Urologist: Very Unlikely for Someone Getting Annual Check ups and Not Notice PSA Elevations

EXCERPT:

SHUSTERMAN: "It’s very unlikely that at someone could get annual checkups and not notice a PSA elevation over the past -- you know, this is what I typically would see in a VA hospital where a patient hasn’t had medical attention in 10 years, presents to an emergency room with bone pain, and then I find it’s metastatic prostate cancer. But in the modern age of medicine, especially the fact that he was a former president, he had intensive state-of-the-art care where we can see prostate cancer, you know, 10 years in the past. So this is — I mean, it’s very unusual to hear that someone has prostate cancer where they're annually being followed up. And the fact that we just find it at a Gleason 9 is just pretty much unheard of in this day and age of medicine, even in the inner-city populations we don't even see it this bad."