1. STAGES OF PROSTATE CANCER
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North
IH
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Austin,
TX
78701
(512)
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www.austincyberknife.com

2. A
prostate
cancer
diagnosis
can
be
scary.
Learn
more
about
prostate
cancer
and
how
we
can
help.
Please
note:
The
informa1on
presented
here
is
not
all-­‐inclusive.
Rather,
it
represents
a
star1ng
point
to
learn
more
about
medical
condi1ons
and
treatment
op1ons.
There
is
no
subs,tute
for
consul,ng
a
medical
professional.
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North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

3. Prostate Cancer Overview
Possible Signs of Prostate Cancer:
Weak or interrupted flow of urine
Frequent urination
Trouble urinating
Pain or burning during urination
Blood in the urine or semen
Persistent pain in the back, hips, or pelvis
Painful ejaculation
¨ The prostate is a
walnut-sized gland
located in a man’s
lower abdomen that
controls the flow of
urine and semen.
¨ Prostate cancer is a
leading cause of
cancer death among
American men, second
only to lung cancer.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

4. Diagnosing Prostate Cancer
Prostate cancer can be diagnosed by:
¨ Digital Rectal Exam (DRE) – examination of
the rectum.
¨ Prostate-specific antigen (PSA) test –
measures the level of PSA in the blood. PSA
may be found in an increased amount in the
blood of men with prostate cancer.
¨ Transrectal Ultrasound – provides a picture of
the prostate for the doctor to analyze.
¨ Gleason Score – determines how likely
prostate cancer is to spread.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

5. The TNM Staging System
A staging system describes how far a cancer has spread.
The most widely used staging system for prostate cancer is
the American Joint Committee on Cancer (AJCC) TNM
system.
The TNM system for prostate cancer is based on 5 key
pieces of information:
¤ The extent of the primary tumor (T category)
¤ Whether the cancer has spread to nearby lymph nodes (N
category)
¤ The absence or presence of distant metastasis (M category)
¤ The PSA level at the time of diagnosis
¤ The Gleason Score, based on the prostate biopsy (or surgery)
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

6. Prostate Cancer - Stage I
¨ Cancer is found in the prostate only.
¨ Cancer is microscopic and cannot be felt during the
DRE or seen on imaging tests.
¨ Cancer is found in one-half or less of one lobe of
the prostate.
¨ PSA level is lower than 10 ng/mL.
¨ Gleason Score is 6 or lower.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

7. Prostate Cancer - Stage IIA
¨ Cancer is more advanced than
Stage I but has not spread outside
the prostate.
¨ The cells are usually more
abnormal and may tend to grow
more quickly.
¨ Cancer is found in more than half
of one lobe of the prostate.
¨ PSA level is lower than 20 ng/mL.
¨ Gleason Score is 7 or lower.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

8. Prostate Cancer - Stage IIB
¨ Cancer is found in opposite sides of the prostate.
¨ Cancer cannot be felt during a DRE and is not
visible by imaging.
¨ The tumor has not spread outside the prostate.
¨ PSA level is 20 ng/mL or higher.
¨ Gleason Score ranges from 2 to 10.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

9. Prostate Cancer - Stage III
¨ Cancer has spread beyond the
outer layer of the prostate.
¨ Cancer may have spread to
nearby tissues like the seminal
vesicles.
¨ PSA can be any level.
¨ Gleason Score can range from
2 to 10.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

10. Prostate Cancer - Stage IV
¨ Cancer has spread
(metastasized) beyond the
seminal vesicles to nearby
tissues or organs such as
the rectum, bladder or
pelvic wall.
¨ Cancer has spread to
distant parts of the body,
which may include other
lymph nodes or bones.
Prostate cancer often
spreads to the bones.
¨ Cancer has spread to
nearby lymph nodes
¨ PSA can be any level.
¨ Gleason score can range
from 2 to 10.
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

11. Prostate Cancer Treatment
Treatment Options
Active Surveillance
Surgery
External-Beam Radiation Therapy
Brachytherapy
Proton Therapy
Stereotactic Body Radiation Therapy
¨ Treatment options depend on:
¤ The stage of the cancer
¤ The patient’s age and health
¤ The patient’s Gleason Score
¤ Whether the cancer is recently
diagnosed or recurring
¤ The patient’s prostate-specific
antigen (PSA) levels
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

12. CyberKnife® Treatment Process
¨ Prior to stereotactic body radiation therapy with CyberKnife, small
tissue markers known as fiducials are implanted in the prostate to
help pinpoint the tumor location throughout each treatment.
¨ About a week later, patients undergo pretreatment imaging,
including CT scans which are used by physicians in the treatments
planning process.
¨ This treatment process
includes
¤ Consultation appointment
¤ Pretreatment procedures
¤ CyberKnife treatment
¤ Follow-up
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

13. Additional Resources
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com

14. Austin CyberKnife was the first in the greater Austin area, as well as
the central Texas region, to offer CyberKnife treatment, giving our
physicians the most experience treating patients with this technology in
our area. Austin CyberKnife is a department of University Medical
Center Brackenridge, a member of the Seton Healthcare Family.
If you or a loved one is diagnosed with prostate cancer, contact Austin
CyberKnife to schedule a consultation with our physicians to determine
the best next step for your treatment needs.
Medical Director: Dr. Doug Rivera
CyberKnife Nurse: Lori Eitelbach, RN
Medical Physicist: Jim Hevezi, PhD
Our Center
1400
North
IH
35,
Austin,
TX
78701
(512)
324-­‐8060
www.austincyberknife.com
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