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Several doctors have called it “inconceivable” that former President Joe Biden’s aggressive prostate cancer went unnoticed by his medical team — even as Donald Trump Jr., Biden’s eldest son, questioned whether the diagnosis was part of a “cover-up.”

The 82-year-old former president received the diagnosis on Friday after doctors discovered a “small nodule” on his prostate during a medical exam earlier this month. His spokesman revealed Sunday that the cancer had spread to his bones.

Biden’s medical team reported that the cancer was graded with a Gleason score of 9, indicating one of the most aggressive forms of the disease.

Joe Biden and Kevin O'Connor walk the Colonnade of the White House to the West Wing.

Several medical experts quickly questioned how the former president’s cancer was diagnosed at such a late stage—particularly since routine blood tests, recommended for men over 50, can typically detect prostate cancer early.

Dr. Howard Forman commented on X, saying, “It is inconceivable that this was not being monitored before he left the Presidency.”

“Gleason grade 9 would have caused elevated PSA levels well before this diagnosis, and he must have had multiple PSA tests previously. This is unusual,” Dr. Forman added. “I wish him well and hope he can maximize his quality of life.”

Dr. Steven Quay expressed similar concerns, noting that Biden’s type of cancer is typically one of the easiest to detect in its early stages.

President Joe Biden and Dr. Jill Biden appear on stage during the first day of the Democratic National Convention at the United Center in Chicago, Ill. on Aug. 19, 2024.

“The PSA blood test indicates the rate at which cancer cells are growing. Even with the most aggressive form, it typically takes 5 to 7 years without treatment before the cancer becomes metastatic,” he explained.

“Therefore, it would be considered malpractice for a patient to first be diagnosed with metastatic disease in May 2025,” he added.

“It’s highly likely he had prostate cancer throughout his time in the White House, yet the American public was kept in the dark.”

David Shusterman attends a dinner at a private residence in NYC on May 9, 2022.
Dr. David Shusterman attended a dinner at a private residence in New York City on May 9, 2022.
Dr. Marc Siegel speaks at a SiriusXM, NYU event on Feb. 27, 2018.

Here’s a rewritten version of that passage:

Medical analyst Dr. Marc Siegel also weighed in during an interview with Fox News, expressing surprise at the aggressiveness of Biden’s illness given his high-profile status.

“I mean, he must have had the best possible care. I’m a little taken aback that it’s this advanced,” Siegel said.

Urologist Dr. David Shusterman speculated that Biden may have been aware of the condition for some time.

“The fact that it’s only now being diagnosed at a Gleason 9 level is almost unheard of in today’s medical landscape,” Shusterman told NewsNation Prime.

“This is something I usually see in VA hospitals, where a patient hasn’t received medical attention for 10 years, shows up at an emergency room with bone pain, and is then diagnosed with metastatic prostate cancer.”

Donald Trump Jr. questions former President Joe Biden's cancer revelation in a Truth Social post on May 18, 2025.
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