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What is prostate cancer? What to know about treatment and surgery after Joe Biden's diagnosis

What is prostate cancer? What to know about treatment and surgery after Joe Biden's diagnosis

The announcement that former U.S. President Joe Biden has been diagnosed with prostate cancer has brought renewed attention to a disease that affects 1 in 8 men during their lifetime. At 82 years old, Biden's case underscores the importance of understanding not just the nature of prostate cancer, but also the treatment and surgical options available-particularly when the disease is detected early.

According to his medical team, Biden's cancer was identified during routine follow-up after the detection of a prostate nodule in 2024. A biopsy later confirmed the presence of localized cancer, and doctors have described the prognosis as "very favorable."

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What Is Prostate Cancer?

Prostate cancer begins in the prostate gland, a small organ located just below the bladder that is involved in semen production. It is one of the most common cancers among men, especially those over the age of 50.

The disease occurs when cells in the prostate start to grow uncontrollably. Some tumors grow so slowly that they never cause harm, while others can be more aggressive and require prompt treatment.

"Prostate cancer is not a one-size-fits-all diagnosis," explains Dr. Karen Liu, a urologic oncologist at the Cleveland Clinic. "Some cases need immediate intervention, while others can be monitored over time."

Biden's Diagnosis: A Common but Treatable Condition

President Biden's doctors report that his cancer is localized, meaning it has not spread beyond the prostate. This significantly improves treatment outcomes and survival rates. In fact, localized prostate cancer has a 5-year survival rate of nearly 100% when treated promptly and appropriately.

While the former president has not disclosed which specific treatment path he will follow, medical experts suggest several common options for early-stage cases like his.

Treatment Options: From Monitoring to Surgery

1. Active Surveillance

This approach involves regular monitoring of the cancer through PSA tests, imaging, and occasional biopsies. It is typically recommended for men with low-risk, slow-growing tumors.

2. Radiation Therapy

Radiation can be used to kill cancer cells either externally (external beam radiation) or internally (brachytherapy). It is a non-invasive option with high success rates for localized cancer.

3. Radical Prostatectomy (Surgery)

In more aggressive or higher-risk cases, doctors may recommend surgical removal of the prostate gland, known as a radical prostatectomy. This can be done through open surgery or minimally invasive techniques such as robotic-assisted surgery.

"Modern prostate surgery has advanced significantly, with quicker recovery times and fewer complications than in the past," notes Dr. Liu. "For patients like President Biden, surgery is a very effective option, especially when the cancer hasn't spread."

4. Hormone Therapy and Other Treatments

If cancer is more advanced or recurs after initial treatment, hormone therapy may be used to slow its progression. In rare cases, chemotherapy or immunotherapy may be considered.

Making the Right Treatment Decision

Choosing a treatment depends on several factors: the stage and grade of the cancer, the patient's age and overall health, and personal preferences regarding potential side effects like incontinence or sexual dysfunction.

Biden's care team has assured the public that he remains in strong condition and that treatment will not significantly affect his daily life. This level of transparency helps reduce the stigma and confusion surrounding prostate cancer.

Joe Biden's diagnosis is a powerful reminder that prostate cancer is both common and highly treatable-especially when caught early. It also highlights the value of regular check-ups, PSA screenings, and timely action when abnormalities are found.

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