damn . I wonder if it's possible for the cancer to spread fast enough that tests would not have helped, so from elevated PSA to metastatic cancer in the span of months, or a year? This could have been the case with Biden and Adams.
The PSA test is pretty bad, not much better than 50/50 accuracy. I had raised PSA myself but it seems a false alarm. I bought some shares in a company with a 94% accurate test but it doesn't seem to have take off as a business thing.
My understanding is that it's generally slow spreading, but it's also slow to show symptoms, so they could have had it for years without anything indicating that they're in trouble.
there's two types of prostate cancer - slow, so slow that you'll probably die of something else and fast. you don't want fast. even the chemical castration that they use won't stop the fast-type of prostate cancer if they don't catch it early enough.