Former President Joe Biden has been diagnosed with prostate cancer, his personal office announced Sunday.
“Last week, President Joe Biden was seen for a new finding of a prostate nodule after experiencing increasing urinary symptoms,” his personal office said in a statement. “On Friday he was diagnosed with prostate cancer, characterized by a Gleason score of 9 (Grade Group 5) with metastasis to the bone.”
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Metastasis means the cancer has spread from its primary site (in Biden’s cancer, the prostate) to other tissue in the body.
“While this represents a more aggressive form of the disease, the cancer appears to be hormone-sensitive which allows for effective management,” the statement continued. “The President and his family are reviewing treatment options with his physicians.”
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A spokesperson for Biden’s office did not have any additional comment.
Biden and his family are meeting with doctors and considering "multiple treatment options," including hormone treatment, according to a source familiar with Biden's and his family's thinking.
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Biden is at his home in Wilmington, Delaware, the source said, but it is unclear where he will receive treatment.
Biden’s Gleason score of 9 (Group grade 5) means the cancer is likelier than others to grow and spread.
“Gleason 9 is, by definition, aggressive, but you don’t know how bad it is unless you know what the PET scan looks like,” said Dr. Alan Tan, genitourinary section lead at Vanderbilt University Medical Center in Nashville, Tennessee. Tan was not involved with Biden’s case.
Tan said that type of prostate cancer is not rare. “This is the most common thing I see in my clinic,” he said. “This is bread-and-butter genitourinary oncology.”
Most men diagnosed with prostate cancer do not die of it. And that Biden's cancer is hormone-sensitive suggests he will respond to treatment, experts said.
Dr. Chris George, a prostate cancer specialist at Northwestern Medicine who is not involved with Biden’s case, said that if Biden responds to treatment, he could live for years as the treatment keeps the disease in check.
President Donald Trump said he and first lady Melania Trump were "saddened to hear about" Biden's diagnosis.
"We extend our warmest and best wishes to Jill and the family, and we wish Joe a fast and successful recovery," Trump .
Former Vice President Kamala Harris said she and former second gentleman Doug Emhoff are keeping the former first couple "in our hearts and prayers."
"Joe is a fighter — and I know he will face this challenge with the same strength, resilience, and optimism that have always defined his life and leadership. We are hopeful for a full and speedy recovery," .
Former President Barack Obama said he is praying "for a fast and full recovery" and credited Biden for spearheading efforts to reduce cancer deaths.
"Michelle and I are thinking of the entire Biden family. Nobody has done more to find breakthrough treatments for cancer in all its forms than Joe, and I am certain he will fight this challenge with his trademark resolve and grace," .
About 1 in 8 men will be diagnosed with prostate cancer, . The cancer is common in older men, and it is the second-leading cause of cancer death in American men, behind lung cancer, according to the organization.
A spokesperson for Biden disclosed last Tuesday that a “small nodule” was found on Biden’s prostate during a routine physical examination, which "necessitated further evaluation.”
At 82, Biden is the oldest president in U.S. history.
recommend the prostate-specific antigen test, a blood test that helps detect prostate cancer, for men over 70, but in some cases it may be warranted.
“It’s a risk-benefit analysis, and given he was vice president and then president, the benefit of screening was high," said Dr. Kavita Patel, a physician who worked in the Obama administration. "I have ordered and screened 80- and 86-year-olds if they are otherwise in good health and or have a family history.”
Democrats face a Biden should have run for a second term in the first place. Biden’s run — and subsequent withdrawal — stoked deep divisions in the party over whether a campaign at his age helped contribute to Trump’s win in November.
But the party immediately rallied around him after he disclosed the diagnosis, temporarily forgoing its post-election analysis to wish him a full recovery.
“President Joe Biden is a great American patriot. Paul and I join the millions across the country and around the world praying for him to have strength and a swift recovery in the battle against cancer. Sending love to him and his family,” , D-Calif., the former House speaker, to encourage Biden to end his re-election bid.
“Over the years, the Biden family has confronted unimaginable adversity with grace and steadfast perseverance," House Minority Leader Hakeem Jeffries, D-N.Y., said in a statement. "We stand with President Biden as he confronts this moment with the same courage and resilience he has shown throughout his life."
“Praying for my friend and former colleague, Joe Biden, after hearing news of his diagnosis," "Loretta and I will be keeping Joe, the entire Biden family, and the medical professionals treating him in our thoughts during this time. Continue to keep the faith, Joe.”
Biden has also received messages of support from the Republican members of Congress who were once eager to make his health the centerpiece of the 2024 election.
“I’m sorry to see this news. Cancer is truly awful. My Dad passed away in 2021 with cancer,” Rep. Marjorie Taylor Greene, R-Ga., said, to pray for Biden and his family.
"This is certainly sad news, and the Johnson family will be joining the countless others who are praying for the former President in the wake of his diagnosis," .
During his presidency, Biden aimed to prevent millions of cancer deaths through the relaunch of his public-private , which funded research into treatments, expanded no-cost screening programs and, according to Biden administration records, resulted in nearly 8 million people being screened for prostate, breast, colorectal, lung, cervical and skin cancer.
At his first event after he left the 2024 presidential race, in new grants to support research and “allow surgeons to provide more successful tumor-removal surgeries for people facing cancer.”
Biden initially began leading the Moonshot program in 2016, as vice president, roughly six months after his eldest son, Beau, died of brain cancer.
In 2021, Biden at Walter Reed National Military Medical Center, during which a “single 3 mm benign-appearing polyp” was identified and removed, the White House physician at the time, Dr. Kevin O’Connor, revealed.
O’Connor said in a letter that the polyp was a “slow-growing, but thought to be precancerous lesion” for which no more action was required. Biden had a similar polyp removed in 2008, he said.
Biden’s as president was in February 2024, after which O’Connor billed him as a “healthy, active, robust 81-year-old."
Syedah Asghar, Marina Kopf and Akshay Syal contributed.
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