New Jersey CyberKnife presents the various options for treating prostate cancer.

1. PROSTATE
CANCER
ì
TREATMENT
OPTIONS
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.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
U.S.
during
2013.
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

3. TREATING
PROSTATE
CANCER
Prostate
cancer
treatments
differ
primarily
in
technical
nature
and
potenEal
side
effects.
Treatment
options
can
depend
on
the
following:
ì The
stage
of
the
cancer
ì Whether
the
cancer
is
recently
diagnosed
or
recurring
ì The
patient’s
age
and
health
ì The
patient’s
prostate-­‐specific
ì The
patient’s
Gleason
Score
—
antigen
(PSA)
levels
—
PSA
is
a
This
determines
how
likely
it
is
substance
made
by
the
prostate
that
a
tumor
will
spread
that
may
be
found
in
an
increased
amount
in
the
blood
of
men
who
have
prostate
cancer
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

4. TREATMENT
OPTIONS
ì Prostate
cancer
treatment
options
include:
ì Active
Surveillance
ì Surgery
ì External-­‐Beam
Radiation
Therapy
ì Brachytherapy
ì Proton
Therapy
ì Stereotactic
Body
Radiation
Therapy
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

5. ACTIVE
SURVEILLANCE
ì The
concept
of
acEve
surveillance
has
emerged
as
a
viable
opEon
for
men
who
decide
not
to
undergo
immediate
surgery
or
radiaEon
therapy.
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

6. SURGERY
Radical
Retropubic
Prostatectomy:
Surgery
in
which
the
prostate
gland
is
removed
and
that
may
include
biopsies
of
nearby
lymph
nodes;
may
be
done
robotically.
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
ì Potential
side
effects
ì Urinary
incontinence
ì Erectile
dysfunction
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

7. EXTERNAL-­‐BEAM
RADIATION
THERAPY
Intensity
Modulated
Radiation
Therapy
or
IMRT:
IMRT
targets
radiation
beams
to
the
location
of
the
patient’s
tumor.
ì Procedure
&
Recovery
Time
ì Approximately
40
daily
radiaEon
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
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

8. BRACHYTHERAPY
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.
ì Procedure
&
Recovery
Time
ì One-­‐Eme
procedure
that
requires
paEents
to
remain
in
the
hospital
for
several
hours
ì PaEents
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
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

9. PROTON
THERAPY
Proton
Therapy:
Noninvasive
treatment
that
uses
a
particle
accelerator
to
deliver
a
focused
ray
of
proton
particles
that
destroy
cancer
cells.
ì Procedure
&
Recovery
Time
ì Treatment
is
usually
delivered
five
days
a
week
for
approximately
eight
weeks
ì PaEents
are
usually
able
to
return
to
their
normal
rouEne
aVer
treatment
ì Potential
side
effects
ì Rectal
and
urinary
irritation
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

10. STEREOTACTIC
BODY
RADIATION
THERAPY
Stereotactic
Body
Radiation
Therapy:
Noninvasive
procedure
that
delivers
targeted
radiation
beams
to
the
prostate
without
incision
or
sedation
using
CyberKnife®
technology.
ì Procedure
&
Recovery
Time
ì Five
or
fewer
outpaEent
sessions
over
the
course
of
one
to
two
weeks
ì Treatment
procedures
take
about
30-­‐90
minutes
ì PaEents
are
usually
able
to
return
to
their
normal
rouEne
aVer
treatment
ì Recovery
is
often
immediate
ì Potential
side
effects
ì Rectal
and
urinary
irritation
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

11. CYBERKNIFE
TREATMENT
PROCESS
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.
The
treatment
process
includes:
ì Consultation
appointment
ì Pretreatment
procedures
ì CyberKnife
treatment
ì Follow-­‐up
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com

12. NEW
JERSEY
CYBERKNIFE
TESTIMONIAL
“Convenience
was
extremely
important
to
me.
CyberKnife
treatment
took
five
sessions
versus
the
35
to
45
sessions
I
would
have
needed
with
other
opEons.
I
travel
for
work
and
there’s
no
way
I
could
be
in
the
middle
of
treatment
and
go
away
for
a
week,
come
back
and
resume
with
the
level
of
faEgue
I’ve
heard
people
can
have
with
other
treatments.
When
I
looked
into
CyberKnife,
I
saw
the
accuracy
and
number
of
treatments,
and
when
I
found
out
the
side
effects
were
so
minimal,
I
thought
it
was
the
only
way
to
go.
The
New
Jersey
CyberKnife
team
was
phenomenal.
They
were
so
courteous
and
its
almost
like
checking
into
a
hotel
every
day.
I
wouldn’t
have
chosen
anything
else.”
-­‐
Gene
G.,
New
Jersey
CyberKnife
PaEent

13. OUR
CENTER
Opened
in
2011,
New
Jersey
CyberKnife
at
the
J.
Phillip
Citta
Regional
Cancer
Center
is
active
in
clinical
research.
Our
state-­‐of-­‐the-­‐art
technology
offers
hope
to
patients
in
New
Jersey
and
beyond.
New
Jersey
CyberKnife
opened
aclinical
trialsin
collaboration
with
the
University
of
Pittsburgh
to
evaluate
stereotactic
body
radiation
therapy
for
low,
intermediate
and
high-­‐risk
prostate
cancer
patients.
Results
from
the
trial
will
add
to
the
body
of
clinical
research
examining
stereotactic
body
radiation
therapy
for
prostate
cancer
and
will
help
doctors
analyze
effects
and
outcomes
to
improve
prostate
treatment
protocols.
Medical
Director
Dr.
David
D’Ambrosio
has
also
published
several
peer-­‐reviewed
research
papers
on
prostate
cancer.
Our
center
provides
the
only
CyberKnife
technology
in
Ocean
County,
New
Jersey.
Medical
Director:
Dr.
David
Ambrosio
Chairman
of
Radiation
Oncology
at
Community
Medical
Center:
Dr.
Rajesh
Iyer
CyberKnife
Nurse:
Debbie
Moriarty,
RN,
MSN,
OCN
Connect
With
Us
99
Route
37
West
Toms
River,
NJ
08755
(732)
557-­‐3120
www.newjerseyck.com