What Bidens Gleason score of 9 means for the “aggressive” case of prostate cancer

In Joe Biden, an “aggressive form” of prostate cancer was diagnosed.

The Biden team announced an explanation on Sunday that the former president experienced “increasing urine complaints” before his diagnosis, which was characterized by a Gleason number of 9 (degree group 5) with “metastasis on the bone”.

“While this is a more aggressive form of the disease, cancer seems to be sensitive to hormone, which enables effective management. The president and family check the treatment options with his doctors,” the explanation says.

Joe Biden diagnoses with an aggressive form of prostate cancer with metastasis to the bone

Bidens ranking of 9 on the Gleason scale, an evaluation system for prostate cancer, triggered concerns because it correlates with high-grade cancer.

Dr. Arpeet Shah, a urologist at the associated urological specialists in Illinois, explained in an interview with FOX News Digital, as the evaluation system indicates the aggressiveness of the disease.

“It is based on what the cancer cells look like under a microscope – especially how different they look like from normal prostate cells,” he said. (Shah was not involved in bidens care.)

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Pathologists have two numbers of 1 to 5, based on the most common and most common patterns in the tissue.

The lower the degree, the more normal the cancer cells look according to Cleveland Clinic.

Descriptions of the classes are listed below.

Class 1 – Cancer cells look like normal cells.

Classes 2 to 4 – Cancer cells in the fabric look less than normal cells.

Class 5 – Cancer cells look very abnormal.

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The largest cancer areas are evaluated and then put together to determine a Gleason score that is typically between 6 and 10.

“The higher the score, the more aggressive the cancer is likely,” said Shah.

Below are a breakdown of the Gleason score areas.

Gleason score of 6: Cancer is inferior and slowly growing.

Gleason score from 7: Cancer is medium and grows or spreads over time.

Gleason score from 8 to 10: Cancer is high and may need more aggressive treatment.

The system is “one of the most important tools” experts to “lead to” treatment decisions and to have meaningful discussions with patients about their options, “commented Shah.

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“It is important to highlight the meaning of 'early' here,” he said. “If President Biden had regularly passed prostate cancer screening with a PSA blood test and a digital rectal examination, his diagnosis could have been recognized earlier.”

In a performance on the “Big Weekend Show” on Sunday, the medical Fox News employee and the radiologist Dr. Nicole Saphier determines that prostate cancer comes in different forms similar to breast cancer and can be treated “very differently” per case.

Saphier confirmed that bidens metastatic cancer is level 4, which “significantly” reduces the chance of survival.

“No two cases are the same,” she said. “But the only thing you mentioned about President Biden's case is that it is sensitive to hormone.”

“Nowadays we have so many treatments that you can live with cancer level 4 for a long time.”

This form can be treated by operations or medication that stops testosterone production that promotes cancer growth.

“[Stage 4] Is the worst scenario when you talk about cancer, but we have so many treatments these days that you can live with cancer level 4 for a long time, “said Saphier.

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“In his case, because it is sensitive to hormone, there are treatment methods,” she continued.

“It will never heal him. He will never have cancer in stage 4. But he could get to the point where he has no evidence of an illness or certainly not a course of illness. And at this point is our goal.”

Stepheny Price and Peter Doocy from Fox News contributed to this report.