Columbus CyberKnife presents the different options for treating prostate cancer.

1. ì
PROSTATE
CANCER
TREATMENT
OPTIONS
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

3. 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:
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

4. 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
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

5. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

6. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

7. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

8. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

9. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

10. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

11. 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.
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com

12. 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

13. 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
495
Cooper
Road
Suite
125,
Westerville,
OH
43081
(614)
898-­‐8300
www.columbusck.com