Prostate cancer is among the leading causes of cancer death among American men, second only to lung cancer. Learn more about prostate cancer and how New Jersey CyberKnife's noninvasive treatment may work for you.

1. 99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

2. 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.
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

3. 99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

4. 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.
• Na?onality
–
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
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

5. What
are
symptoms
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.
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

6. 99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

7. 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
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

8. Consulta?on
and
Pretreatment
Procedures
New
Jersey
CyberKnife
physicians,
therapists
and
nurses
are
focused
on
your
individualized
treatment
plan:
• You
will
meet
a
New
Jersey
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.
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

9. 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,
FOR
YOUR
INFORMATION
you’re
asked
to
lie
sHll
during
treatments.
The
• Treatment
procedures
take
about
30
–
90
system
periodically
takes
x-­‐ray
images
and
minutes,
depending
on
the
complexity
of
your
compares
them
to
the
CT
scan
data
to
make
tumor.
• PaHents
are
asked
to
wear
comfortable
clothing
sure
the
radiaHon
beam
is
locked
on
the
tumor.
during
CyberKnife
treatments.
Jewelry
is
acceptable
unless
it
is
close
to
the
area
being
3. PaHents
can
usually
return
to
their
normal
treated.
rouHnes
once
the
treatment
is
complete.
• 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.
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

10. Addi?onal
Resources
99 Route 37, West Toms River, NJ 08755 (732) 557-3120 www.newjerseyck.com

11. Our Center
Opened
in
2011,
New
Jersey
CyberKnife
at
the
J.
Phillip
CiWa
Regional
Cancer
Center
is
acHve
in
clinical
research
and
combines
experienced
physicians
with
the
latest
medical
advances.
Our
state-­‐of-­‐the-­‐art
technology
offers
hope
to
paHents
in
New
Jersey
and
beyond.
Medical
Director
Dr.
David
D’Ambrosio
specialized
in
advanced
radiaHon
therapies
and
his
experHse
includes
intensity-­‐
modulated
and
stereotacHc
radiaHon
therapies,
including
CyberKnife
radiosurgery,
head
and
neck
cancer,
prostate
cancer
and
lung
cancer.
He
has
also
published
several
peer-­‐reviewed
research
papers
on
prostate
cancer
and
lung
cancer.
Our
center
provides
the
only
CyberKnife
technology
in
Ocean
County
New
Jersey.
If
you
or
a
loved
one
is
diagnosed
with
prostate
cancer,
contact
New
Jersey
CyberKnife
to
schedule
a
consultaHon
with
our
physicians
to
determine
the
best
next
step
for
your
treatment
needs.
Medical
Director:
Dr.
David
D’Ambrosio
Chairman
of
Radia?on
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