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Dr. Suresh Uttam

Oncologist, Bangalore

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Dr. Suresh Uttam Oncologist, Bangalore
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Suresh Uttam
Dr. Suresh Uttam is a trusted Oncologist in Jayamahal, Bangalore. You can visit him at Uforia Wellness in Jayamahal, Bangalore. Book an appointment online with Dr. Suresh Uttam on Lybrate.com.

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Uforia Wellness

No.19/4 A, 1st Main Road, Jayamahal ExtensionBangalore Get Directions
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Klatskin Tumour - Understanding It In Detail!

MD, MBBS
Oncologist, Ernakulam
Klatskin Tumour - Understanding It In Detail!

A fifty-four years old Marwari patient from Assam presented with progressive jaundice and intermittent episodes of abdominal pain for three months. CT scan of abdomen showed a small (1.5 x 1.5 cm) mass in the bifurcation of common bile duct which is causing biliary tract obstruction and hence jaundice. Portal nodes were not enlarged and there was no lesion in the liver parenchyma. At presentation, serum bilirubin level was high (14.7 mg/dl). Endoscopic biopsy and brushing cytology was adenocarcinoma and clinic-radiological diagnosis was ‘Klatskin tumour’. 

  • Metallic stenting was done to relieve jaundice and after stenting serum bilirubin level came down rapidly. PET scan showed increased uptake in the biliary duct region mass without any sign of metastasis. He was evaluated and planned for treatment with robotic radiosurgery. He was treated using robotic radiosurgery (CyberKnife) with high precision radiotherapy technique after fiducial placement (gold seeds) near the tumour. After one year, the patient had no obvious complain, liver function (no jaundice) was normal and CT scan evaluation showed completed resolution of the mass.  
  • Klatskin tumour is an uncommon tumour that arises from the bifurcation of common bile duct in the abdomen (duct that drains bile from liver). Patients usually present with progressive (increasing) persistent jaundice followed by pain in the upper abdomen. Surgical excision is the mainstay of treatment. However, surgery is not possible in majority of the patients owing to the location of the tumour, high jaundice and medical condition. Chemotherapy may not be an optimal option in majority of the patients as they present with high jaundice. Majority of such patients with poor medical condition are treated with only supportive care and prognosis is dismal (survival for a few months only).
  • Patients with metallic stent have relief from jaundice but unfortunately in a few weeks time, the stent gets blocked with tumour growth. Patients again present with high jaundice and have severely impaired quality of life. They complain of severe itching of entire body, loss of appetite and succumb due to impaired liver function from high jaundice/obstruction. The treatment is to have a longer ‘jaundice-free period’ which in turn improves quality of life and possibly survival function as well.  
  • Stereotactic body radiation therapy’s high dose radiation ‘sterilizes’ the metallic stent and bile duct region. It is assumed that with radiation therapy, blockage of bile duct and stent is delayed and patients have longer jaundice-free period.In Klatskin tumour, CyberKnife allows to deliver high dose of radiation in a short duration to the target without significant morbidity. If you wish to discuss about any specific problem, you can consult an Oncologist.
3107 people found this helpful

What are the symptoms of the cancer. And what kind of medical tests should be done? What kind of treatment should have to take?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate user, symptoms of cancer are varied, depending upon the organ or the site involved and also upon the stage of the disease. Early cancer may be symptomless and may be diagnosed by coincidence. When the cancer is symptomatic it is possibly in advanced stage. Treatment will also depend on the type and stage of cancer. Which may be either by surgery or radiotherapy or chemotherapy.
1 person found this helpful
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Sir, I have a family history of cancer patients and so fear and want to be alert. Want to know what is the simplest and cheapest method / tests that can detect any budding problem in my body. Thanks.

DNB, MBBS
Oncologist, Faridabad
Sir, it depends on what kind of cancers your family was suffering from. Otherwise cheapest and the simplest thing is regularly examination of self and if you feel any lump, any abnormal ulceration or any abnormal symptoms, see a doctor. Chest xray, ultrasound, are good for organs not visible by examination. You can also check blood for psa CEA levels and routine hemogram. Best is not to ignore any symptoms, usually we see patients have long standing problems but they ignore thinking it's just normal. Any changes in body must be checked.
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I'm 21 unmarried please suggest me how lift my breast I can't able to use my all dress I am feeling shy about this my weight is 66. 3 kg I think this is also a reason for that.

American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
Dear Ms. lybrate-user, It is a pleasure to hear from you. You will benefit from Thermi Tight procedure. ThermiBreast is an application that may be used for patients who seek to enhance their natural breast appearance, without visible scars. Thermi Breast uses controlled applied heat to contract tissue. This is done by placing a small probe under the skin to gently heat specific tissues to a physician selected therapeutic temperature. Regards.
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I am 16 years old and I have 15 tumor in my neck from last 10 years how should it treat?

DNB, MBBS
Oncologist, Faridabad
Dear sir, if for past 10years you have lumps it must be benign but you have to be clinically seen by a physician to rule out any infective cause. You can also meet us in our clinics.
1 person found this helpful
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My dad has having stomach cancer he has taken 5 chemo but cancer has spread to liver now is stomach is getting tight.what should i do

DNB, MBBS
Oncologist, Faridabad
Dear sir, your dad must have received chemotherapy because it was probably either locally advanced or metastatic. For liver metastases again the options are chemotherapy if general condition allows.
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I have a bad habit of chewing my chicks and lips from very childhood. There are no permanent ulcer for this inside my mouth. But a white bump like has formed in my lower lip horizontally. Is there any possibility to cancer regarding this?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
I have a bad habit of chewing my chicks and lips from very childhood. There are no permanent ulcer for this inside my...
At worst it may be a precancerous lesion. But better get it checked by an ent specialist and if need be, get it biopsied.
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My mom 45 years old, right neck level 3 recurrence of suggestive squamous cell carcinoma well differentiated perineal invasion identified which case known as tongue cancer op/rt/ct Please tell me what is the current situation of my mom health because now doctor said we gave all treatment now nothing possible. But she had surgery last September and rt/ct. And again surgery done this may after that we not taken any treatment doctor given only methotrexate chemo Drug's because they said for the first time only she received all treatment until 2 years we can't suppose to give any palliative chemo/DR. Sir is this the same related to tongue cancer or this is new cells like skin cancer because now we have only options trying some ayurvedic medicine so if we know exactly about this that we can get suitable medicine.

Diploma in Radio Therapy, MBBS, DNB Resident
Oncologist, Chennai
A recurrent head and neck cancer after a definitive surgery and RT and CT, carry a poor prognosis and disease free survival is definitely less. Your doctor might have advised you the same as well. The drug you have mentioned, is known to reduce the extent of skin involvement and has shown good local control in several head an neck cancer. So follow whatever advice you have received from the treating physician. The effect of alternative medicines can neither be denied nor commented upon since the effect of it varies from individual to individual and it can't be explained by practitioners of Modern medicine. Wish you all the best.
1 person found this helpful
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I suffer from enlarged prostate. For many years I am taking medication. But I don't think I am getting better. Any remedy without surgery. I am 77. Taking Dutas and Urimax. Frequent urination in the nights.

Sexologist, Mumbai
I suffer from enlarged prostate. For many years I am taking medication. But I don't think I am getting better. Any re...
Avoid drinking water 4 hrs before sleep. Do kegel exercises. Ie contraction n relaxation of anal muscles, atleast twice a day, 25 times at once. Masturbate once a week atleast. It will definitely prevent you from surgery. Don't worry about PSA TEST and its values.
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