About Prostate Cancer Our Commitment How to get to Subang Jaya Medical Centre Prostate Cancer (SJMC) Prostate Cancer is the 4th most common cancer among The prostate is part of a man's reproductive system. Doctors and sta members at the Centre are committed SJMC is located in the suburbs of Kuala Lumpur and It's an organ located in front of the rectum and behind to enhancing each patient’s well-being, both physically is conveniently accessible by private and public transport. Malaysian men. Very few prostate cancers occur in men the bladder. The prostate surrounds the urethra, the and emotionally. Their goals are to ensure that patients It is only 20 minutes from the city centre and 35 minutes under 50 years of age. The rate increases sharply with tube through which urine flows. The prostate is a gland receive the highest quality care, whether seeking from the Kuala Lumpur International Airport via major age and is highest in the oldest age group. that secretes the seminal fluid. During ejaculation, the prevention and screening services , receiving treatment highways. seminal fluid helps carry sperm out of the man's body or coping with a cancer diagnosis. Support groups and Leading the way in Prostate Health as part of semen. A healthy prostate is about the size other services provide emotional and psychological Sultan Abdul Aziz Airport (Subang) of a walnut. If the prostate grows too large, it squeezes benefits that can ease many aspects of their daily life. Subang Jaya Medical Centre has written this booklet the urethra. This may slow or stop the flow of urine Klang New Klang Valley Expressway (NKVE) to help patients with prostate cancer and their families from the bladder to the penis. KL / Ipoh / Kuantan and friends better understand this disease. We hope To Shah Alam others will read it as well to learn more about prostate Ureter Federal Highway KL City Centre cancer. Empire KTM Lymph node Gallery Subang Jaya Subang Lake Parade Mall As a comprehensive cancer centre - SJMC Cancer and Vas deferens Grand Dorsett Subang Jaya Subang Hotel Shell Medical Centre Radiosurgery Centre is recognized for its expertise Petrol Station Bladder Holiday Villa Subang and leadership in advanced cancer treatment and Seminal vesicle Shah Alam Metropoliton as a one-stop cancer centre designed to provide Prostate gland College patient-focused care in a comfortable and safe Sunway Lagoon Sunway Pyramid Rectum Theme Park Mall environment. Shah Alam Kesas Highway Urethra USJ Summit City It is our hope that this brochure will provide you with Summit Hotel Kota relevant information and coping techniques as well as oad Kemuning R answer some of the questions you may have. hong c This brochure only serves as a guide and its contents are Stage I Port Klang om-Pu c not to be taken as medical advice. You will still need to Cancer is found in the prostate only, usually during Hi discuss with your doctor the best treatment option for another medical procedure. It cannot be felt during the you. Digital Rectal Examination or seen on imaging tests. KL International Airport (KLIA) Prostate Stage II This stage describes a tumor that is too small to be felt or seen on imaging tests. Or, it describes a slightly larger Subang Jaya Medical Centre tumor that can be felt during a Digital Rectal Examination. T +60 3 5639 1212 Cancer The cancer has not spread outside of the prostate gland, E [email protected] Stage III Cancer & Radiosurgery Centre The cancer has spread beyond the outer layer of the T +60 3 5639 1537 prostate into nearby tissues. It may also have spread to the seminal vesicles. No.1, Jalan SS12/1A 47500 Subang Jaya Stage IV Subang Jaya This stage describes any tumor that has spread to other Selangor Darul Ehsan, Malaysia parts of the body, such as the bladder, rectum, bone, Medical Centre liver, lungs, or lymph nodes. www.ramsaysimedarby.com June 2017. For Internal Circulation Only June 2017. Risk Factors Signs and Symptoms Early Detection Means High Cure Rate Treatment Choices Latest Technology There is no known exact cause of prostate cancer. Many men with prostate cancer experience no symptoms; • Watchful Waiting If a patient's prostate cancer The SJMC Cancer & Radiosurgery Centre is equipped Doctors often cannot explain why one man develops the first indicator that they may have the disease is often is not advanced and is slow growing, he may not with sophisticated and highly advanced Tomotherapy prostate cancer and another does not. However, an abnormal finding in their routine screening test. Others need immediate treatment. Based on the HiArt system & Varian TrueBeam System. characteristics of a patient's cancer, physicians at research has shown that men with certain risk factors are may notice one or more of the following symptoms: SJMC may recommend active surveillance, more likely than others to develop prostate cancer. deferring treatment for the time being while • Blood in urine monitoring the cancer closely. Age over 65 • Frequent urination (or an inability to urinate) • Surgery Surgeons remove the prostate as well as Age is the main risk factor for prostate cancer. some tissue surrounding it; a procedure called The chance of getting prostate cancer increases as you • Trouble starting or holding back urine flow radical prostatectomy. They will usually remove get older. This disease is rare in men under 45. a sample of the lymph nodes in nearby tissue to • Pain in the lower back or hips determine whether the cancer has spread beyond Family history the prostate. Your risk is higher if your father, brother, or son had • Painful ejaculation or inability of having an • Systemic Therapies Systemic treatments in Patients with early stage prostate cancer has very high cure prostate cancer. erection prostate cancer are hormonal therapy or chemo rate. Please visit our health screening centre for more therapy. Hormonal therapy can be used together information on screening packages. Race Some of these symptoms could also be a sign of with radiotherapy. Supportive care a common, non-cancerous condition called Benign • Radiation therapists use All our patients have access to the Cancer & Radiosurgery Prostate cancer is more common among male Prostatic Hyperplasia (BPH), an enlargement of the Radiation Therapy high-energy rays delivered by an external beam Centre Patient and Family Resource Centre, which Caucasians as compared to Asian men. prostate gland. It is important to seek medical attention Making decision about treatment (similar to an x-ray) or brachytherapy oers a wide array of support and educational services for any of these symptoms to ensure proper diagnosis and (implantation of radioactive seeds) to treat including: Diet treatment. • It is very important to have a skillful multi disciplinary prostate cancer. Some studies suggest that men who eat a diet high team to treat prostate cancer as there are numerous • Oncology Nurse Educator in animal fat or meat may be at an increased risk of treatment options. Advanced techniques at SJMC include • Patient & Family Liaison Officer prostate cancer. Men who eat a diet rich in fruits and Screening and Testing Helical TomoTherapy and Volumetric Arc Therapy • Counsellor vegetables may have a lower risk. • SJMC brings together the most advanced resources (VMAT) • Pain management specialists • Cancer Careline Prostate cancer can be diagnosed through the to manage the treatment of patients with early • In the past, there was difficulty for radiation beams following clinical findings and laboratory tests. or advanced prostate cancer. to target the tumour precisely, which meant healthy tissues were also damaged during cancer treatment. Programmes which patients can participate in include: Digital rectal examination • Our multidisciplinary team includes urologists, clinical Today, new systems used at SJMC takes radiation • Diet workshops Your doctor will examine the prostate through the rectum oncologists and radiologists working together therapy into the 21st century. to create the most eective treatment plan. • Support group/activities to determine if there are any abnormalities. • The helical TomoTherapy system couples three- • Yoga & Exercise workshops • Our doctors make sure that each patient thoroughly dimensional imaging with innovative intensity Prostate Specific Antigen (PSA) level –modulated radiation therapy, or IMRT, to target understands factors such as the stage and grade of his PSA is a substance produced by the prostate to liquefy mainly the tumour, while sparing the healthy tumour and the range of treatment options, as well as tissues around it. semen. A higher than normal level may indicate cancer. the potential side eects of each therapy. • Volumetric Arc Therapy (VMAT) is an advanced form Transrectal ultrasound-guided biopsy • Doctors here can guide patients through the of radiation treatment using Varian TrueBeam STX Tissue samples taken from the prostate through the sometimes complicated choices posed by these also called RapidArc radiotherapy technology to rectum under guidance of ultrasound are tested for the factors. deliver fast & accurate treatment. presence of cancer cells. Stay Informed Once prostate cancer has been diagnosed, your doctor Talk to your doctor if you think you may be at risk. may perform scans of the pelvis and bone to determine Understanding patient’s needs Your doctor may be able to suggest ways to reduce your risk if the cancer has spread. The support of the healthcare team can help patients feel less and can plan a schedule for regular checkups. alone and improve the quality of care delivery..