Prostate Cancer Treatment Options

ì PROSTATE CANCER TREATMENT OPTIONS

495 Cooper Road Suite 125, Westerville, OH 43081 (614) 898-‐8300 www.columbusck.com

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.


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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:


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


WATCHFUL WAITING

ì  The concept of watchful waiEng has emerged as a viable opEon for men who decide not to undergo immediate surgery or radiaEon therapy.


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

ì  Potential side effects

ì  Urinary incontinence ì  Erectile dysfunction

Radical Retropubic Prostatectomy: Surgery in which the prostate gland is removed and that may include biopsies of nearby lymph nodes.


EXTERNAL-‐BEAM RADIATION THERAPY

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

Intensity Modulated Radiation Therapy or IMRT: IMRT targets radiation beams to the location of the patient’s tumor.


BRACHYTHERAPY

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

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.


PROTON THERAPY

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  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.


STEREOTACTIC BODY RADIATION THERAPY

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  Few to no side effects when compared to traditional radiation therapy

Stereotactic Body Radiation Therapy: Noninvasive procedure that delivers targeted radiation beams to the prostate without incision or sedation using CyberKnife® technology.


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.


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COLUMBUS CYBERKNIFE TESTIMONIAL

“I met with Dr. Widman and felt a complete comfort level with him. I don’t think anyone reacts without some apprehension when they are told they have cancer, but I couldn’t have had a be[er experience. Through the five sessions, I didn’t even know the radiaEon was happening, and there were really no side effects.

I sent an email to about 80 of my contacts stressing the fact that they owe it to their fathers, their friends or themselves to look into CyberKnife for any type of cancer treatment.

Given the circumstances, I couldn’t have had a be[er experience. Every single person I spoke to at the center treated me like royalty every Eme I came in. I would 1000 percent recommend it and I already have.”

-‐ Jon M., Columbus CyberKnife PaEent

Our Center

Opened in 2010, Columbus CyberKnife has treated approximately 140 prostate cancer cases, about 30% of the total number of cases treated at the center. If you or a loved one is diagnosed with prostate cancer, contact Columbus CyberKnife to schedule a consultation with our physicians to determine the best next step for your treatment needs.

Connect With Us Medical Director: Dr. Douglas Widman Radiation Oncologist: Dr. Abhay Gokhale


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Health & Medicine

Prostate Cancer Treatment Options