1. 529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

2. 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.
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

3. 529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.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.
• 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
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

5. • 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?
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

6. 529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.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
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

8. ConsultaBon
and
Pretreatment
Procedures
Louisville
CyberKnife
physicians,
therapists
and
nurses
are
focused
on
your
individualized
treatment
plan:
• You
will
meet
a
Louisville
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.
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.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,
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.
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

10. AddiBonal
Resources
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com

11. Our Center
Louisville
CyberKnife
is
part
of
the
renowned
James
Graham
Brown
Cancer
Center,
home
of
the
first
naHonally
accredited
radiaHon
oncology
program
in
Louisville.
The
Brown
Cancer
Center
is
a
partner
of
KentuckyOne
Health,
an
integrated
comprehensive
health
system
offering
nearly
200
locaHons
across
the
state
of
Kentucky
and
southern
Indiana.
If
you
or
a
loved
one
is
diagnosed
with
prostate
cancer,
contact
Louisville
CyberKnife
to
schedule
a
consultaHon
with
our
physicians
to
determine
the
best
next
step
for
your
treatment
needs.
Connect
with
us
529 S. Jackson Street, Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
Medical
Director:
Shiao
Woo,
M.D.,
M.B.B.S.
F.A.C.R.
RadiaBon
Oncologist:
Moataz
El-­‐Ghamry,
M.D.
RadiaBon
Oncologist:
Anthony
E.
Dragun,
M.D.
RadiaBon
Oncologist:
Neal
E.
Dunlap,
M.D.
CyberKnife
Nurse
Manager:
Anna
Murphy,
RN