A resurfaced video of Joe Biden appearing to say he had cancer three years ago has raised questions following his public diagnosis.

It’s aggressive. The cells have an ugly, disordered appearance under a microscope. Pathologists gave them a Gleason score of 9 (out of 10) for their likelihood to advance quickly. The cancer has already moved from Biden’s prostate to his bones, which means it cannot be cured — only controlled with drugs.

As president, Joe Biden watched his son be tried and convicted on felony gun charges, and later Hunter pleaded guilty to failing to pay his taxes. Biden made the controversial decision during his final days in office to issue a sweeping pardon for his son.

Twenty-four hours after the Sunday announcement that former President Joe Biden has an aggressive form of prostate cancer, one of his staunchest supporters, Rep. Jim Clyburn of South Carolina, said Monday he had yet to connect with him. Another close Hill ally, Sen. Chris Coons, had not spoken with his fellow Delawarean as of midafternoon Tuesday.

Former President Joe Biden last underwent a Prostate-Specific Antigen (PSA) blood test, one of the most common ways to screen for prostate cancer, Barack Obama’s vice president, a spokesperson for his office announced Tuesday.

After maintaining a low profile since leaving the White House, former President Joe Biden recently emerged with media interviews and an April speech.