A Talk with Prostate Cancer Surgeon and Westchester Resident James Eastham about Our New West Harrison Location

Tuesday, September 9, 2014

Pictured: James Eastham

Prostate cancer expert James Eastham talks about Memorial Sloan Kettering’s new outpatient treatment center that will soon open in West Harrison, New York, where he will be practicing.

James A. Eastham is Chief of Memorial Sloan Kettering’s Urology Service, specializing in prostate cancer. He will be practicing at Memorial Sloan Kettering’s new suburban outpatient treatment center in West Harrison, New York, which is opening in October. We spoke to Dr. Eastham about the new outpatient center and why he’s excited to be offering his services to the Westchester community.

Can you tell us a little bit about what you’ll be doing in West Harrison?

My practice is basically centered on prostate cancer, and usually it’s early-stage prostate cancer including screening issues and treatment — ranging from active surveillance for low-risk disease (closely following the condition without treatment unless there are changes in test results) through multimodal treatment strategies for high-risk disease. My team also focuses on prostate research in all areas. For example, I’m co-principal investigator of a study that is looking at inflammation in prostate cancer.

A great thing about West Harrison is that we plan on having all of our research protocols available to patients who we see in Westchester. Research leads to treatment advances. At our West Harrison facility, we will provide an opportunity for patients to participate in clinical trials who might otherwise not have been aware of or sought these options.  Memorial Sloan Kettering has been a leader in clinical research for many years, but unfortunately this was limited to the Manhattan campus, which isn’t always accessible to every patient. West Harrison is an opportunity to hopefully bring state-of-the-art care to the community.

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Do you think West Harrison will be more convenient for your patients?

Absolutely. Actually patients have already heard about it; several patients who see me in clinic have said, “I hear you’re going up to Westchester. When does that place open?”

Additionally, one particular benefit, I think, of being in this location is that it will make active surveillance for prostate cancer easier for many patients. MSK researchers have been at the forefront of refining screening guidelines — our website even has a risk-based screening approach to try to eliminate the number of unnecessary biopsies while not missing important cancers. Overall, we have a very robust active surveillance program. Many men diagnosed with prostate cancer don’t need treatment, which is something we’ve again been at the forefront of advocating — the balance between over- and under-treatment.

This facility will make active surveillance easier for people because it requires that they see a specialist at least twice a year. In addition, while there are many treatment options for clinically localized prostate cancer, not all centers are able to offer everything we can. Most centers tend to offer what they do rather than offer what might be best for the patient. At MSK we don’t simply offer one approach. We base treatment recommendations on the risk posed by the cancer rather than overemphasizing a particular treatment option. Fortunately, at MSK, we have experts in all areas of treatment. Once a decision regarding therapy is made the patient can be assured he will receive state-of-the-art care from an expert in the field.

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Are you from the West Harrison area?

Yes! I have two boys. They both graduated from Irvington High School. I have lived on the border of Tarrytown and Irvington since 2001. Technically I am in Tarrytown, but the school district was Irvington School District. I enjoy both of these river towns, which have plenty to offer.

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Will biopsy's(Artemis Biopsy) be performed in westchestor? Thank You

Michael, prostate biopsies will be performed at our new West Harrison location, but not using the Artemis technology. Thank you for your question.

Will Dr Eastham continue to see patients at the Manhattan campus?

Paul, yes, Dr. Eastham will continue to see patients in Manhattan. Thank you for your comment.


Dear Kenneth, for questions related to insurance, please call our Insurance Information Line at 646-497-9176 between 9:00 AM and 5:00 PM ET, Monday through Friday. You may also find answers to some of your questions by visiting our website at http://www.mskcc.org/cancer-care/hospital-information/insurance-billing.

You may also be interested to know that we provide financial assistance for patients in need. Learn more at http://www.mskcc.org/cancer-care/hospital-information/financial-assista….

Thank you for reaching out to us.


What is your opinion about radiation therapy after radical prostate removal if cancer has invaded the seminal vessel? And when should radiation be started? Cancer was determined to be very aggressive.

Lisa, unfortunately we are unable to specific medical questions on our blog. If you or a loved one would like to make an appointment with a Memorial Sloan Kettering physician, please call our Physician Referral Service at 800-525-2225 or go to http://www.mskcc.org/cancer-care/appointment.

To learn more about how Memorial Sloan Kettering uses radiation therapy to treat prostate cancer, go to:


Thanks for your comment.

I am a Dr. Eastham patient, how can I get set up on the patient portal? How can I email information to Dr. Eastham's office?

Dear Douglas, to enroll in our patient portal, ask a session assistant in clinic to help you set up an account, or speak to your doctor’s office. You can also contact the Help Desk via email at mymsk@mskcc.org or call 800-248-0593 or 646-227-2593. You can then use the portal send and receive secure, non-urgent messages (with attachments if needed) to and from your doctor's office. To learn more, please visit https://www.mskcc.org/experience/become-patient/patient-portal-mymsk.

Thank you for reaching out to us.

When will you be able to do bone scans at West Harrison?

Dear Fred, we are already performing bone density and PET bone scans at our facility in West Harrison. However, we are not able to complete nuclear medicine bone scans at this time. Thank you for reaching out to us.

do you have the latest information / news or otherwise on the 4K Test Scores and the accuracy of their findings?

Thank you.

Dear Paul, the 4K Score is highly accurate and has been tested on thousands of men in Europe and the US. At MSK, we prescribe the test for men who have an elevated PSA. We have found that it has prevented prostate biopsies for some patients and also lead to meaningful diagnosis and treatment for other patients.

Here is a link with more specific information about the accuracy of the test: http://4kscore.com/wp-content/uploads/2016/04/Clinical-Experience.pdf

We hope this information is helpful and appreciate your interest.

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