Not All Cancers Start Inside: The Case Of 'Forgotten Cancer' - What Makes Sarcoma Different From Other Forms Of Cancers

Updated Jul 15, 2025 | 11:00 PM IST

SummaryJuly is Sarcoma Awareness Month, focusing on the theme “Know. Act. Advocate.” Sarcoma is a rare cancer that starts in bones or soft tissues and can appear anywhere in the body. Early detection is key. Dr. Sunil Chopade urges people to consult specialists if they notice unusual lumps or pain, as timely treatment improves outcomes.
Not All Cancers Start Inside: The Case Of 'Forgotten Cancer' - What Makes Sarcoma Different From Other Forms Of Cancers

Credits: Canva

Every year, the month of July is marked as Sarcoma Awareness Month—a time when patients, caregivers, doctors, and advocates across the world come together to shine a light on this rare and often overlooked group of cancers.

In 2025, the global theme is “Know. Act. Advocate.” It urges people to understand the signs, respond to early symptoms, and support timely diagnosis and treatment.

Unlike most common cancers that begin in internal organs, sarcoma often starts in the bones and soft tissues. That’s why experts say not all cancers begin from within.

“Sarcoma is often called the ‘forgotten cancer’ because of its rarity and the lack of awareness around it,” says Dr. Sunil Chopade, Consultant, Medical Oncology at Jaslok Hospital, Mumbai.

What Is Soft Tissue Sarcoma?

Sarcomas are a rare form of cancer that can arise from a wide range of tissues—muscles, fat, blood vessels, nerves, and fibrous tissues. Based on their origin, they are categorized as bone sarcomas and soft tissue sarcomas.

“Soft tissue sarcomas are classified into nearly 100 types based on the cell of origin and genetic changes,” explains Dr. Chopade. “While they make up less than 1% of adult cancers, in children, they account for about 10–15%.”

Common types include Ewing’s sarcoma, osteogenic sarcoma, and rhabdomyosarcoma, especially in younger patients. These can occur in areas such as the extremities, chest wall, spine, or abdominal cavity.

When to Worry About a Lump

One of the earliest signs of sarcoma is a lump or swelling, but not all lumps are dangerous. So how do you tell the difference?

“Benign lumps like lipomas may stay the same size for years and are usually painless,” says Dr. Chopade. “But if the swelling is painful, growing in size, or limiting movement, it needs evaluation.”

He adds, “Unlike benign lumps, sarcomas can infiltrate surrounding tissues. If a lump persists or grows, don’t ignore it.”

Symptoms Depend on the Site

Symptoms of sarcoma can vary dramatically depending on where it develops. A tumor near the joints may limit movement, while one in the abdomen can cause pain, discomfort, or a feeling of fullness. Sarcomas near the spine may even lead to neurological issues.

Who Is at Risk?

Although sarcoma can strike without warning, some factors increase risk.

“Previous radiation exposure is a known cause,” Dr. Chopade says. “There are also genetic syndromes like Li-Fraumeni and retinoblastoma that are linked with sarcoma.”

As for lifestyle factors? “There is no evidence that any specific diet or supplement prevents sarcoma,” he clarifies.

Diagnosis and Why Early Detection Matters

Sarcoma diagnosis relies on imaging techniques such as MRI, CT, and PET-CT, followed by a biopsy to confirm the cancer type.

“Treatment typically includes a combination of surgery, chemotherapy, and radiation therapy,” Dr. Chopade says. “If detected early, sarcomas can be cured.”

Specialists to consult include medical oncologists, cancer surgeons, and orthopaedic oncologists, particularly those experienced in bone and soft tissue tumors.

Though immunotherapy has shown promise in many cancers, its application in soft tissue sarcomas is still under research, except in select cases.

The goal of Sarcoma Awareness Month is not just education, but empowerment. “Knowing the signs, acting on symptoms, and advocating for timely care can save lives,” stresses Dr. Chopade.

If you notice an unusual lump or persistent pain, don’t wait. Consult your doctor or oncologist. Early action can make all the difference.

End of Article

NHS Warns People To Look Out For These Symptoms - If It Persists For More Than Two Days, Visit Your Doctor

Updated Jul 16, 2025 | 01:00 PM IST

SummaryContagious diseases can spread due to the negligence of just one person, going onto affecting hundreds in their vicinity. One such virus that the NHS has warned against is the norovirus. Here’s why
NHS Warns People To Look Out For These Symptoms - If It Persists For More Than Two Days, Visit Your Doctor

(Credit-Canva)

As summers progress in the UK, people are planning out vacations, and a restful summer evening as the long days give plenty of room to do things you wish to even after you finish your work. However, these plans can very well come to an end if you do not take the correct precautions.

The NHS has sent out an important alert because cases of norovirus, also known as the "winter vomiting bug," are higher than usual. Although norovirus, seasonally, is a bigger issue in winter, the rising number of cases prompted the NHS to warn people. In a social media post on platform X, they explained that this highly contagious illness is causing widespread concern, and the NHS is urging people to be aware of its symptoms. They've noted that while norovirus can spread all year round, current numbers are particularly elevated.

Norovirus: Symptoms and Self-Care

Norovirus typically causes diarrhea and vomiting. While these symptoms are very uncomfortable, they usually get better within a couple of days. The NHS advises that for most people, treating themselves at home is the best approach, emphasizing the importance of drinking plenty of fluids to avoid dehydration. Common symptoms of norovirus include:

  • Sudden nausea (feeling sick)
  • Vomiting
  • Diarrhea
  • Sometimes a fever, headaches, stomach cramps, and aching limbs

Recent Case Numbers

Recent data from the UK shows a significant increase in reported norovirus cases. Between May 26 and June 29 this year, there were over 16,600 cases, which is much higher than the average for the same period over the past five years.

However, the UK Health Security Agency (UKHSA) has also reported that norovirus cases are now starting to decline and are returning to expected levels after a seasonal peak. Even with this decline, the number of reports in recent weeks was still higher than the five-year average for that same time frame, mainly due to a high number of cases reported earlier in the period.

How Norovirus Spreads

Due to the contagious nature of the virus, one must remember to take correct precautions not to spread them. Even a small, seemingly insignificant move could cause you to become a carrier.

  • Don't wash your hands properly after using the toilet.
  • Are in close contact with someone who has the virus.
  • Touch surfaces or objects that have the virus and then touch your mouth.
  • Eat food prepared by someone with norovirus.
  • Consume contaminated water or food.

Preventing the Spread

To help stop norovirus from spreading, the NHS recommends some important steps. Always wash your hands thoroughly with soap and water after using the toilet, changing diapers, or before preparing or eating food. It's also important to remember that alcohol-based hand gels don't kill norovirus, so soap and water are essential.

If your clothes or bedding get soiled with vomit or feces, wash them at 60°C (140°F) and separately from other laundry. One must remember to regularly clean shared surfaces like toilet seats, flush handles, taps, and bathroom door handles. You must also try to avoid contact with others as much as possible if you feel unwell.

When to Stay Home and When to Seek Help

If you or your child start showing symptoms of norovirus, it's really important to stay home. Do not go to school, nursery, or work until you haven't thrown up or had diarrhea for two full days (48 hours). This helps prevent the virus from spreading further. Similarly, avoid visiting people in hospitals or care homes during this time. If you or your child have diarrhea that lasts for more than seven days, or if vomiting continues for more than two days, seek medical help.

End of Article

Shubhanshu Shukla Returns From ISS, What All Medical Examinations Are Lined Up

Updated Jul 16, 2025 | 01:03 PM IST

SummaryAfter 18 days in space, Group Captain Shubhanshu Shukla faces a rigorous post-flight rehabilitation process. This includes detailed medical evaluations—ranging from heart, vision, and psychological tests to sleep and balance checks—and structured physical reconditioning. Supervised by NASA and Indian Air Force teams, the goal is to safely restore his pre-flight physical condition.
Shubhanshu Shukla Returns From ISS, What All Medical Examinations Are Lined Up

Credits: SpaceX/YouTube, Britannica, AP

Shubhanshu Shukla, the Indian Air Force Group Captain is back on Earth after spending 18 days aboard the International Space Station (ISS). What now awaits is a long list of medical examination to ensure that Shukla and the other astronauts from Poland and Hungary are in good health.

What Are The Post-flight Medical Examinations For Astronauts?

The journey back from space marks the start of a whole new phase for astronauts. Just after splashdown, Group Captain Shukla and his fellow crewmates were helped out of the capsule by SpaceX recovery teams. Once aboard the recovery vessel, they underwent initial medical checks to assess their vital signs and general health.

These immediate tests are part of a broader post-flight health monitoring protocol aimed at studying how spaceflight affects the human body. Since astronauts’ health parameters are recorded before launch, comparing them with post-landing data helps scientists understand the impact of microgravity on various body systems.

As the pilot of the Axiom-4 mission, Shukla will undergo an extensive series of assessments — from cardiovascular and immune system checks to balance, coordination, and psychological evaluations.

Over the coming weeks, both NASA and the Indian Air Force will monitor his physical and mental recovery closely.

Readjusting to Earth’s gravity is not instant. In space, the lack of gravity leads to muscle weakening, bone density loss, and a fluid shift in the body that can affect circulation and organ function. To counter this, astronauts follow a personalized reconditioning plan designed to help their bodies re-adapt. These programmes focus not only on regaining strength but also on retraining the body’s proprioception — the sensory system that allows us to sense our position and movement, which becomes disoriented in space.

Life in Microgravity: What It Feels Like

Speaking from the International Space Station during the mission, Shukla had shared the strange feeling of disorientation he experienced during his initial days in orbit. “It’s the first time for me, so I don’t know what to expect [upon return],” he said. “The only hope is — I did have some symptoms coming up — so I am hoping that I will not have it going down. Unless and until I get the worst of both worlds and I get it both the times.”

Many astronauts deal with “space motion sickness” during the early days of their mission. This occurs when the brain receives mixed signals from the inner ear, which is crucial for balance on Earth. Upon return, the challenge reverses — as the body tries to function under the force of gravity again, simple actions like standing or walking can temporarily become difficult.

According to official reports, Shukla and his team will soon be transported to NASA’s Johnson Space Center in Houston for further recovery and evaluation, either by sea or air.

Post-Flight Rehabilitation

As per Polash Sannigarhi, Chief Instructor, Aeromedical, Training Center, Air Force Station Hindan, Ghaziabad, there are many rounds of medical checks that an astronaut undergoes. Being a flight surgeon himself, he writes in the paper, "Post-flight rehabilitation of an astronaut after long duration mission in space: Through the eyes of a flight surgeon" published in 2023.

Post-flight Medical Evaluation

Medical assessments begin within a day of landing (R+1) and cover a wide range of investigations:

Laboratory Tests: Conducted per NASA’s MEDB guidelines to assess biochemical and physiological parameters.

Physical Examination: Daily systemic check-ups by a flight surgeon to monitor overall health.

Anthropometry: Measurement of height and body mass to assess fluid shift and skeletal changes.

Psychological Assessments: Conducted privately by a mission psychologist on R+1 and R+10.

Sensorimotor and Vestibular Tests: Includes dynamic posturography and mobility assessments to evaluate balance and spatial orientation.

Ophthalmologic and Audiological Tests: Exams such as visual acuity, contrast sensitivity, orbital MRI, and audiometry.

Cardiorespiratory Assessment: ECG post-landing and spiro-ergometry on R+5 to assess VO₂ max.

Nutritional, Radiation, and Sleep Assessments: Involves dietary surveys, urine and blood sampling, dosimeter analysis, and sleep quality tracking.

Radiological Imaging: Targeted MRIs and ultrasounds are performed based on clinical indications.

Post-flight Physical Rehabilitation

This begins as early as the first day post-landing and is tailored to individual needs. A multidisciplinary team — including a Flight Surgeon, Physiotherapist, and Exercise Specialist — oversees it.

Initial Days (R0–R+1): Massage therapy for muscle relaxation.

R+2 to R+7: Structured exercise routines, including warm-ups, back and leg activation exercises, gait training, balance drills, and posture work using equipment like resistance bands.

Hydrotherapy (Following Week): Aquatic activities like aqua jogging and ball games mimic microgravity and help recondition muscles in a low-impact environment.

Core anti-gravity muscles such as the multifidus and transversus abdominis are monitored using ultrasound to track structural recovery. Flexibility and proprioception exercises are gradually reintroduced. Astronauts avoid jumping or high-impact activities until deemed fit by the team.

Each day concludes with team reviews to adapt the next day’s plan based on physical response. The program’s primary goal is to return astronauts to their pre-flight physical condition safely, without overexertion or injury.

End of Article

Vaccines For Children Pose No Threat To Their Heart Health Or Other Health Issues: Study

Updated Jul 16, 2025 | 11:00 AM IST

SummaryVaccine skepticism in a prevalent issue in the current medical climate. Many people remain unsure of how it affects their health and whether it is ok for their health or not.
Vaccines For Children Pose No Threat To Their Heart Health: Study

(Credit-Canva)

Vaccines have been under public scrutiny for some times now. Many people have brought up their concerns regarding how vaccines can harm their health and how these focus on short-term health while ignoring the long-term well-being. Recently, the claims that vaccines can cause psychological issues like autism and ADHD have been brought up and aluminum in vaccines were questioned. Studies like a 2011 review published in the Current Medicinal Chemistry journal questioned the validity of these vaccines claiming that these can cause autoimmune diseases and the benefits of it are overstated.

However, a major study involving over 1.2 million people has found no connection between the small amount of aluminum in childhood vaccines and long-term health problems like autism, asthma, or diseases where the body attacks itself. The research, published on July 14 in the Annals of Internal Medicine, rigorously examined 50 chronic conditions, offering significant reassurance about vaccine safety.

What the Study Looked At

The study explored many health concerns, including:

  • 36 types of autoimmune diseases (where the body's immune system mistakenly attacks its own healthy cells).
  • Nine different types of allergies and asthma.
  • Five brain development disorders, such as autism and ADHD.

Role of Aluminum in Vaccines

Aluminum is added to some vaccines to help the body build a stronger defense against diseases. It acts like a helper, making the vaccine more effective. However, this added aluminum has sometimes been a concern for people who doubt vaccine safety.

The researchers behind this study say their work clearly shows that childhood vaccines are safe. This information should help parents feel confident when making choices about their children's health.

The study team looked at health records from Denmark. They followed people born between 1997 and 2018 until the end of 2020. This allowed them to compare children who received more aluminum in their vaccines before age two with those who received less. It's important to know that children who weren't vaccinated were not included in this particular study.

Clearing Up Past Misunderstandings

This new study also helped clear up confusion from an earlier study in 2022. That study had suggested that there is a link between aluminum in vaccines and asthma. However, many experts criticized that older study because it didn't properly separate the aluminum from vaccines from aluminum that comes from other common sources. For example, aluminum is naturally found in food, water, air, and even breast milk.

What Aluminum Does in Vaccines

In vaccines, aluminum is used as a "helper" called an adjuvant. This helper makes the body's immune system respond strongly to the vaccine. Without adjuvants, the vaccine might not work as well, or it could even do the opposite of what's intended, which is making the body less protected rather than more.

The aluminum in vaccines is present in very tiny amounts, and it's in the form of aluminum salts, which are very different from the actual metal aluminum. It's crucial for parents to understand that they are not injecting metal into children. Most of this aluminum leaves the body within about two weeks, though a very small amount can stay for years.

What This Means for Vaccine Safety

While no single study can prove something is completely safe, this new research adds to many years of studies that all show aluminum in vaccines is not harmful. It's the combined information from all these studies over time that truly shows how safe vaccines are.

Researchers stress that vaccines containing aluminum are a very important part of childhood immunization programs. They believe it's essential to keep politics out of discussions about this topic because children's health depends on these vaccines.

End of Article