Stomach cancer is a type of cancer that develops in the lining of the stomach. Also, known as Gastric cancer, it affects the elderly more than the adult. According to the American Cancer Society, about 6 of every 10 people diagnosed with stomach cancer each year are 65 or older. Also, the lifetime risk of developing stomach cancer is higher in men (about 1 in 101) than in women (about 1 in 155).

A health expert, speaking to a leading media house, emphasized five common symptoms of stomach cancer that should not be ignored:

1. Unexplained weight loss: Losing weight without trying or experiencing an unexplained drop in appetite, which may signal cancer progression.

2. Pain in the upper part of the abdomen: Persistent or occasional pain in the stomach area, often after eating, can become more severe as the condition progresses.

3. Frequent vomiting after meals: Nausea, sometimes accompanied by vomiting, may occur especially after meals and is linked to cancer blocking or irritating the stomach.

4. Vomiting blood, which may appear coffee-colored: This can indicate bleeding in the stomach, often caused by ulcers or tumors, and requires immediate medical attention.

5. Black, tarry stools: This occurs when blood from the stomach is digested and passed through the intestines, signaling potential internal bleeding

There are also other concerning signs that should not be overlooked such as jaundice, unexplained weight loss, early onset of diabetes, dark stools, and loss of appetite. Health experts strongly advise seeking immediate medical attention if you notice any of these symptoms. If you or a loved one experience these signs, it's crucial to visit a physician for a thorough evaluation to rule out serious underlying health conditions.

How Does Stomach Cancer Spread?

Oncologist Dr Pankaj Kumar Pande, Director–Surgical Oncology, Max Super Specialty Hospital, Shalimar Bagh, Delhi explained that this form of cancer spreads through three main pathways: Direct spread, lymphatic spread, and bloodstream.

1. Direct Spread: In its early stages, stomach cancer can invade nearby tissues and grow into the deeper layers of the stomach or spread to surrounding organs such as the oesophagus, liver, pancreas, or intestines.

2. Lymphatic Spread: Cancer cells can travel through the lymphatic system. The most common areas affected are the regional lymph nodes near the stomach, particularly those around the liver and diaphragm.

3. Bloodstream: "Cancer cells can enter the bloodstream and travel to distant parts of the body," which is a common route for stomach cancer to metastasize to distant organs.

He further explained that cancerous cells spread from the original tumour to other parts of the body through a process called Metastasis. The most common sites for the spread are the liver, lymph nodes, peritoneum, lungs, bones, and ovaries.

Angelina Jolie, in an act of bravery, for what many women are often shamed, has revealed her mastectomy scars in a magazine photo shoot for Time France. Now 50, she said she chose to show the result of her preventative breast cancer operation because she was "moved" when other women shared their scars.

Jolie during the cover shoot of Time France said, "I share these scars with many women I love, and I am always moved when I see other women share theirs. I wanted to join them, knowing that Time France would be sharing information about breast health, prevention, and knowledge about breast cancer."

Angelia Jolie's Mastectomy Scars

The 50-year-old actress had a double mastectomy at the age of 37 in 2013. This was after she had discovered that she carried a faulty copy of BRCA1 gene, which had put her in the risk of cancer. The disease runs in her family, as her mother too died of ovarian cancer aged 56 in 2007. She had lost her grandmother and aunt to the same disease.

Now, the Oscar-winning actress has posed showing her double mastectomy scars for the first time so she could raise awareness. The cover photo could be seen with her wearing a low-cut sweater that reveals her scars on the cover photo. The magazine issue that will be published on December 18 will feature a full interview with more photos of her operation scars.

Back in 2015, she revealed in The New York Times article that she also had her ovaries and fallopian tubes removed as a preventative measure against developing cancer. She wrote that she had been planning this for "some time now" and that her "children will never have to say, 'Mom died of ovarian cancer'."

According to Cancer Research UK, around 7,600 women are diagnosed with ovarian cancer each year in the UK, and about 4,100 die from it. The disease often shows few or no symptoms until later stages. Jolie, a mother of six, has long advocated awareness due to her family history, urging women to seek medical advice, stressing that knowledge empowers.

Also Read: More Than A Diagnosis: Cancer Survivors Share The Small Wins That Helped Them Heal

What is the BRCA1 gene?

The BRCA1 gene is a tumor suppressor gene that provides instructions for making a protein that helps repair damaged DNA and maintain the stability of a cell's genetic information.

Mutations in this gene significantly increase the risk of developing certain cancers, most notably breast and ovarian cancers, and also contribute to a higher risk of pancreatic and prostate cancers.

Cancer preventive surgery, also called prophylactic surgery, removes tissues or organs before cancer develops in high-risk individuals to significantly lower their chances of getting cancer, often targeting genetic predispositions (like BRCA mutations) or precancerous conditions (like colon polyps). It's a proactive measure for healthy people at elevated risk, aiming to prevent cancer before it starts, unlike curative surgery that removes the existing cancer.

What is a mastectomy?

A mastectomy is a type of breast cancer surgery that removes all of your breast tissue. Healthcare providers can use it to treat most types of breast cancer. Your provider may also recommend it if you have a high risk of developing breast cancer.

If you have breast cancer, removing the cancer cells is the best way to stop it from spreading. A mastectomy removes all the breast tissue where cancer cells are located. After a mastectomy surgery, you may need other cancer treatments to kill any remaining cancer cells in the surrounding tissue.

US is facing a flu outbreak and as per the Centers for Disease Control and Prevention (CDC) data, an estimated 2.9 million people have gotten sick so far this season. Among them, 1,200 have also died. This is the 'worst' flu season, point out many experts. For US, the country is seeing a post-Thanksgiving spike in influenza, and saw an 8% increase in people testing positive for the flu.

Which Regions Are The Worst Affected By Flu In The US?

As of December 6, as per the latest national data, Colorado, New Jersey, New York, and Louisiana are currently experiencing "high" transmission of the virus.

An increase was also seen in Connecticut, Georgia, Idaho, Massachusetts, Michigan, Rhode Island, South Carolina, Texas, and Puerto Rico. These states are in the 'moderate' tier for flu cases.

New York City moved into the most severe category for 'very high' flu activity.

What Is Making This Flu Season The 'Worst'?

Much of this flu season is being driven by a new variant, a mutated subclade K, also known as the super flu. This is a subclade of H3N2 influenza, which is historically known for causing more hospitalization and deaths. The best line of defense is to get yourself vaccinated against the virus. “CDC recommends that every 6 months and older who has not yet been vaccinated this season get an annual influenza (flu) vaccine."

As of now, the CDC has distributed 127 million doses, however, things are expected to get worse before they get better.

Not Just US, UK Too Is Struggling With The K Strain Flu

Known as the superflu, this is H3N2 'subclade K'. It is a type of seasonal influenza A virus and people have not encountered much of it in the recent years. This is why there is less immunity against it. However, the National Health Service (NHS), UK, has already sent out a 'flu jab SOS' to vulnerable people.

NHS has confirmed that the super flu is circulating in England this year, and due to less immunity, it is making it easier to spread across people. The UK Health Security Agency (UKHSA) has urged people to get a flu jab. As per the early data, this year's vaccine has offered good protection despite the new strain.

Daniel Elkeles, chief executive of NHS Providers, said that the major concern is that H3N2 is associated with a more severe illness and superflu could be "a very nasty strain of flu". He said that UK could be experiencing a "tidal wave" of illness.

Should You Get The Flu Jab Even If You Are Healthy?

Even if you are healthy, you should get the shot, say doctors. Vaccines are still working against the drifted influenza A (H3N2) subclade, also known as the super flu. The vaccines in high street chemists are sold for £20.

Anyone can be vaccinated, except for those who have a serious allergy to any of its ingredients or to the vaccine it self. The best way to know is to speak to the pharmacist and your GP.

For the vaccine to work, it usually takes up to 14 days. However, what is more important to not is that during the 14-day-long period, you are still vulnerable to catching the virus.

With flu infections starting to climb across Canada, doctors and public health specialists are preparing for a challenging influenza season. The concern centres on the global spread of a changing H3N2 strain that may not line up well with this year’s flu vaccine. Fresh federal figures released on Friday show that about two per cent of flu tests nationwide returned positive results last week. While that remains below the five per cent threshold Canada uses to officially declare a seasonal flu outbreak, it marks a clear rise compared to recent weeks.

Outside Canada, the current flu season has already been severe, with record case numbers reported in the Southern Hemisphere and an earlier-than-usual surge seen in parts of Asia and the United Kingdom. As winter approaches, experts say these trends could offer clues about what Canada might face. “This is the second year in a row that the Southern Hemisphere has seen higher-than-average influenza activity,” said Dr. Jesse Papenburg, a pediatric infectious disease expert at Montreal Children’s Hospital and the McGill University Health Centre, as per CTV News.

“When you look at case numbers, last year was likely the worst flu season Canada experienced in about ten years. Based on what we’re seeing so far, there’s a real possibility we could see a similar level of severity again,” he added.

Influenza A: What Is Leading To The Surge?

Some specialists believe a changing version of H3N2 is driving the early rise in cases. This form of influenza A is already known for causing more serious illness, particularly in older adults. What is raising extra concern this year is that recent mutations appear to be creating more distance between the circulating virus and the protection offered by the current flu shot. Dr. Danuta Skowronski, who leads influenza and emerging respiratory pathogen epidemiology at the B.C. Centre for Disease Control, is one of several Canadian experts closely tracking these changes, according to CTV News.

Influenza A: Experts Warn Of Vaccine Mismatch

Although the H3N2 subtype had remained relatively stable for years, Skowronski says it has recently begun showing sharper structural shifts as it spread into northern regions. These changes suggest the strain now circulating could be poorly matched to this season’s vaccine. The current flu shot is designed to protect against two influenza A strains, including H1N1 and H3N2, along with one influenza B strain. “There’s actually a fairly large gap between the H3N2 virus we’re seeing circulate and the one included in the vaccine,” Skowronski explained. “That’s not due to any error. It reflects how unpredictable and fast-changing influenza viruses can be.”

In a statement shared with CBC News, the Public Health Agency of Canada said it keeps close watch on respiratory virus trends around the world to identify patterns that could affect Canadians.

The agency also noted that flu data from the Southern Hemisphere does not always directly forecast what will happen in Canada, since seasonal patterns and population dynamics can differ.

“At this point, it’s still too early to say how severe Canada’s flu season will be,” the agency said, adding that factors such as which influenza subtype becomes dominant, the presence of other respiratory viruses, vaccine performance, and vaccination rates will all play a role.

Even if this year’s vaccine turns out to be less closely matched to the evolving H3N2 strain, all three experts emphasized that getting the flu shot remains important, especially for older adults across Canada.