take
about
30-­‐90
minutes
ì Patients
experience
no
pain
with
CyberKnife
and
are
usually
able
to
return
to
their
normal
routine
after
treatment
ì Recovery
is
often
immediate
ì Potential
side
effects
ì Few
to
no
side
effects
when
compared
to
traditional
radiation
therapy
or
surgery
Stereotactic
Body
Radiation
Therapy:
Noninvasive
procedure
that
delivers
targeted
radiation
beams
to
the
prostate
without
incision
or
sedation
using
CyberKnife®
technology.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

11. CYBERKNIFE
TREATMENT
PROCESS
The
treatment
process
includes:
ì Consultation
appointment
ì Pretreatment
procedures
ì CyberKnife
treatment
ì Follow-­‐up
Prior
to
stereotactic
body
radiosurgery
treatment
with
CyberKnife,
small
tissue
markers
known
as
fiducials
are
implanted
in
the
prostate
to
help
the
CyberKnife
pinpoint
the
tumor
location
throughout
each
treatment,
so
the
radiation
beams
can
be
locked
on
the
tumor.
About
a
week
later,
patients
are
fitted
with
a
custom
body
mold
of
soft
material
that
they
lie
on
during
treatments.
The
fitting
process
is
painless.
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com

12. PHILADELPHIA
CYBERKNIFE
Newly
published
research
from
Philadelphia
CyberKnife
shows
that
SBRT’s
success
rate
is
comparable
to
other
treatments,
including
conventional
surgery,
which
is
often
held
as
the
gold
standard
treatment
for
prostate
cancer.
In
addition,
SBRT
offered
more
convenient
treatment
and
less
risk
of
side
effects
like
erectile
dysfunction.
The
study,
“Stereotactic
body
radiation
therapy
for
the
primary
treatment
of
localized
prostate
cancer,”
appeared
in
the
March
2013
issue
of
the
Journal
of
Radiation
Oncology.
Researchers
tracked
the
five-­‐year
progress
of
70
men
treated
with
SBRT.
The
results
“support
the
growing
body
of
literature
indicating
SBRT
for
prostate
cancer
is
effective
and
well
tolerated,”
the
study
concluded.
The
results
offer
hope
for
men
who
don’t
want
surgery
or
can’t
undergo
it
because
of
other
health
problems.
It
also
offers
an
alternative
radiation
option
to
IMRT
or
brachytherapy.
In
addition,
SBRT
carries
a
lower
risk
of
erectile
dysfunction.

13. OUR
CENTER
Philadelphia
CyberKnife
established
the
first
CyberKnife
program
in
the
greater
Philadelphia
area,
giving
our
physicians
the
most
experience
treating
patients
with
this
technology
in
our
region.
Our
patients
have
come
from
throughout
the
eastern
United
States,
as
well
as
numerous
countries
around
the
world,
including
England,
India
and
Malaysia.
Philadelphia
CyberKnife
is
a
service
of
Delaware
County
Memorial
Hospital,
a
member
of
the
Crozer-­‐Keystone
Health
System.
Connect
With
Us
Medical
Director:
Dr.
Luther
Brady
Associate
Medical
Director:
Dr.
John
Lamond
DCMH
Chief
of
Radiation
Oncology:
Dr.
Rachelle
Lanciano
Chief
Medical
Physicist:
Jun
Yang,
PhD,
DABR
CyberKnife
Nurse
Manager:
Michael
Good,
RN
2010
West
Chester
Pike
Suite
115,
Havertown,
PA
19083
(610)
446-­‐6850
www.phillycyberknife.com