Cancer is a life changing disease, and while cancer in itself can induce anxiety in many, there are rare cancers, which may further escalate that fear. Rare cancers are types of cancers with low annual incidence, and are generally defined as fewer than 6 cases per 100,000 people. While it is infrequent, over 200 types of rare cancers are still represented by a significant portion of all cancer cases and deaths, presenting unique challenges for prevention, diagnosis, and treatment due to the scarcity of research as well as expertise.

Among the rare cancer, is a category, often referred to as 'silent diseases', because many of the early symptoms are often dismissed. These are gynecological cancers. According to the American Cancer Society, more females are diagnosed with gynecologic cancer in 2024 than colon cancer.

Also Read: If You're Alone At Home And Experience A Heart Attack, Here's How You Survive: According To Doctor

Rare Gynecologic Cancers That Exists

Rare gynecological cancers include primary fallopian tube cancer, primary peritoneal cancer (similar to ovarian cancer), gestational trophoblastic disease (GTD), and specific subtypes of more common cancers like clear cell ovarian carcinoma or certain cervical cancers. These cancers, which originate from parts of female reproductive system or associated tissues, are distinct from the more common types and thus require specialized diagnosis and treatment.

Fallopian tube cancer: It starts in the tubes connecting the ovaries and uterus. It makes up to 1 to 2% of gynecologic cancer, and less than 1% of all reproductive organ cancer with 1,500 to 2,000 cases reported worldwide, and of them 300 to 400 are annually diagnosed in the US.

Gestational trophoblastic disease: It forms in the layer of cells that encloses an embryo in pregnant women. It affects about 1 in 1,000 pregnancies in the US.

Primary peritoneal cancer: Forms within the tissue that lines a woman's abdominal and reproductive organs. It affects fewer than 7 cases per 1 million people annually. Researchers also suggest that of the 15% women diagnosed with advanced ovarian cancer may have primary peritoneal cancer. It also effects women over the age of 60.

Uterine sarcoma: Begins in the muscles or soft tissues of the uterus. They are rare, and represent about 1% of all female genital tract malignancies and 3 to 7% of uterine cancers.

Vaginal Cancer: Starts in the vagina and spreads to the external genitals. It is mostly common among women at their older age, especially around 69 years old. It makes up to 1 to 2% of gynecologic cancer.

Vulvar Cancer: Affects the outer part of the female genitals. There is a 1 in 333 chance of being diagnosed with vulvar cancer, but makes up to 6% of new gynecologic case.

What Are The Common Symptoms Of Gynecologic Cancer?

It can be detected early with regular pelvic exams and Pap tests.

Read: What To Expect From A Pap Smear Test?

The common symptoms to note for so you can see your doctor are:

• Unusual bleeding or discharge
• Sores, lumps, or growths
• Persistent itching or burning
• Tenderness or pain, especially during sex or urination
• Changes in skin color
• Constipation or other changes to bowel movements and urination
• Swollen abdomen

How Can It Be Diagnosed?

A pelvic Examination is one of the ways to diagnose it. This is when the doctor looks at the inside of the vagina and cervix. Pressing ovaries and uterus to check for abnormalities is also part of this examination.

During a pap test, the doctor collects cells from the cervix and looks at it under a microscope. In colposcopy, a magnifying device called a colposcope is used to spot suspicious tissue. In a biopsy, a small tissue sample is extracted for analysis under a microscope and a doctor will look for cancer cells. Lastly, MRI or CT scans and ultrasounds can be used as imaging techniques to locate tumors and see if cancer has spread.

Santa Claus is bad for your health! This is a statement by Dr Nathan Grills, a Public Health Fellow in the Department of Epidemiology and Preventative Medicine, Monash University, Australia. Why is he saying this right ahead of Christmas?

Writing for an article in the British Medical Journal's Christmas issue (BMJ), he says, "Santa only needs to affect health by 0.1% to damage million of lives". He says it would be better if his popularity was rather used to promote healthy living.

Why Is Santa Claus Unhealthy?

Santa Claus's portrayal is where the concerns lie. This was not the first time someone has talked about. In fact, The Conversation in December 2024, talked about this exactly. If you look at Santa, he stands anywhere between 5'6" to 6'6" and weighs between 80Kgs to 136Kgs. He also carries a lot of weight around his belly, which, some may say, keeps him insulated as he sleighs through the snowy lands, but is sure overweight and obese. These portrayal promotes an unhealthy living.

Dr Grils also writes that Santa should rather share Rudolf's snack of carrots and celery sticks than brandy and mince pies, and swap his reindeer for a bike or a walk.

After reviewing existing literature and online sources to understand Santa Claus’s possible impact on public health, the analysis found no peer-reviewed studies directly addressing the issue. What did stand out, however, was the exceptionally high level of awareness of Santa among children. In fact, surveys of American schoolchildren showed that Santa Claus was recognized more widely than almost any other fictional character, second only to Ronald McDonald.

The doctor says that Santa is also used for selling products, which are mostly harmful, and this happens on global scale, which means, people get inspired. "Santa sells, and sometimes he sells harmful products. Like Coca-Cola, Santa has become a major export item to the developing world."

While Santa has been banned from smoking, but his images of enjoying a pipe or cigar are easily found on Christmas cards. The depiction of Santa does form a public perception, argues the doctor.

Dr Grill also notes that Santa may be promoting potential drink-driving, especially when someone follows the tradition to leave him a brandy to wish him well on his travels, while he has billion houses to visit.

Can Santa Spread Diseases?

Dr Grill says that he can spread diseases. If Santa sneezes or coughs around 10 times a day, all the children who sit on his lap may also end up catching the flu along with their Christmas presents.

However, it is important to note that these are views expressed by the doctor and no actual studies have been conducted on the same, Though Dr Grill does indicate for more research before calling for authorities to regulate Santa's activities. For now, Dr Grill proposes a new image for Santa, a healthier one. A slim Santa on a treadmill.

For years, the appendix was brushed off as a useless leftover from human evolution. Many of us grew up believing that it served no real purpose and was better off removed at the first sign of trouble. But science now tells a more interesting story. This small, finger-like pouch attached to the large intestine quietly supports gut health and immunity in ways that were long overlooked.

What exactly is the appendix?

The appendix is a narrow tube connected to the cecum, located in the lower right side of the abdomen. It usually measures between 7 and 10 cm, although its size and position can vary widely from person to person. In some people, it may be just a couple of centimeters long, while in others, it can extend much further. This variation is also why appendicitis pain can sometimes feel confusing or atypical.

Not useless after all

The biggest shift in understanding the appendix came from research into gut bacteria. The appendix appears to act as a safe storage space for beneficial microbes. During bouts of severe diarrhea or intestinal infections, large amounts of gut bacteria are flushed out. The appendix helps reintroduce these good bacteria once the illness passes, helping the digestive system recover faster.

It also plays a role in immunity, especially during early life. The appendix contains lymphoid tissue, which exposes immune cells to substances passing through the gut. This helps the body learn how to respond to harmful invaders while tolerating harmless ones. While humans can survive perfectly well without an appendix, its presence offers subtle support to the immune and digestive systems.

Why appendicitis happens

Despite its benefits, the appendix is still prone to inflammation. Appendicitis is one of the most common abdominal emergencies worldwide. It usually occurs when the appendix gets blocked, often due to hardened stool, infection, or rarely, abnormal growths. Once blocked, bacteria multiply, causing swelling, pain, and infection.

The classic warning sign is pain that starts near the belly button and gradually shifts to the lower right abdomen. This may be accompanied by fever, nausea, vomiting, and loss of appetite. Ignoring these symptoms can be dangerous. If left untreated, the appendix can rupture, leading to serious and potentially life-threatening complications.

Busting Common Myths

There are many myths surrounding the appendix. One of the most common is that fruit seeds or spicy food cause appendicitis. There is no evidence to support this. Another misconception is that appendicitis can settle on its own. While pain may temporarily reduce, the underlying inflammation usually worsens.

Many people also worry that removing the appendix will harm digestion or require lifelong dietary restrictions. In reality, most people return to normal eating habits and daily routines after recovery, with no long-term health issues.

How appendicitis is treated

Surgery remains the most reliable treatment for appendicitis. Today, minimally invasive techniques such as laparoscopic or robotic surgery are widely used. These involve small incisions, less pain, quicker recovery, and shorter hospital stays. In complicated cases, open surgery may still be required.

In selected cases of mild, uncomplicated appendicitis, antibiotics may be used initially. However, studies show that while symptoms may improve, there is a higher chance of recurrence within months. For this reason, surgery continues to be the definitive, long-term solution for most patients.

Recovery after appendix removal is usually smooth. Many patients are able to walk the same day and return home within a day or two. Light meals are recommended initially, and heavy lifting is avoided for a few weeks. Long-term lifestyle changes are rarely needed, and most people forget about the surgery entirely once healed.

Delhi's air quality remained in "very poor" category, and the AQI stood at 342 at 8am, as per the Central Pollution Control Board. The 24-hour average AQI was logged at 412 under the "severe" category on Tuesday evening when Delhi's quality peaked to record the fourth severe air day in the month of December. With the air quality levels remaining continuously in the "very poor" category, Delhi's Chief Minister Rekha Gupta held a pollution review meet.

What Was Discussed In The Pollution Review Meet By Rekha Gupta?

A review meeting was held to discuss the rising air pollution levels in Delhi on Monday at the Delhi Secretariat. The meeting was attended by the officials from various departments, which also included the Public Works Department (PWD), Transport, Delhi Pollution Control Committee (DPCC), Environment, and others.

Post meeting, Delhi Environment Minister Manjinder Singh Sirsa said that the CM sought responses from multiple departments to discuss various aspects of pollution in the national capital. Sirsa also confirmed that a follow-up meeting will be scheduled on Thursday to continue the discussions on various steps that should be taken to bring down the levels of Delhi's AQI.

Rely On Public Transport - As A Solution To Delhi Pollution

On Sunday, a day before the meeting was held, Delhi's CM spoke on relying on public transport as a solution to Delhi's pollution. She said that the government aims to make the metro network "so comprehensive that people do not need to rely on private vehicles even for last-mile connectivity”.

Also Read: Delhi Is a Gas Chamber Where Nothing Comes In or Goes Out, Says Expert; Neighboring States Not to Blame for AQI

Delhi's Pollution Is Now A Public Health Risk

An analysis by the Global Burden of Disease (GBD) 2023 found that air pollution is city's single largest health risk. The deaths rose from 15,786 in 2018 to 17,188 in 2023.

Another study published in Scientific Reports, a five-year study titled Respiratory Deposition of Particulate Matter in Delhi: A Five-Year Assessment of Exposure Patterns and Health Risks tracked how particulate matter settles inside the respiratory system and found that men's exposure can be up to 1.4 times higher, especially while walking or commuting. The study noted that men on average spend more time outdoors while working, commuting, or walking in traffic-heavy areas. This leads to an increase in exposure.

A different study published in Frontiers in Public Health, explored the data of 2,96,078 women and girls between the age of 16 to 55 years in Taiwan and correlated it with the long-term air pollution data between 2000 and 2013. None of these women had any history of dysmenorrhea before the survey had began.

Read: Is Delhi's Toxic Air Making Your Period Cramps More Painful? Here's What Study Says

Furthermore, a study published in Nature Communication notes that after four hours of exposure to particulate matter, it was found that people's ability to perform routine tasks and interpret emotions were highly impacted.

If Delhi is able to cut its local pollution by 50 per cent, the pollution too could drop by 50 per cent. The emission should happen across the airshed. However, the focus should be for a long-term action on the source of emission and not short-term optics like cloud seeding, smog towers, water sprinkling or air purifiers.

In fact, as per a study published in Sustainability (MDPI), an open access journal, which mapped Delhi's air quality between 1990 to 2022 and found that transports emit around 10 to 30% of pollution, whereas agricultural residue burning, which is a seasonal source of pollution leads to less than 3% of pollution, whereas firecrackers, another seasonal source, leads to less than 1% of pollution.