I do get why some are suspicious, but the opinion of urologists regarding the notion he knew years ago is mixed…
The type of metastasizing cancer former president Joe Biden has takes years to develop, urologist Dr. David Shusterman said.
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I had prostate cancer, Gleason scale 7, so intermediate, and PSA of 24. The urologist did biopsies when the PSA spiked that high. No cancer. I had at least one or two more biopsies, no cancer. Over a year went by. Urologist actually complained to me that “you should have cancer”. He sounded so disappointed the day he said that, I decided I would change urologists if and when he finally detected cancer. He was rooting for the cancer. I’m sure I had prostate cancer well before the biopsy was positive. But until a biopsy was positive, they did nothing.
Former President Joe Biden has been diagnosed with an advanced stage of prostate cancer that has metastasized, or spread, to his bones.
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While it's unclear exactly how long Biden has had cancer, its rapid spread is attributed to it being an aggressive form of the disease. His cancer was categorized as having a Gleason score of 9, which places him in Grade Group 5, the most severe category. The Gleason score is a system for grading the severity of prostate cancer based on analysis of cell samples under a microscope.
When prostate cancer is more advanced and spreads, the bones are among the areas most likely to be affected. It
can also commonly spread to the lymph nodes, liver or lungs, according to the Mayo Clinic.
Unfortunately, late-stage cancer diagnoses are not uncommon. A 2014 analysis from Cancer Research UK, for example, found that
46% of all cancers in that country were diagnosed at an advanced stage. A
2023 study published in the journal Lancet Oncology found disruptions in care amid the pandemic also led to an increase in late-stage diagnoses across nearly all cancer types, including prostate.
Slower-growing cancers can take years to develop and be detected, while more aggressive ones can become apparent more rapidly and also spread to other parts of the body quicker….
Biden, who is now 82, did not undergo prostate cancer screening during his last medical checkup while in office, in February 2024, according to
recordsreleased at the time. Experts say this is likely due to that fact that these screenings are
not routinely recommended for men 70 years or older.
"Doctors will stop screening for prostate cancer at 75 or so, because after that, the prostate cancers you typically pick up are very slow growing, and so the harms of all of the testing and treatment for something that may not kill you — you're talking about risk versus benefit. It may not be worth the risk," Dr. Céline Gounder, CBS News medical contributor and editor-at-large for public health at KFF Health News, explained
on "CBS Mornings" Monday.
Instead, Biden's diagnosis came after he recently saw a doctor due to urinary symptoms.
A small nodule was found in the prostate, which necessitated further evaluation, his office said last week….
…..Back in 2019, Biden was diagnosed with benign enlargement of the prostate, or BPH. That December, his campaign released his medical evaluation, which noted: "This patient has been treated for Benign Prostatic Hyperplasia (BPH). This was initially treated with medication and was then definitively treated with surgery. He has never had prostate cancer."