From PhillyVoice · · 1m 30s
Prostate cancer treatment varies by patient needs
Personal health factors shape prostate cancer treatment choices
In brief
Personal health factors shape prostate cancer treatment choices Treatment options depend on individual health, cancer characteristics, and personal priorities Originally reported by PhillyVoice.
Personalized treatment approach
Doctors consider PSA levels, biopsy results, imaging, risk group, and patient priorities when choosing prostate cancer care.
“It's always good to get a different perspective and I welcome patients to do that”
William Coren's story
At 76, William Coren received high dose rate brachytherapy at Fox Chase Cancer Center in 2023. His PSA level dropped significantly and he continues coaching cross country and track.
Cancer characteristics matter

PSA levels indicate cancer risk, while biopsy results provide a Gleason score to determine cancer aggressiveness.
Patient health is key
Doctors assess age, overall health, lifestyle, and existing urinary, bowel, and sexual function before recommending treatment.
Treatment options differ
Some men with low risk prostate cancer may benefit from active surveillance instead of immediate treatment.
Specialist collaboration
Urologic oncologists and radiation specialists work together to create tailored treatment plans for complex cases.
Brachytherapy benefits
High dose rate brachytherapy places a radioactive source inside the prostate temporarily before removing it after treatment.
Treatment evolution
New radiation techniques allow more precise targeting while reducing exposure to healthy tissue.
Clinical trials
Researchers study new treatment combinations and genetic markers to improve prostate cancer care decisions.
Second opinions help
Patients benefit from second opinions to ensure treatment aligns with both cancer characteristics and personal needs.
What to remember
Treatment options depend on individual health, cancer characteristics, and personal priorities

