{"id":10903,"date":"2025-06-19T22:47:16","date_gmt":"2025-06-19T17:47:16","guid":{"rendered":"https:\/\/pni.net.pk\/us\/?p=10903"},"modified":"2025-06-19T22:47:36","modified_gmt":"2025-06-19T17:47:36","slug":"what-do-we-actually-know-did-bidens-cancer-go-unchecked","status":"publish","type":"post","link":"https:\/\/pni.net.pk\/us\/what-do-we-actually-know-did-bidens-cancer-go-unchecked\/","title":{"rendered":"Did Biden\u2019s cancer go unchecked?\u201d What do we actually know?"},"content":{"rendered":"<p data-start=\"0\" data-end=\"37\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Former President Joe Biden was diagnosed on <strong data-start=\"44\" data-end=\"60\">May 16, 2025<\/strong>, during a routine physical prompted by urinary symptoms, with <strong data-start=\"123\" data-end=\"150\">Stage\u202f4 prostate cancer<\/strong> that had already spread to his bones\u2014confirmed by biopsy to be Gleason score 9 (Grade Group 5).<\/span><\/p>\n<ul data-start=\"77\" data-end=\"236\">\n<li data-start=\"158\" data-end=\"236\">\n<p data-start=\"160\" data-end=\"236\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">His office stated that his <strong data-start=\"27\" data-end=\"95\">last known PSA (prostate-specific antigen) test occurred in 2014<\/strong>, with no prior prostate cancer diagnosis before the May announcement.<\/span><\/p>\n<\/li>\n<\/ul>\n<hr data-start=\"238\" data-end=\"241\" \/>\n<p data-start=\"243\" data-end=\"279\"><strong>2. Why wasn\u2019t it detected sooner?<\/strong><\/p>\n<p data-start=\"281\" data-end=\"346\"><strong>a. Guidelines discourage routine PSA screening after age 70<\/strong><\/p>\n<p data-start=\"347\" data-end=\"423\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Current U.S. Preventive Services Task Force and other expert groups generally <strong data-start=\"78\" data-end=\"121\">recommend against routine PSA screening<\/strong> in men over 70 or 75, due to risks of false positives and overtreatment in less aggressive cancers.<\/span><\/p>\n<p data-start=\"425\" data-end=\"487\"><strong>b. Aggressive prostate cancers can progress with low PSA<\/strong><\/p>\n<p data-start=\"488\" data-end=\"564\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Some high-grade prostate cancers, especially Gleason 9, may <strong data-start=\"60\" data-end=\"100\">not elevate PSA levels significantly<\/strong> until later stages, making them more difficult to spot early.<\/span><\/p>\n<p data-start=\"566\" data-end=\"616\"><strong>c. No obvious symptoms until it metastasizes<\/strong><\/p>\n<p data-start=\"617\" data-end=\"695\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Prostate cancer often remains silent until it causes urinary issues or pain due to bone metastasis\u2014precisely what led to Biden\u2019s evaluation.<\/span><\/p>\n<hr data-start=\"697\" data-end=\"700\" \/>\n<p data-start=\"702\" data-end=\"740\"><strong>3. Why now\u2014even with top-tier care?<\/strong><\/p>\n<p data-start=\"742\" data-end=\"777\"><strong>a. Age-based screening cutoff<\/strong><\/p>\n<p data-start=\"778\" data-end=\"858\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Even with world-class healthcare, <strong data-start=\"34\" data-end=\"73\">standard practice stops PSA testing<\/strong> at age 70\u201375. Biden\u2019s last documented screening in 2014 aligns with this practice, though it ended before his presidency<\/span> .<\/p>\n<p data-start=\"860\" data-end=\"902\"><strong>b. Contrast with previous presidents<\/strong><\/p>\n<p data-start=\"903\" data-end=\"983\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Presidents like Trump and Obama publicly shared regular PSA results. Biden\u2019s tests ceased after 2014, a gap that critics say is surprising given his profile\u2014but experts say it follows accepted norms<\/span> .<\/p>\n<p data-start=\"985\" data-end=\"1024\"><strong>c. Rare but known cancer behavior<\/strong><\/p>\n<p data-start=\"1025\" data-end=\"1105\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Medical professionals note that <strong data-start=\"32\" data-end=\"63\">sporadic aggressive cancers<\/strong> can emerge or escalate rapidly, potentially bypassing early detection protocols<\/span> .<\/p>\n<hr data-start=\"1107\" data-end=\"1110\" \/>\n<p data-start=\"1112\" data-end=\"1141\"><strong>4. Was there a \u201ccover\u2011up\u201d?<\/strong><\/p>\n<ul data-start=\"1143\" data-end=\"1310\">\n<li data-start=\"1143\" data-end=\"1227\">\n<p data-start=\"1145\" data-end=\"1227\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\"><strong data-start=\"0\" data-end=\"15\" data-is-only-node=\"\">Speculation<\/strong> by critics\u2014including former President Donald Trump and some GOP lawmakers\u2014suggested possible concealment or failure to monitor his prostate health while in office.<\/span><\/p>\n<\/li>\n<li data-start=\"1228\" data-end=\"1310\">\n<p data-start=\"1230\" data-end=\"1310\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\"><strong data-start=\"0\" data-end=\"28\" data-is-only-node=\"\">Biden\u2019s office responded<\/strong> by affirming that there was no prior diagnosis, that the last PSA test indeed occurred in 2014, and that the cancer was only discovered recently following new symptoms\u2014there was no deliberate withholding of information.<\/span><\/p>\n<\/li>\n<\/ul>\n<hr data-start=\"1312\" data-end=\"1315\" \/>\n<p data-start=\"1317\" data-end=\"1351\"><strong>5. What do medical experts say?<\/strong><\/p>\n<div class=\"_tableContainer_16hzy_1\">\n<div class=\"_tableWrapper_16hzy_14 group flex w-fit flex-col-reverse\" tabindex=\"-1\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"1353\" data-end=\"1886\">\n<thead data-start=\"1353\" data-end=\"1402\">\n<tr data-start=\"1353\" data-end=\"1402\">\n<th data-start=\"1353\" data-end=\"1386\" data-col-size=\"sm\">Observation<\/th>\n<th data-start=\"1386\" data-end=\"1402\" data-col-size=\"md\">Expert Views<\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"1452\" data-end=\"1886\">\n<tr data-start=\"1452\" data-end=\"1577\">\n<td data-start=\"1452\" data-end=\"1494\" data-col-size=\"sm\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Lack of screening wasn\u2019t unusual<\/span><\/td>\n<td data-start=\"1494\" data-end=\"1577\" data-col-size=\"md\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">\u201cIt is not unusual for a man of Biden\u2019s age to skip prostate cancer screening\u201d<\/span><\/td>\n<\/tr>\n<tr data-start=\"1578\" data-end=\"1721\">\n<td data-start=\"1578\" data-end=\"1611\" data-col-size=\"sm\">Late-stage detection is common<\/td>\n<td data-start=\"1611\" data-end=\"1721\" data-col-size=\"md\">\u201cWithout screening&#8230; almost no way to detect these cancers early\u201d<\/td>\n<\/tr>\n<tr data-start=\"1722\" data-end=\"1886\">\n<td data-start=\"1722\" data-end=\"1757\" data-col-size=\"sm\">Aggressive forms may evade tests<\/td>\n<td data-start=\"1757\" data-end=\"1886\" data-col-size=\"md\">\u201cPhysicians were thrown by the timing\u2026 could have had the disease for up to a decade\u201d<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<ul data-start=\"1888\" data-end=\"1970\">\n<li data-start=\"1888\" data-end=\"1970\">\n<p data-start=\"1890\" data-end=\"1970\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Once cancer metastasizes to bone, the 5-year survival rate drops to around <strong data-start=\"75\" data-end=\"85\">30\u201337%<\/strong>, though newer therapies, especially for hormone-sensitive tumors like Biden&#8217;s, can extend life significantly.<\/span><\/p>\n<\/li>\n<\/ul>\n<hr data-start=\"1972\" data-end=\"1975\" \/>\n<p data-start=\"1977\" data-end=\"2013\"><strong>6. Treatment outlook &amp; next steps<\/strong><\/p>\n<ul data-start=\"2015\" data-end=\"2180\">\n<li data-start=\"2015\" data-end=\"2097\">\n<p data-start=\"2017\" data-end=\"2097\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\"><strong data-start=\"0\" data-end=\"23\" data-is-only-node=\"\">Promising therapies<\/strong>: hormone (androgen deprivation) therapy, radiation, chemotherapy, immunotherapy\u2014often in combination\u2014can slow disease progression<\/span> <span class=\"\" data-state=\"closed\"><span class=\"ms-1 inline-flex max-w-full items-center relative top-[-0.094rem] animate-[show_150ms_ease-in]\"><a class=\"flex h-4.5 overflow-hidden rounded-xl px-2 text-[0.5625em] font-medium text-token-text-secondary! bg-[#F4F4F4]! dark:bg-[#303030]! transition-colors duration-150 ease-in-out\" href=\"https:\/\/web.musc.edu\/about\/news-center\/2025\/05\/20\/hollings-cancer-center-urologist-on-what-bidens-cancer-diagnosis-means?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><span class=\"relative start-0 bottom-0 flex h-full w-full items-center\"><span class=\"flex h-4 w-full items-center justify-between overflow-hidden\"><span class=\"max-w-full grow truncate overflow-hidden text-center\">web.musc.edu<\/span><\/span><\/span><\/a><\/span><\/span>.<\/p>\n<\/li>\n<li data-start=\"2098\" data-end=\"2180\">\n<p data-start=\"2100\" data-end=\"2180\"><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\"><strong data-start=\"0\" data-end=\"21\" data-is-only-node=\"\">Patient prognosis<\/strong>: While Stage 4 metastatic prostate cancer is not curable, many patients now live <strong data-start=\"103\" data-end=\"121\">5 to 10+ years<\/strong> with quality life thanks to modern treatments<\/span> .<\/p>\n<\/li>\n<\/ul>\n<hr data-start=\"2182\" data-end=\"2185\" \/>\n<p data-start=\"2187\" data-end=\"2231\"><strong data-start=\"2190\" data-end=\"2231\">Conclusion: Was it truly \u201cunchecked\u201d?<\/strong><\/p>\n<ul data-start=\"2233\" data-end=\"2809\">\n<li data-start=\"2233\" data-end=\"2335\">\n<p data-start=\"2235\" data-end=\"2335\"><strong data-start=\"2235\" data-end=\"2254\">Not necessarily<\/strong>\u2014Biden\u2019s last PSA test in 2014 fell within accepted medical practice for his age.<\/p>\n<\/li>\n<li data-start=\"2336\" data-end=\"2495\">\n<p data-start=\"2338\" data-end=\"2495\"><strong data-start=\"2338\" data-end=\"2369\">Yes, it wasn\u2019t caught early<\/strong>, but that is often due to guideline limits, silent progression, and unpredictable aggressiveness, not necessarily negligence.<\/p>\n<\/li>\n<li data-start=\"2496\" data-end=\"2613\">\n<p data-start=\"2498\" data-end=\"2613\"><strong data-start=\"2498\" data-end=\"2549\">No credible evidence of a deliberate \u201ccover-up\u201d<\/strong>: his office clarified facts promptly once cancer was confirmed.<\/p>\n<\/li>\n<li data-start=\"2614\" data-end=\"2809\">\n<p data-start=\"2616\" data-end=\"2809\"><strong data-start=\"2616\" data-end=\"2651\">Case highlights a broader issue<\/strong>: screening guidelines may miss aggressive cancers, especially in older adults. Biden\u2019s case renews debate about balancing over\u2011diagnosis vs. early detection.<\/p>\n<\/li>\n<\/ul>\n<hr data-start=\"2811\" data-end=\"2814\" \/>\n<p data-start=\"2816\" data-end=\"2963\">\n","protected":false},"excerpt":{"rendered":"<p>Former President Joe Biden was diagnosed on May 16, 2025, during a routine physical prompted by urinary symptoms, with Stage\u202f4 prostate cancer that had already spread to his bones\u2014confirmed by biopsy to be Gleason score 9 (Grade Group 5). His office stated that his last known PSA (prostate-specific antigen) test occurred in 2014, with no [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":10904,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-10903","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-memorial"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Did Biden\u2019s cancer go unchecked?\u201d What do we actually know?<\/title>\n<meta name=\"description\" content=\"Former President Joe Biden was diagnosed on May 16, 2025, during a routine physical prompted by urinary symptoms, with Stage\u202f4 prostate cancer that had\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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