President Donald Trump said he was surprised the public wasn’t notified earlier about former President Joe Biden’s prostate cancer diagnosis.

“I think it’s very sad, actually. I’m surprised that it wasn’t, you know, the public wasn’t notified a long time ago because to get to stage 9, that’s a long time,” Trump said while speaking to reporters at The White House.

Prostate cancers are given a score called a Gleason score that measures, on a scale of 1 to 10, how the cancerous cells look compared with normal cells. Biden’s office said his score was 9, suggesting his cancer is among the most aggressive. His cancer is considered stage 4.

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