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Slainte an Chlar

Join us for the 2nd Health Education Day on Cancer at Slainte an Chlar on June 18th, 2011. Learn about the latest advancements in radiotherapy, treatment options, and research on prostate and breast cancer. Don't miss this opportunity to educate yourself and make informed decisions about your health.

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Slainte an Chlar

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  1. Slainte an Chlar 2nd Health Education Day Cancer 18th June 2011

  2. IRISH RADIOTHERAPY CENTRES 2004: Five centres Dublin(3) Belfast(1) Cork (1) 2008: Eleven Centres Dublin (5) Galway (2) Cork (1) Belfast (1) Limerick (1) Waterford (1)

  3. Galway University Radiation • Opened 15th March 2005 to end 2010 • Patients assessed: 7117 • Filmless and paperless work environment • Innovative in use of technology • Excellence in teaching • SpR, therapy, physics, nursing: training accredited nationally • Research/protocol based patient care

  4. Number of new treatment starts in Radiotherapy Department 2005-2009 Number of new patients (First OPD) in Radiotherapy 2005 – 2009

  5. Breast Patients New Starts-EBRT 2005-2009 Prostate Patients New Starts- EBRT 2005-2009

  6. Brachytherapy Seeds Prostate Patients Brachytherapy Endometrium & Cervix On target for 79 patients in 2010 On target for 56 patients in 2010

  7. Radiation doses Photon IMRT Photon Proton Conventional Radiotherapy IMRT = Intensity Modulated RadioTherapy

  8. Radiation doses PROTONS 100 60 10 Low or No Energy Released Here X-RAYS High Energy Released Here

  9. BALLOON CATHETER ‘MAMMOSITE’ MammoSite device Inflatable Balloon Placed In Lumpectomy Cavity At Surgery HDR brachytherapy 34 Gy in 10 fractions 40,000 cases treated

  10. DELIVERY OF RADIATION (5 DAYS)

  11. BRACHYTHERAPY

  12. FLUORO – ALL SOURCES PLACED

  13. Prostate cancer • Very common • Over 2500 men diagnosed per year in Ireland • Over 500 deaths • Very treatable!

  14. Trends in prostate cancer mortality 1995-2005

  15. Trends in prostate cancer incidence 1994-2005

  16. Prostate Cancer Ireland vs USA • USA: 186,320 per year, and 28,660 deaths (2008) Crude death rate 15.3 % ---------------------------------------------------------- • Ireland: 1687 per year, and 520 deaths (1994-2005 average) Crude death rate 30.8% ---------------------------------------------------------- UK An Irish man diagnosed with CaP is at least twice as likely to die of his disease than his US counterpart… Source: SEER database; Cancer in Ireland 1994-2000

  17. Prostate Cancer in the UK • New British Analysis • The new British data come from an analysis of 50,066 men diagnosed with prostate cancer between 1997 and 2006 from the Thames Cancer Registry, which covers a population of 12 million in South East England. Subjects were followed to the end of 2007. • During that period of time, there was little uptake of PSA testing in asymptomatic men in the United Kingdom. • The situation is different in the United States, where there is a high uptake of PSA testing, and has been for some time, lead researcher Simon Chowdhury, MD, consultant oncologist at Guy's and St Thomas' NHS Foundation Trust in London, United Kingdom, told Medscape Medical News. • Dr. Chowdhury presented the findings at the 2011 Meeting of United Kingdom Association of Cancer Registries and National Cancer Intelligence Network (NCIN), held in London. • The analysis found that prostate cancer was the cause of death in 49.7% of the men who had been diagnosed with the disease. The other causes of death were cardiovascular disease (17.8%), other cancers (11.8%), pneumonia (7.5%), and other causes (13.25%).

  18. Prostate cancer incidence 2004-2006 by County

  19. What is your prostate and why should you care? • Secondary sex organ (see breasts) • Produces seminal fluid • Commonest male cancer • DRE • PSA • Evaluation • Treatment options

  20. Are we looking for prostate cancer?

  21. Annual number of PSA tests

  22. Percentage of men over 50 having a first PSA test

  23. New and suspected prostate cancer cases seen by hospital Ireland 2006 - 2007

  24. Testing for the spread of the cancer An MRI Machine…and image A Bone scan Machine… and image

  25. Treatments for Prostate Cancer • Radical surgery • Open prostatectomy (retropubic/transperineal) • Laparascopic prostatectomy • Robotic laparascopic prostatectomy (“DaVinci”) • External Beam Radiation Therapy (EBRT) • Conventional • 3D conformal • IMRT • Image guided hypofractionated IMRT • Brachytherapy • Permanent low dose Temporary HDR • Combinations • Hormone treatment • Novel drugs for hormone resistant prostate Cancer badly needed

  26. Take home message • Prostate cancer very common and very treatable • Early warning devises are available • Report any symptoms • Check with your doctor • Multiple treatment options…one size definitely does not fit all! • Be aware….

  27. Update since last year • Clare Cancer Support – Congratulations! • Prostate Rapid Access Clinics • GUH 1000 men, 50% cancers • Prostate Cancer Institute - operational • National Cancer Control Program • National Cancer Screening Service • Standard setting committees • Diagnostic/treatment recommendations

  28. PCI Inauguration 1st April 2011

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