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Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer

May 1,2026 Update

Introduction

"Never Give Up on Liver Cancer Treatment" - Our Commitment

In liver cancer treatment, it is essential to maintain a delicate balance between controlling the cancer within the liver and preserving hepatic function. This unique requirement sets liver cancer apart from other malignancies and presents challenges rarely encountered in other oncological treatments.

Available treatment modalities include medical interventions such as ablation therapy, transarterial chemoembolization (TACE), and systemic drug therapy, as well as surgical resection and radiation therapy.

Each patient presents with different tumor characteristics and varying degrees of liver function, making standardized treatment approaches inadequate. Therefore, it is necessary to consider multiple therapeutic options and foster collaboration among various medical specialties.

At our center, guided by our motto "Never Give Up on Liver Cancer Treatment," we bring together specialists from each relevant field. Our goal is to explore every possible avenue, regardless of the clinical situation, and deliver the best possible care to as many patients as possible.

Patient care at our department

Liver cancer can be classified into two categories: primary liver cancer, which originates in the liver, and metastatic liver cancer, which results from the spread of cancer from other organs. Our center specializes in the diagnosis and treatment of primary liver cancer.

Due to the unique characteristics of liver tumors and the organ itself, liver cancer can be diagnosed and treated without histopathological examination, relying instead on imaging studies and tumor markers. This approach is adopted to avoid the risks of tumor seeding and bleeding associated with tissue biopsy.

In other words, treatment decisions are often made based solely on tumor size and number, without pathological tissue diagnosis. However, numerous reports have demonstrated that the histological grade of malignancy (tumor aggressiveness) significantly influences post-treatment prognosis.

Therefore, even in situations where pathological examination is not performed, it is crucial to non-invasively predict tumor malignancy by combining various imaging modalities, including abdominal ultrasound, CT, MRI, and PET-CT.

Furthermore, hepatic function (liver reserve capacity) is a critical factor in liver cancer treatment. While treatment options range from local therapies to systemic drug therapy, available treatment modalities become limited when liver function is compromised. Consequently, it is essential to formulate treatment plans that prioritize the maintenance and improvement of liver reserve capacity.

At our center, specialists from Internal Medicine, Surgery, Diagnostic Radiology, and Radiation Oncology pool their expertise to provide seamless, optimal care for each patient.

Additionally, through our collaboration with the Organ Transplant Center, we can offer liver transplantation as a treatment option for eligible patients and perform living donor liver transplantation. (For deceased donor liver transplantation waiting list registration, patients will be referred to other transplant facilities.)

Target diseases and treatment

  • Primary liver cancer (hepatocellular carcinoma, intrahepatic cholangiocarcinoma)
  • Liver cancer of unknown primary, liver tumors
  • Liver cirrhosis
  • Portal hypertension

Symptoms

The liver is often called a "silent organ," and many patients with hepatocellular carcinoma, even in advanced stages, experience no symptoms. If you have any symptoms, please seek medical attention promptly. However, even in the absence of symptoms, we encourage you to visit our center as early as possible.

 

Medical staff

Name Job Title Position Specialized Field To the Medical Institutions
川村 祐介
(Kawamura Yusuke)
肝がん高度集学的診療センタースタッフ
Professor Director, Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
Professor, Chief of Research Services and Vice-Chief of Clinical Services, Department of Gastroenterology and Hepatology
Diagnosis and treatment of liver cancer (including catheter treatment, ablation therapy, and systemic drug therapy with immune checkpoint inhibitors)
Diagnosis and treatment of hepatitis
Diagnosis and treatment of cirrhosis and portal hypertension
Fellow/Instructor of the Japanese Society of Internal Medicine (FJSIM)
Board Certified Gastroenterologist/Instructor of The Japanese Society of Gastroenterology
Board Certified Fellow of the Japan Gastroenterological Endoscopy Society
Board Certified Hepatologist/Instructor of the Japan Society of Hepatology
竹村 信行
(Takemura Nobuyuki)
肝がん高度集学的診療センタースタッフ
Professor Vice-Director, Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
Professor, Chief of Clinical Services, Department of Hepato-Biliary-Pancreatic Surgery & Pediatric Surgery
Hepato-Biliary-Pancreatic Surgery
Chemotherapy
Minimally Invasive Liver and Pancreatic Surgery
Board certification
Japan Surgical Society
Japan Society of Gastroenterological Surgery
Japan Society of Hepatology
Japan Society of Hepato-Biliary-Pancreatic Surgery
Certificated instractor of robotic pancreatectomy and hepatectomy
宮崎 将也
(Miyazaki Masaya)
肝がん高度集学的診療センタースタッフ
Professor Vice-Director, Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
Professor, Chief of Clinical Services and Research Services, Department of Diagnostic Radiology/Department of Nuclear Medicine
IVR
Diagnostic imaging
日Board certified diagnostic Radiologist
Board certified Interventional Radiologist
General Clinical Oncologist (by JBCT)
Board Certified Trainer of Japan Radiological Society
河村 英将
(Kawamura Hidemasa)
肝がん高度集学的診療センタースタッフ
Professor Vice-Director, Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
Professor, Chief of Clinical Services, Department of Radiation Oncology
Radiation Oncology
High precision radiotherapy
Board certified Radiation Oncologist of Japan Radiological Society and Japanese Society of Radiation Oncology
Board Certified Trainer of Japan Radiological Society
General Clinical Oncologist (by JBCT)
別宮 好文
(Beck Yoshifumi)
肝がん高度集学的診療センタースタッフ
Professor Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
Professor, Department of Hepato-Biliary-Pancreatic Surgery & Pediatric Surgery
Director of Saitama Medical Center
Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
Japan Society of Gastroenterological Surgery
進藤 潤一
(Sindo Junichi)
肝がん高度集学的診療センタースタッフ
Visiting Professor Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
Visiting Professor, Department of Hepato-Biliary-Pancreatic Surgery & Pediatric Surgery
Director and Chair, Department of Gastroenterological Surgery, Toranomon Hospital
Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Minimally Invasive Liver Surgery
Board certification
Japan Surgical Society
Japan Society of Gastroenterological Surgery
Japan Society of Hepato-Biliary-Pancreatic Surgery
Japan Society of Hepatology
Certificated instractor of robotic Hepatectomy

外来担当医表

Advanced Multidisciplinary Diagnostic and Treatment Center for Liver Cancer
  月曜日
Monday
火曜日
Tuesday
水曜日
Wednesday
木曜日
Thursday
金曜日
Friday
土曜日
Saturday

Referval

When you refer patients for evaluation and treatment, regardless of their condition, we strive to have them seen on the same day by staff from either the Division of Gastroenterology and Hepatology or the Department of Hepatobiliary-Pancreatic Surgery and Pediatric Surgery, which serve as the outpatient entry points for our center.

The Division of Gastroenterology and Hepatology holds a Wednesday referral clinic staffed by Professor Yusuke Kawamura (Director of the Center) and Dr. Yutaro Hori (Assistant Professor). Same-day appointments are readily accommodated at this clinic, so if it is difficult to secure a fax reservation on short notice, patients are welcome to visit with their referral letter, and we will do our best to see them on the same day. We also offer regular appointment-based clinics: Tuesday with Professor Yusuke Kawamura (Director), and Thursday with Dr. Yutaro Hori (Assistant Professor). While scheduled patients receive priority, we will make every effort to accommodate same-day consultations for walk-in patients with referral letters, though some waiting time may be required.

For the Department of Hepatobiliary-Pancreatic Surgery and Pediatric Surgery, Professor Nobuyuki Takemura (Vice Director of the Center) holds clinic on Fridays, but physicians experienced in liver cancer care are available Monday through Friday. While making an appointment helps ensure more timely service, urgent cases are welcome to come directly with their referral letter, and we will see them on the same day, though some waiting time may occur. Please be assured that all treatment plans are shared and discussed among the Liver Cancer Center staff before treatment initiation.

Weekly Schedule:

  • Monday: Dr. Masahiko Komagome (Visiting Lecturer)
  • Tuesday: Professor Akira Maki, Dr. Masaki Yamamoto (Assistant Professor)
  • Wednesday: Dr. Akifumi Kimura (Lecturer)
  • Thursday: Dr. Yoshifumi Bekku (Hospital Director, Center Advisor) or attending physician
  • Friday: Professor Nobuyuki Takemura (Vice Director), Dr. Yoichi Miyata (Assistant Professor), Dr. Shinichi Matsuhira (Assistant Professor)

If you are unsure which clinic to visit, please feel free to contact either the Division of Gastroenterology and Hepatology or the Department of Hepatobiliary-Pancreatic Surgery and Pediatric Surgery.

埼玉医科大学バナー 埼玉医科大学看護学校バナー