Pancreas, Liver & Gallbladder Cancers

Conditions treated

Cancers managed in this speciality

Pancreatic cancer

Including locally advanced disease — the focus of Dr. Akash's Visiting Fellowship at Heidelberg, Germany.

Gallbladder cancer

Highly prevalent in the Gangetic belt of North India; an area of Dr. Akash's published research.

Liver cancer (HCC)

Hepatocellular carcinoma and other primary liver tumours.

Bile duct cancer

Cholangiocarcinoma of the intrahepatic and extrahepatic bile ducts.

Periampullary tumours

Cancers arising near the ampulla of Vater, treated with pancreaticoduodenectomy.

Liver metastases

Resectable secondary tumours, most commonly from colorectal cancer.

Warning signs

Symptoms that deserve attention

These symptoms do not always mean cancer — but they should never be ignored. Early evaluation makes treatment simpler and outcomes better.

Yellowing of the eyes or skin (jaundice)
Persistent upper abdominal or back pain
Unexplained weight loss or loss of appetite
Itching, pale-coloured stools or dark urine
New-onset diabetes in later life, especially with weight loss
A lump or fullness in the right upper abdomen

When to see a doctor: if any of these symptoms persist beyond two to three weeks, seek evaluation promptly. Early-stage cancers are far more treatable — and often curable.

The care pathway

From accurate diagnosis to the right operation

Diagnosis & staging

Triple-phase CECT / MRI-MRCP for detailed pancreatic and biliary imaging
Endoscopic ultrasound (EUS) with biopsy where required
Tumour markers — CA 19-9 and CEA as triage and monitoring tools
PET-CECT and staging assessment for metastatic disease
Multidisciplinary review to define resectability and sequence of treatment

Surgical treatment

Whipple operation (pancreaticoduodenectomy) for pancreatic head and periampullary tumours
Distal pancreatectomy with splenectomy for body & tail tumours
Radical cholecystectomy with liver wedge resection and lymphadenectomy for gallbladder cancer
Liver resections for primary and secondary liver tumours
Vascular resection & reconstruction concepts in locally advanced pancreatic cancer

Why patients choose Dr. Akash

Dr. Akash completed a Visiting Fellowship in advanced pancreatic surgery at Heidelberg University Hospital, Germany, under Prof. Christoph Michalski, and has published research on CEA & CA 19-9 as triage tools in gallbladder cancer in the Journal of Gastrointestinal Cancer.

Every case is planned through multidisciplinary discussion — so surgery, chemotherapy and radiation work together, in the right order, for the best outcome.

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Other specialities

GI Oncology Breast Oncology Head, Neck & Thoracic Urologic Oncology Gynaecologic Oncology

This page provides general educational information and is not a substitute for a medical consultation. Every cancer — and every patient — is different; please seek personalised advice.