{"id":27968,"date":"2025-05-20T01:21:55","date_gmt":"2025-05-20T01:21:55","guid":{"rendered":"https:\/\/usdailys.com\/?p=27968"},"modified":"2025-05-20T01:21:55","modified_gmt":"2025-05-20T01:21:55","slug":"joe-bidens-stage-4-prostate-cancer-diagnosis-a-doctor-explains-what-it-could-mean-for-his-future-exclusive","status":"publish","type":"post","link":"https:\/\/usdailys.com\/?p=27968","title":{"rendered":"Joe Biden&#8217;s Stage 4 Prostate Cancer Diagnosis: A Doctor Explains What It Could Mean for His Future (Exclusive)"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p class=\"article-subheading text-utility-300\">This type of cancer is &#8220;generally not considered a curable situation,\u201d an oncologist tells PEOPLE<\/p>\n<div id=\"mntl-article-meta-dynamic_1-0\" class=\"comp mntl-article-meta-dynamic mntl-article-meta mntl-block pre-content\" data-tracking-container=\"true\">\n<div id=\"people-bylines_1-0\" class=\"comp people-bylines mntl-bylines text-utility-200\">\n<div id=\"mntl-sc-block_1-0\" class=\"comp mntl-sc-block people-sc-block-callout mntl-sc-block-universal-callout theme-needtoknow\" data-tracking-id=\"mntl-sc-block-callout\" data-tracking-container=\"true\">\n<h3 class=\"mntl-sc-block-universal-callout__heading\">NEED TO KNOW<\/h3>\n<div class=\"mntl-sc-block-universal-callout__body\">\n<ul>\n<li>Former President Joe Biden announced he has stage 4 prostate cancer that has spread to his bones<\/li>\n<li>&#8220;That\u2019s generally not considered a curable situation,\u201d Dr. Christopher Wee, a genitourinary medical oncologist with the Cleveland Clinic, tells PEOPLE<\/li>\n<li>Patients with prostate cancer often have no signs, as symptoms can vary and tests are &#8220;imperfect&#8221;<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p id=\"mntl-sc-block_2-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">Former President\u00a0<a href=\"https:\/\/people.com\/tag\/joe-biden\/\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\">Joe Biden<\/a>\u00a0has\u00a0<a href=\"https:\/\/people.com\/joe-biden-diagnosed-aggressive-prostate-cancer-reviewing-treatment-options-11737225\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"2\">\u201caggressive\u201d prostate cancer<\/a>\u00a0and released a\u00a0<a href=\"https:\/\/x.com\/KThomasDC\/status\/1924193512381116854\" rel=\"nofollow\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"3\">statement<\/a>\u00a0that offered medical details about his diagnosis, explaining it has metastasized to his bones.<\/p>\n<div id=\"mntl-sc-block_3-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_4-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">His cancer has a Gleason Score of 9, which means that it is an aggressive form that is likely to grow quickly, according to the\u00a0<a href=\"https:\/\/my.clevelandclinic.org\/health\/diagnostics\/22087-gleason-score\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\">Cleveland Clinic<\/a>.<\/p>\n<div id=\"mntl-sc-block_5-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_6-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">As Dr. Christopher Wee, a genitourinary medical oncologist with the Cleveland Clinic, explains, \u201cThe higher the number, the more abnormal the cells are. And so when something is a Gleason 9 or a Gleason 10, that translates to Grade Group 5. Generally speaking, people think that reflects a more aggressive behavior of the cancer.\u201d<\/p>\n<div id=\"mntl-sc-block_7-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_8-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">However, he clarifies, it doesn\u2019t mean stage 5 cancer \u2014 that classification doesn\u2019t exist. \u201cThe highest it goes to is 4, and his is stage 4 because it has spread outside of the prostate,&#8221; Dr. Wee tells PEOPLE.<\/p>\n<blockquote class=\"twitter-tweet\">\n<p dir=\"ltr\" lang=\"en\">Cancer touches us all. Like so many of you, Jill and I have learned that we are strongest in the broken places. Thank you for lifting us up with love and support. <a href=\"https:\/\/t.co\/oSS1vGIiwU\">pic.twitter.com\/oSS1vGIiwU<\/a><\/p>\n<p>\u2014 Joe Biden (@JoeBiden) <a href=\"https:\/\/twitter.com\/JoeBiden\/status\/1924427587582828753?ref_src=twsrc%5Etfw\">May 19, 2025<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<p id=\"mntl-sc-block_12-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">While it is &#8220;generally not considered a curable situation&#8221; at stage 4, it is still &#8220;treatable,&#8221; Dr. Wee says. \u201cThe goal of treatment is to slow progression or growth, maintain quality of life, and extend life expectancy. Prognoses can vary significantly.\u201d<\/p>\n<div id=\"mntl-sc-block_13-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_14-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">Biden&#8217;s statement offered more details about how his cancer might be treated: \u201cThe cancer appears to be hormone-sensitive, which allows for effective management,&#8221; the statement said.<\/p>\n<div id=\"mntl-sc-block_15-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_16-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">Wee explains that drugs and not surgery are the standard treatment at this stage. \u201cThe backbone of that is hormone therapy, also known as androgen deprivation therapy. The idea of this is that prostate cancer cells are fueled by testosterone, so we lower the testosterone generally with medicines, either shots or pills.\u201d<\/p>\n<p id=\"mntl-sc-block_20-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">Dr. Wee also says a patient can &#8220;absolutely&#8221; not know they have prostate cancer.<\/p>\n<div id=\"mntl-sc-block_21-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_22-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">&#8220;A lot of times patients can have prostate cancer and not have any symptoms,&#8221; he says, adding that while blood work can check for a prostate-specific antigen (PSA), it still has limitations.<\/p>\n<div id=\"mntl-sc-block_23-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_24-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">\u201cThe challenge with the PSA is that there are things that are not prostate cancer that can also make a PSA go up. And then not every prostate cancer will make the PSA go up, so it&#8217;s an imperfect test.\u201d<\/p>\n<div id=\"mntl-sc-block_25-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_26-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">Diagnosing the disease, he says, \u201cis challenging sometimes because the symptoms can be very vague and nonspecific to the actual disease.\u201d<\/p>\n<div id=\"mntl-sc-block_27-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<figure id=\"mntl-sc-block_28-0\" class=\"comp mntl-sc-block people-sc-block-image mntl-sc-block-image mntl-sc-block-image--no-theme no-theme figure-landscape figure-high-res\">\n<div class=\"figure-media\">\n<div class=\"img-placeholder\"><img loading=\"lazy\" decoding=\"async\" id=\"mntl-sc-block-image_1-0\" class=\"mntl-image mntl-image universal-image__image lazyloadwait lazyloaded\" src=\"https:\/\/people.com\/thmb\/7Aa5Sh3_2rivsIA67TjjhBx3u_0=\/4000x0\/filters:no_upscale():max_bytes(150000):strip_icc():focal(749x0:751x2):format(webp)\/biden-commander-1-100523-59b405a0851344ccb33e062c3af4aba2.jpg\" sizes=\"auto, 4000px\" srcset=\"https:\/\/people.com\/thmb\/7Aa5Sh3_2rivsIA67TjjhBx3u_0=\/4000x0\/filters:no_upscale():max_bytes(150000):strip_icc():focal(749x0:751x2):format(webp)\/biden-commander-1-100523-59b405a0851344ccb33e062c3af4aba2.jpg 4000w\" alt=\"US President Joe Biden and US First Lady Jill Biden, with their new dog Commander, speak virtually with military service members to thank them for their service and wish them a Merry Christmas, from the South Court \" width=\"1500\" height=\"1000\" data-src=\"https:\/\/people.com\/thmb\/7Aa5Sh3_2rivsIA67TjjhBx3u_0=\/4000x0\/filters:no_upscale():max_bytes(150000):strip_icc():focal(749x0:751x2):format(webp)\/biden-commander-1-100523-59b405a0851344ccb33e062c3af4aba2.jpg\" data-srcset=\"https:\/\/people.com\/thmb\/7Aa5Sh3_2rivsIA67TjjhBx3u_0=\/4000x0\/filters:no_upscale():max_bytes(150000):strip_icc():focal(749x0:751x2):format(webp)\/biden-commander-1-100523-59b405a0851344ccb33e062c3af4aba2.jpg 4000w\" data-sizes=\"4000px\" data-expand=\"300\" data-tracking-container=\"true\" data-img-lightbox=\"true\" data-click-tracked=\"true\" \/><\/div>\n<\/div><figcaption id=\"mntl-figure-caption_1-0\" class=\"comp mntl-figure-caption text-utility-100 figure-article-caption\"><span class=\"figure-article-caption-text\">Former President Joe Biden with Former First Lady Jill Biden and dog Commander in 2021.<\/span>SAUL LOEB\/AFP via Getty<\/p>\n<\/figcaption><\/figure>\n<p id=\"mntl-sc-block_29-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">\u201cOftentimes patients will not have any symptoms, and they&#8217;ll be caught just based on a rising PSA. Urinary symptoms can happen, especially as men age, that can be assigned to get evaluated \u2026 there are some patients in whom their PSAs are fine, and then the next year it just goes up really fast. And there are some people in whom it&#8217;s brewing a long time.<\/p>\n<div id=\"mntl-sc-block_30-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_31-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">&#8220;Everyone&#8217;s case is different. It&#8217;s a very variable course of how this can go.\u201d<\/p>\n<div id=\"mntl-sc-block_32-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_33-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">\u201cYou know your body the best, and anything that&#8217;s changing, such as urinary symptoms, should be discussed with your doctor,\u201d Dr. Wee says. \u201cEvery patient is unique. And there&#8217;s not a one-size-fits-all rule.&#8221;<\/p>\n<div id=\"mntl-sc-block_34-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_35-0\" class=\"comp mntl-sc-block mntl-sc-block-html\">Biden and his wife\u00a0<a href=\"https:\/\/people.com\/person\/jill-biden\/\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"internalLink\" data-ordinal=\"1\">Jill<\/a>\u00a0shared an\u00a0<a href=\"https:\/\/x.com\/JoeBiden\/status\/1924427587582828753\" rel=\"nofollow\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"2\">emotional statement on X<\/a>\u00a0on May 19: &#8220;Cancer touches us all. Like so many of you, Jill and I have learned that we are strongest in the broken places. Thank you for lifting us up with love and support.&#8221;<\/p>\n<div id=\"mntl-sc-block_36-0\" class=\"comp mntl-sc-block mntl-sc-block-adslot mntl-block\"><\/div>\n<p id=\"mntl-sc-block_37-0\" class=\"comp mntl-sc-block mntl-sc-block-html\"><strong>Never miss a story \u2014 sign up for\u00a0<a href=\"https:\/\/forms.dotdashmeredith.com\/people-news-inline\" rel=\"nofollow\" data-component=\"link\" data-source=\"inlineLink\" data-type=\"externalLink\" data-ordinal=\"1\">PEOPLE&#8217;s free daily newsletter<\/a>\u00a0to stay up-to-date on the best of what PEOPLE has to offer, from celebrity news to compelling human interest stories.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; This type of cancer is &#8220;generally not considered a curable situation,\u201d an oncologist tells PEOPLE NEED TO KNOW Former President Joe Biden announced he has stage 4 prostate &hellip; <\/p>\n","protected":false},"author":2,"featured_media":27969,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-27968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/posts\/27968","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/usdailys.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27968"}],"version-history":[{"count":1,"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/posts\/27968\/revisions"}],"predecessor-version":[{"id":27970,"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/posts\/27968\/revisions\/27970"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/usdailys.com\/index.php?rest_route=\/wp\/v2\/media\/27969"}],"wp:attachment":[{"href":"https:\/\/usdailys.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27968"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/usdailys.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27968"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/usdailys.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}