Prostate Cancer: CyberKnife® Treatment Overview

645 North Arlington Ave. Suite 120, Reno, NV 89503 (775) 348-9900 www.renocyberknife.com

September
is
Prostate
Cancer
Awareness
Month!

A
prostate
cancer
diagnosis
can
be
scary.
Learn
more
about

prostate
cancer
and
how
we
can
help.

Please
note:
We
encourage
consumers
to
thoroughly
review
and
understand
all
treatment
op8ons.

The
informa8on
presented
here
is
not
all-‐inclusive.
Rather,
it
represents
a
star8ng
point
to
learn

more
about
medical
condi8ons
and
treatment
op8ons.
There
is
no
subs,tute
for
consul,ng
a

medical
professional.


About
Prostate
Cancer

The
prostate
is
a
walnut-‐shaped
organ
in
a
man’s
lower

abdomen
that
controls
the
ﬂow
of
urine
and
semen

through
the
penis.
Prostate
cancer
is
among
the
leading

causes
of
cancer
death
among
American
men,
second

only
to
lung
cancer.

Risk
factors:

There
is
no
single
cause
of
prostate
cancer,
though
there

are
several
known
risk
factors:

•  Age
–
Risks
generally
increase
for
older
men.

•  Race
–
African-‐American
men
have
a
higher
risk
for

unknown
reasons.

•  NaBonality
–
Asian
men,
for
example,
have
a
lower

risk.

•  Diet
–
Red
meat
and
dairy
products
tend
to

increase
risk.
Several
studies
suggest
that
some

dietary
supplements
like
vitamin
E
and
lycopene

may
reduce
risk.

•  Lack
of
exercise

•  Family
history
of
prostate
cancer


•  Early-‐stage
prostate
cancer
usually
has
no
symptoms.
Older
men
may
experience
frequent
urinaHon,

though
it’s
likely
due
to
an
enlarged
prostate
in
a
condiHon
known
as
benign
prostaHc
hypertrophy,
or

BPH.
Pain
or
bleeding
is
not
commonly
associated
with
early
stages.

•  Prostate
cancer
is
suspected
if
men
have
an
elevated
level
of
a
substance
in
the
bloodstream
known

as
prostate
specific
anHgen
(PSA),
or
if
they
have
an
abnormality
like
a
nodule
found
during
a
digital

rectal
examinaHon.
A
prostate
cancer
diagnosis
is
confirmed,
however,
only
through
biopsy.

•  Urologists
usually
perform
biopsies
as
an
outpaHent
procedure.
An
ultrasound
probe
is
used
to
guide

a
needle
that
removes
10
to
12
small
Hssue
samples
from
different
parts
of
the
prostate
gland.

SomeHmes,
addiHonal
diagnosHc
tests
like
a
bone
scan,
CT
or
MRI
are
performed,
depending
on
the

specific
diagnosis.

What
are
symptoms
of
prostate
cancer?


How
does
CyberKnife
treat
prostate

cancer?

Prior
to
stereotacHc
body
radiosurgery
treatment

with
CyberKnife,
small
Hssue
markers
known
as

fiducials
are
implanted
in
the
prostate
to
help
the

CyberKnife
pinpoint
the
tumor
locaHon

throughout
each
treatment,
so
the
radiaHon

beams
can
be
locked
on
the
tumor.

About
a
week
later,
paHents
are
fiWed
with
a

custom
body
mold
of
soX
material
that
they
lie
on

during
treatments.
The
fiYng
process
is
painless.

The
treatment
process
includes:

I.  ConsultaHon
appointment

II.  Pretreatment
procedures

III.  CyberKnife
treatment

IV.  Follow-‐up


ConsultaBon
and
Pretreatment
Procedures

Reno
CyberKnife
physicians,
therapists
and
nurses
are
focused
on
your
individualized

treatment
plan:

•  You
will
meet
a
Reno
CyberKnife
radiaHon
oncologist
to
decide
if
CyberKnife

treatment
is
appropriate
for
your
diagnosis.

•  Your
CyberKnife
team
will
decide
which
pretreatment
procedures
you
may
need
to

help
develop
your
treatment
plan.
These
could
include
a
CT
scan,
an
MRI,
laboratory

studies
or
Hssue
markers.

•  The
data
from
your
pretreatment
procedures
will
be
used
by
the
CyberKnife
team
to

determine
the
exact
size,
shape
and
locaHon
of
your
tumor.

•  This
informaHon
will
indicate
the
size
of
the
area
being
treated
with
radiaHon,
the

radiaHon
dose
and
criHcal
structures
where
radiaHon
exposure
should
be
minimized.


CyberKnife
Treatment

Typically
treatment
is
completed
within
ﬁve

sessions.
On
the
day
of
your
treatment:

1.  A
therapist
will
help
you
onto
the
treatment

table
and
ﬁt
the
body
mold.
PaHents
are

observed
throughout
the
treatment
on
closed-‐
circuit
television,
and
they
can
pause
treatment

at
any
Hme
by
waving
or
speaking
to
the

technicians.

2.  While
the
CyberKnife’s
advanced
tracking

system
accounts
for
movements
like
breathing,

you’re
asked
to
lie
sHll
during
treatments.
The

system
periodically
takes
x-‐ray
images
and

compares
them
to
the
CT
scan
data
to
make

sure
the
radiaHon
beam
is
locked
on
the
tumor.

3.  PaHents
can
usually
return
to
their
normal

rouHnes
once
the
treatment
is
complete.

FOR
YOUR
INFORMATION

•  Treatment
procedures
take
about
30
–
90

minutes,
depending
on
the
complexity
of
your

tumor.

•  PaHents
are
asked
to
wear
comfortable
clothing

during
CyberKnife
treatments.
Jewelry
is

acceptable
unless
it
is
close
to
the
area
being

treated.

•  Feel
free
to
bring
an
iPod®
or
your
favorite

music
CDs
with
you
on
the
day
of
your

treatment,
and
we
will
play
them
for
you
during

the
procedure.


AddiBonal
Resources


Our Center
Opened
in
2008,
Reno
CyberKnife
is
part
of
Saint
Mary’s
Cancer
Center,
naHonally
accredited
by
the
American

College
of
Surgeons
Commission
on
Cancer
as
well
as
the
NaHonal
AccreditaHon
Program
for
Breast
Cancer.
Reno

CyberKnife
operates
under
Co-‐Medical
Directors
Dr.
Jonathan
Tay
and
Dr.
KaHe
Legarza.

If
you
or
a
loved
one
is
diagnosed
with
prostate
cancer,
contact
Reno
CyberKnife
to
schedule
a
consultaHon
with

our
physicians
to
determine
the
best
next
step
for
your
treatment
needs.

Co-‐Medical
Director:
Dr.
Jonathan
Tay

Co-‐Medical
Director:
Dr.
KaHe
Legarza

Medical
Physicist:
David
Chamberlain

Connect
with
us


Prostate Cancer: CyberKnife® Treatment Overview

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