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Iranian American soccer fans are torn between pride and protest as the World Cup nears

STONY BROOK, N.Y. (AP) — With Iran qualifying for the World Cup, Arad Ershad had visions of splurging on flights and tickets to attend one of the team’s upcoming first-round matches in Los Angeles.

That changed when Ershad, a New York graduate student who grew up in Tehran, saw how many of the players he had adored since childhood failed to speak out following its theocratic leadership’s deadly crackdown on protesters in January.

“It feels so bad that I do not want them to succeed. They were like my icons, my legends,” he lamented during a recent pickup soccer game on Long Island. “I know playing a World Cup is the biggest thing a soccer player can achieve in his life, but how can you just be silent?”

Ershad is one of many diehard soccer fans in the Iranian diaspora with conflicting emotions as Team Melli — the Persian nickname for Iran’s national squad — prepares for its seventh World Cup. Iran is set to begin its campaign against New Zealand on June 15 near Los Angeles, a region that’s home to the largest Iranian community outside of Iran, including many who fled the 1979 Islamic Revolution.

Some view the men’s team as complicit in whitewashing the Iranian government’s repression and can’t bear to watch the competition. Others plan to attend Iran’s games to show their love for the country and sport, but bearing signs of protest. Still others say they’ll set politics aside and just enjoy seeing Iran compete on soccer’s biggest stage.

All of this is assuming the team actually takes part, which Iranian officials called into question because of the country’s war with the United States and Israel. Iranian soccer officials recently met with the head of FIFA, international soccer’s governing body, who has insisted that Iran stick to the schedule.

The Iranian team often finds itself unable to avoid political issues. Before a recent match in Turkey, players held small backpacks honoring the Iranian children who were killed in a U.S. missile strike on an elementary school — a move Iranian American fans said showed their allegiance to the government and the political pressure it places on them.

Iranian athletes have faced serious consequences for speaking out. In 2022, a prominent former member of the national team was arrested for allegedly protesting against the country’s leadership. This year, star striker Sardar Azmoun wasn’t selected for World Cup warmup games, reportedly because of a social media post that angered the authorities.

Worries that Iran won’t take part

Nader Adeli, who manages Iranian American club team Arya FC’s over-60 squad in Los Angeles, is worried the war might keep Iran from attending the World Cup.

Last month, U.S. President Donald Trump discouraged the Iranian team from taking part, citing safety concerns. In response, Iran asked to move its matches to Mexico, which is co-hosting the event along with the U.S. and Canada, though the head of FIFA has repeatedly rejected such a move.

Adeli, who didn’t win the ticket lottery to attend one of Iran’s two Los Angeles-area matches, said the World Cup should be a moment to enjoy the sport without outside distractions.

But with war raging, he doesn’t think the team will travel. And if it does, he doubts the players would be able to fully focus on competing.

“Sports should never become a political issue,” he said. “As people, we have nothing against any Americans, we have nothing against any Iranians. It is just the governments.”

Former women’s team player says Iran shouldn’t play

Iran’s women’s team made headlines last month when several members didn’t sing along to the country’s national anthem before their opening match at the Women’s Asian Cup in Australia.

Although they sang it before Iran’s next two fixtures, some commenters saw their initial silence as a protest against their government — though others saw it as a display of mourning about the war. The team and players — two of whom accepted asylum offers to remain in Australia — didn’t comment on the matter.

Shiva Amini, who used to play for the national team but now lives in New York City, is among the Iranian ex-pats calling on the Trump administration not to grant visas to the men’s team to play in the World Cup.

The 36-year-old player, who left Iran in 2017 after being photographed not wearing a headscarf while in Europe, said many Iranians soured on the men’s squad during the 2022 World Cup, when players stayed silent as Iran was roiled by street demonstrations over the country’s mandatory headscarf laws following the death of Mahsa Amini.

“They had a big platform, and instead of talking about that, they were laughing, they were so happy, and it was honestly a slap on the face,” she said. “So those are not the Iranian national soccer team. Those are the regime’s national soccer team.”

The few players who have spoken out paid dearly, Amini acknowledged, including Amir Nasr-Azadani, who faces years behind bars for his involvement in the 2022 protests.

Azmoun, the Dubai-based star striker who played for Iran’s past two World Cup teams, wasn’t picked to play in the team’s warmups for this year’s tournament, reportedly because he posted a photo on social media of himself greeting United Arab Emirates political leaders.

Plans to cheer on — and protest — Iran

Masoud Ahmadi, a 62-year-old interior designer who plays for another largely Iranian American over-60 club team, Sina FC, said he’s trying to get a ticket to see Iran play. If he does, he said he’ll take a stand against the Iranian leadership by carrying the country’s lion-and-sun flag, which predates the Islamic Revolution.

Ahmadi said he was detained in Iran as a teenager before he fled to Turkey on foot. The U.S. granted him political asylum.

“We’re going to definitely raise our voice,” said Ahmadi, who is proud of his Iranian heritage but critical of the men’s squad. “This team is not an Iranian people’s team. This is a government team.”

Sasan Sadri, who manages the team, said if he scores a ticket, he’ll try to wear a shirt calling for leadership change in Iran.

“As my countrymen, I like them to achieve,” he said. “I don’t support the regime, but soccer is soccer.”

As for Ershad, the New York grad student, he plans to support the Iranian team if the government is overthrown before the tournament starts. If not, he’ll back soccer great Cristiano Ronaldo’s side to win it all.

“It’s so hard to not cheer for your national team, but let’s go Portugal,” he said.

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Taxin reported from Irvine, California.

When you have advanced prostate cancer: What living with the disease looks like

(CNN) — “How long do I have to live ?”When I tell a patient he has prostate cancer, this is usually what he asks me first.With early-stage or low-grade prostate cancer, I can offer strong reassurance: Your life expectancy is good — expect a five-year relative survival rate of greater than 99% with treatment. Simply put, most men will not die from low-grade prostate cancer.However, once the cancer has spread outside the prostate to the bones and other organs the answer becomes more difficult. Treatment has changed dramatically over the past decade for advanced prostate cancer. New drugs, better imaging and the earlier use of combined therapies are helping men live longer.In a video released July 15, former President Joe Biden gave an update on his prostate cancer, saying he was receiving treatments that have been going well. In May 2025, Biden officially announced that he had an aggressive form of prostate cancer that had spread to his bones. Since then, based on official updates, he has continued hormone therapy, completed a course of radiation and maintained a public presence.His diagnosis brought renewed attention to prostate cancer screening and treatment. Now, more than a year later, his cancer journey offers an opportunity to examine what has changed in the treatment of advanced prostate cancer — and the hope these offer men living with the disease.I recently saw a patient who was diagnosed three years ago with cancer that had already spread to multiple areas in his bones. Since then, he has taken cruises, traveled with his family and spent weekends babysitting his grandchildren.He gets tired and cannot garden the way he once did. But he is still alive and considers every day a blessing. His experience, and what we see with Biden, shows what living with metastatic prostate cancer can look like today.Understanding survival ratesIf they haven’t asked their doctor already, many patients go online and find five-year survival rates, but every number they may find online comes with a huge asterisk.The American Cancer Society reports five-year relative survival of greater than 99% when prostate cancer is found in or near the prostate. The figure drops to 38% when it has reached distant parts of the body.But that number is based on large groups of men treated years ago. It does not fully reflect the impact of newer treatments — or account for an individual man’s age, overall health and response to therapy.Survival statistics describe groups of patients but do not predict what will happen to one person. That is why the 38% figure cannot tell us how long Biden — or any individual patient — will live. These patients’ outlook depends on details of their cancer and how they are responding to treatments.It’s treated more aggressively nowA man diagnosed with metastatic prostate cancer a decade ago and a man diagnosed today would not receive the same treatment. The thinking now is to use our best treatments early instead of holding back.For years, doctors began with hormone therapy — usually injections that lower testosterone — and saved other treatments until the cancer stopped responding.Today, those injections are often combined from the start with a newer hormone-blocking drug and/or chemotherapy. These combinations have helped men live longer and are one of the biggest shifts of the past decade.What Biden’s diagnosis told usThere are three details about Biden’s cancer that help doctors like me understand how aggressive it is and how to manage it effectively. Official statements highlighted that his cancer had a Gleason score of 9. The cancer had spread to his bones, and it was labeled as hormone-sensitive.The Gleason score is assigned after a pathologist examines biopsy samples. Scores typically range from 6 to 10, with higher numbers indicating more aggressive cancer. A score of 9 falls into the most aggressive category. However, the score alone cannot tell us whether the cancer has spread outside the prostate.When prostate cancer spreads, the most common destination is the bones — particularly the spine, pelvis and ribs. It can also reach organs such as the lungs or liver. Once it has reached distant parts of the body, it is generally not curable, but treatment can put a brake on it for years.Prostate cancer can also be hormone-sensitive or hormone-resistant. Because it typically relies on testosterone to grow, lowering the hormone or blocking its effects can help control the cancer. Hormone-sensitive means it still responds to these treatments.Over time, most advanced or metastatic prostate cancers find ways to grow despite low testosterone levels, which mean they are now hormone-resistant. Lowering testosterone alone is no longer enough to control the cancer, so doctors have to turn to additional therapies.Knowing if the cancer has spreadThe most sensitive imaging test available today is a PSMA PET scan. It uses a radioactive tracer that seeks out a protein found on the surface of prostate cancer cells. Areas containing cancer may appear as bright spots, helping identify where the cancer has spread. The American Urological Association supports using this imaging test to determine whether high-risk prostate cancer has spread and to help establish its stage.A traditional bone scan, used for decades, highlights areas where bone is reacting to injury or disease. It remains an alternative imaging option, but PSMA PET is increasingly replacing its use.What areas light up and where matter when deciding on treatments. A single spot in the spine and cancer that has spread to the liver are both called stage 4, but they are not the same disease and may not be treated the same way.Doctors also consider how much cancer has spread. We label it as “low-volume” disease when the cancer has reached a limited number of areas. High volume is when the spread is more widespread or has reached other organs such as the liver or lungs.Both require treatment that works throughout the body. Treatment for metastatic disease generally includes therapy that works throughout the body. For men with low-volume disease, adding radiation to the prostate may also help them live longer.Biden has completed a course of radiation, but his team has not disclosed what area was treated or enough detail to determine whether his cancer would be considered low- or high-volume.Treatment has become more preciseBeyond starting more treatments earlier, doctors can increasingly tailor therapy to the biology of an individual man’s cancer. We can now test both the tumor and a patient’s own DNA for mutations that help guide treatment.Roughly 1 in 10 men with metastatic prostate cancer carries an inherited mutation affecting the body’s ability to repair DNA. The best known are BRCA1 and BRCA2, the same genes linked to some breast and ovarian cancers.Certain mutations found in the tumor or inherited DNA may make targeted drugs called PARP inhibitors an option. If a mutation is inherited, it also gives family members information they can act on through genetic counseling, testing and earlier screening.Another advance is radioligand therapy. If a scan shows that cancer cells carry a protein called PSMA, doctors can attach radiation to a molecule that seeks out that protein. Delivered through an IV, it targets cancer cells throughout the body. This approach was expanded last year to more men whose cancer had become hormone resistant.Living longer can come with costsEvery treatment can cause side effects. With hormone therapy, one of the first is often hot flashes, similar to what women experience during menopause. These are not dangerous, but they can affect a man’s quality of life.Fatigue is also common. Testosterone helps maintain muscle, so lowering it can reduce strength and energy. Regular walking and resistance training can help preserve muscle and reduce fatigue.The side effect almost no one talks about is loss of sex drive or low libido. At diagnosis, most men are thinking about staying alive, not their libido. But months later, it often matters. It is worth discussing with your care team and your partner rather than assuming it is simply the price of treatment.The side effect I worry about most is weaker bones. Low testosterone reduces bone density, while cancer deposits can weaken the bone’s structure. Follow-up care should include exercise, a bone-density scan, and ensuring adequate levels of calcium and vitamin D. For men with hormone-resistant cancer that has spread to bone, bone-protecting drugs can reduce the risk of fractures and other complications.New or worsening back pain, especially with leg weakness, numbness or trouble controlling the bladder or bowels? These could mean the cancer is pressing on the spinal cord. It is a true medical emergency that requires immediate attention.Cancer care requires a team approachIdeally, several doctors work together to coordinate a patient’s care. The urologist is often the starting point. A medical oncologist manages treatments that work throughout the body, while a radiation oncologist targets specific areas, whether that is the prostate itself or a painful bone lesion. The primary care doctor helps protect the patient’s heart and bones and looks after the person’s overall health.A man’s age, other medical conditions, ability to tolerate side effects and goals for treatment all shape treatment plans. Two men with nearly identical test results may be offered — or choose — different paths based on their health and priorities.Good communication among doctors is essential, but gaps can happen. Being your own advocate means knowing who is on your care team, asking questions and understanding your options.I also recommend bringing someone you trust to important visits for support and to take notes and help you remember what was discussed.More treatments, better testing offer hopeFor men worried about prostate cancer, talk with your health care provider about the benefits and risks of PSA testing. Black men and those with a strong family history should begin that conversation in their 40s. New urinary symptoms are often not cancer, but they still deserve attention, as does blood in the urine or semen, unexplained weight loss and/or persistent back or bone pain.For men living with advanced prostate cancer, there is reason for hope. There are more treatments and better testing than there were a decade ago, and good care pays attention to how a man feels, not just to what his scans show.The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.
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