Prostate Cancer Treatment Beaverton OR

Turning up the heat may provide a less invasive, more promising treatment for prostate cancer. Blasting the cancer with a treatment that uses high-intensity focused ultrasound (HIFU) to kill cancer cells and surrounding prostate tissue offers myriad benefits over conventional treatments. HIFU can be performed under a spinal block—versus general anesthesia—most often on an outpatient basis.

Jeannie Louie, MD
(503) 216-2195
9205 SW Barnes Rd
Portland, OR
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Female
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1990

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Gary W Takahashi, MD
(503) 203-1000
9155 SW Barnes Rd Ste 533
Portland, OR
Specialties
Oncology (Cancer)
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
David E Gannett
(503) 216-2195
9205 Sw Barnes Rd
Portland, OR
Specialty
Radiation Oncology

Data Provided by:
Jay Christopher Andersen, MD
(503) 297-7403
9155 SW Barnes Rd Ste 740
Portland, OR
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1996

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William Sigourney Fletcher, MD
(503) 292-2375
1600 SW 88th Ave
Portland, OR
Specialties
Oncology (Cancer), General Surgery
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1955
Hospital
Hospital: Oregon Health & Science Univ H, Portland, Or; Providence St Vincent Med Ctr, Portland, Or
Group Practice: Oregon Health Sciences Univ

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David Endicott Gannett, MD
(503) 215-6844
9205 SW Barnes Rd
Portland, OR
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1992

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Ronald Frank Wolf, MD
(503) 635-7716
9155 SW Barnes Rd
Portland, OR
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1987
Hospital
Hospital: Providence St Vincent Med Ctr, Portland, Or
Group Practice: General & Vascular Surgery Clinic Pc

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Fredrick Charles Wagner, MD
(503) 215-6844
9205 SW Barnes Rd
Portland, OR
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1971

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Nancy S Crumpacker, MD
(503) 292-1035
6800 SW Canyon Dr
Portland, OR
Specialties
Oncology (Cancer)
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1975

Data Provided by:
David Russell Rullman, MD
Portland, OR
Specialties
Internal Medicine, Medical Oncology
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1957
Hospital
Hospital: Providence St Vincent Med Ctr, Portland, Or
Group Practice: Marquam Medical Clinic

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Heal Thyself—Prostate Cancer

Provided by: 

By Barbara Hey

Turning up the heat may provide a less invasive, more promising treatment for prostate cancer. Blasting the cancer with a treatment that uses high-intensity focused ultrasound (HIFU) to kill cancer cells and surrounding prostate tissue offers myriad benefits over conventional treatments according to John Warner, MD, the medical director of the Maple Leaf HIFU Company in Vancouver, British Columbia. Maple Leaf HIFU manufactures Ablatherm HIFU, the machine currently used for this procedure.

• HIFU can be performed under a spinal block—versus general anesthesia—most often on an outpatient basis, Warner explains, with no incision and no attendant loss of blood. Studies confirm HIFU’s effectiveness in combating the disease, and because it’s noninvasive, the procedure is less likely to damage surrounding nerves and tissue. A study published in the Journal of Urology in 2003 found that five years after treatment, 87 percent of patients had stable prostate specific antigen (PSA) levels. High or rising levels suggest the presence of the disease.

• If treated early, before it spreads, prostate cancer has a nearly 100 percent five-year survival rate, according to the Prostate Cancer Foundation. Though the common methods of treatment (radiation and surgery) work effectively, they have a number of ser-ious risks associated with them. With radiation administered externally—called external beam radiotherapy—the beam can damage surrounding tissue, skin, and muscle en route to the prostate, and patients commonly require multiple treatments. Another option is brachytherapy in which radioactive pellets are inserted surgically into the prostate. The risk of this type of radiation is that the effects can extend beyond the prostate itself. A third option, surgery, requires general anesthesia and hospitalization, which both carry risks. A much more aggressive tactic, surgery involves not just removal of the prostate, but also portions of the seminal ducts and part of the bladder. Common aftereffects of all these treatments include impotence and incontinence.

• For the HIFU treatment, a probe is inserted in the rectum to guide the ultrasound to the prostate using computer imaging. The focused beam of sound reaches a heat of 85 degrees Celsius, killing the cells of the prostate (dead tissue is excreted later in the urine) while skirting the surrounding nerves and muscles. And according to Warner, 90 percent of the patients require just one treatment, which may last 90 minutes to three hours.

• Currently only the Don Mills Surgical Unit in Toronto offers Ablatherm HIFU treatment, but that may change in the near future. FDA-monitored studies comparing HIFU with cryotherapy (freezing the tissue, commonly used as a second-line of treatment) on patients with a recurrence of the disease will begin in 2006, setting the stage for the treatment to one day be available in the US.

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