Sarcoma Medicine

What we do

Online Consultation Now Available:
We have launched our dedicated Sarcoma Online Telemedicine Service to support remote patients, families, and referring physicians across Japan. Delivering our uncompromised "Kameda Quality Care", we offer second opinions and seamless treatment coordination beyond geographical boundaries.

Background & Establishment of Japan's First Sarcoma Department

Following the 2016 revision of the Cancer Control Act—which mandated accelerated research and development for rare and refractory cancers—Kameda General Hospital established the Sarcoma Comprehensive Treatment Center in September 2019. Within this center, we opened the first independent "Department of Sarcoma" in Japan.

Rather than operating as a loose coalition of separate departments, our department brings together experts from diverse specialties into one unified, synergistic clinical unit. The establishment of this dedicated department fulfills a long-awaited dream shared by medical professionals, sarcoma patients, and their families nationwide.
 
(Updated | Medical Lead: Dr. Katsuhito Takahashi, Director of Sarcoma Department)

Understanding Sarcomas & Rare Cancers

Carcinoma vs. Sarcoma: While carcinomas arise from epithelial cells lining internal organs or skin, sarcomas arise from deep soft tissues (smooth muscle, skeletal muscle, fat, blood vessels, nerves, connective tissues) and bone/cartilage. Gastrointestinal Stromal Tumors (GIST), carcinosarcomas, malignant phyllodes tumors, and malignant mesotheliomas also share sarcoma-like characteristics.

Rarity & Clinical Challenges: Sarcomas are exceptionally rare, accounting for only about 2% of all adult solid malignant tumors (85% soft tissue sarcomas, 15% bone/cartilage sarcomas). Soft tissue sarcomas affect roughly 3.6 per 100,000 people annually in Japan ($\approx$ 3,600 new cases per year).

Why Soft Tissue Sarcomas Are Complex:
 
1. High Rarity: Very few total cases nationally.
2. Anatomical & Age Diversity: Arise anywhere from head to toe, across all age groups from children to the elderly, making them difficult to fit into traditional single-organ medical frameworks.
3. Therapeutic Limitations: Over 50% of cases lack effective insurance-covered systemic drug therapies for tumor shrinkage.

Role of the Comprehensive Sarcoma Treatment Center

While primary local tumors are often initially treated surgically, recurrent or metastatic sarcomas spread hematogenously (via bloodstream) throughout the body, making ongoing care under single-organ departments exceptionally difficult.

Our center addresses this by shifting from organ-based care to a treatment-modality-based centralized care system. We combine expert pharmacotherapy, targeted local control therapies (radiation, radiofrequency ablation [RFA], cryotherapy, transarterial embolization [TAE]), specialized surgery, and cancer genomic medicine under one roof.

Outpatient Scheduling & Online Registration
 
Dr. Katsuhito Takahashi (Director): Monday – Wednesday (First-time visitors will be evaluated by Dr. Takahashi)
Dr. Jun Yajima: Saturday
 
Note: Consultations are by appointment only.

How to Book & Register:
 

 

Conditions we handle

We provide specialized diagnostic, therapeutic, and second-opinion care for:

Soft Tissue Sarcomas: Leiomyosarcoma, Liposarcoma, Rhabdomyosarcoma, Angiosarcoma, STUMP, Endometrial Stromal Sarcoma / Undifferentiated Uterine Sarcoma, Fibrosarcoma, Undifferentiated Pleomorphic Sarcoma (UPS), Synovial Sarcoma, Desmoplastic Small Round Cell Tumor (DSRCT), Malignant Peripheral Nerve Sheath Tumor (MPNST), Alveolar Soft Part Sarcoma, Clear Cell Sarcoma.

Bone & Cartilage Sarcomas: Ewing Sarcoma, Chondrosarcoma, Osteosarcoma.

GIST & Related Rare Neoplasms: KIT-positive Gastrointestinal Stromal Tumors (GIST), Carcinosarcoma, Malignant Phyllodes Tumor of the breast, Malignant Mesothelioma, Epithelioid Hemangioendothelioma.

Number of cases

Total Outpatient Visits: 1,672 patients
Kameda Medical Center