Optional Examinations | Nihonbashi Muromachi Mitsui Tower Midtown Clinic

Tumor markers * Tumor markers, a diagnostic tool used to aid cancer diagnosis, can be combined with other diagnostic tests to provide more detailed and comprehensive results. Each item can be added to your course individually upon request.

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Examination items	Price (tax included)	Description
Complete set (For men) Blood test	26,400 yen	[PSA·P53•SCC・CYFRA·CEA・CA19-9·Pro-GRP·AFP•PIVKA-ll·Elastase1] This set includes tumor markers that are effective in screening for prostate cancer.
Complete set (For woman) Blood test	26,400 yen	[CA125·P53•SCC・CYFRA·CEA•CA19-9·Pro-GRP•AFP•PIVKA-ll·Elastase1] This set includes tumor markers that are effective in screening for ovarian cancer.
Lung cancer set Blood test	12,650 yen	[P53•SCC•CYFRA•Pro-GRP] This set includes tumor markers that are effective in screening for lung cancer. It can also screen for esophageal cancer, head and neck cancers, cervical and skin cancer.
Gastrointestinal cancer set Blood test	8,800 yen	[P53 CEA·CA19-9] This set includes tumor markers that are effective in screening for gastrointestinal cancers. It can also screen for pancreatic, gallbladder, bile duct, lung, breast, and ovarian cancer.
Liver and gallbladder cancer set Blood test	8,800 yen	[AFP•PIVKA-ll•CA19-9] This set includes tumor markers that are effective in screening for liver and gallbladder cancer.
Prostate cancer (For men) Blood test	3,300 yen	[PSA] This tumor marker is effective in screening for prostate cancer.
Ovarian cancer (For women) Blood test	3,300 yen	[CA125] This tumor marker is effective in screening for ovarian cancer.

* Some of the items above may already be included in your health screening course. In which case, if you add a set, you will only be charged for items not included in your course.

Brain / Heart / Arteriosclerosis

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Examination items	Price (tax included)	Description
Head MRI/MRA 3.0 Tesla [N/A] During pregnancy	38,500 yen (＋20 min)	●Screens for silent strokes (asymptomatic cerebral infarction), brain tumors, brain aneurysms, etc. The MRI scanner generates detailed images of the head and blood vessels using powerful magnets as your body enters the scanner. ※Please inform the clinic in advance if you have claustrophobia or experience discomfort/anxiety in enclosed spaces. ※Metal objects are prohibited in the MRI room.
Echocardiogram (Heart ultrasound)	11,000 yen (＋15 min)	●Screens for valvular heart diseases, myocardial infarction, etc. The echocardiogram uses ultrasound waves to evaluate the size and movement of the heart, the condition of the heart muscles and valves, and the overall blood flow.
Carotid ultrasound	7,700 yen (＋15 min)	●Screens for arteriosclerosis, strokes, etc. The carotid ultrasound is used to evaluate the carotid arteries in the neck to detect the degree of arteriosclerosis and plaque buildup.
Homocysteine Blood test	6,600 yen	●Screens for arteriosclerosis This blood test measures the level of homocysteine in the blood, which is a risk factor for heart disease.
NT-ProBNP Blood test	3,300 yen	●Screens for arteriosclerosis and heart failure NT-ProBNP is a cardiac biomarker used as an indicator of arteriosclerosis and heart failure.
Pulse wave analysis	3,300 yen (＋10-15 minutes)	● Screens for arteriosclerosis, etc. [PWV/ABI] During this exam, the blood pressure and pulse waves of the upper and lower extremities are measured simultaneously to assess the risk of arteriosclerosis and vascular age from the stiffness of the vessel walls and any occlusions.
LOX-index®	15,400 yen	● Arteriosclerosis, stroke, myocardial infarction Measures an indicator to evaluate the risk factor of strokes and myocardial infarction. >Click here for inspection precautions [PDF:169KB]
Head Screening Set [N/A] During pregnancy	44,000 yen (＋40 minutes)	[Head MRI/MRA, carotid ultrasound, homocysteine] Save 8,800 yen off head screening options by choosing this set.
Heart Screening Set	22,000 yen (＋50 minutes)	[Echocardiogram, carotid ultrasound, homocysteine, pulse wave analysis] Save 6,600 yen off cardiovascular screening options by choosing this set.
Head & Heart Screening Set [N/A] During pregnancy	55,000 yen (＋70 minutes)	[Head MRI/MRA, heart ultrasound, carotid ultrasound, homocysteine, pulse wave analysis] Save 12,100 yen off head and cardiovascular screening options by choosing this set.

Gastrointestinal tract

Stomach

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Examination items	Price (tax included)	Description
Upper GI X-ray (Barium swallow) Dietary restrictions [N/A] During pregnancy	14,300 yen (＋15 minutes)	●Screens for esophageal, stomach, and duodenal cancer, ulcers, polyps, etc. An orally ingested barium contrast is used to evaluate the esophagus, stomach, and duodenum.
Health screening courses only By appointment only Upper GI endoscopy (EGD) Dietary restrictions [N/A] During pregnancy	8,800 yen (＋20 minutes)	●Screens for esophageal, stomach, and duodenal cancer, ulcers, polyps, etc. The upper GI X-ray will be replaced by the upper GI endoscopy (EGD). You may choose between an oral and nasal endoscope. Due to limited availability, we recommend you make a reservation ahead of time.*For those scheduled for courses other than the comprehensive health screening course, the endoscopy can be scheduled on a separate day for an additional charge of 27,500 yen. Please contact us for more details.
Sedation option for the upper GI endoscopy Glaucoma × [N/A] During pregnancy [N/A] During breastfeeding	5,500 yen	The sedation, which is administered intravenously, allows you to undergo the procedure in a semi-conscious state. Driving is strictly prohibited on the day of your appointment. There is a one-hour recovery period following the procedure, during which you will be asked to rest until the sedation wears off.This option is available only for oral endoscopy procedures. Response to the medication can vary from one person to another. Due to limited availability, we recommend you make a reservation ahead of time. *In the interest of safety, this option is unavailable for persons age 75 and older.
Gastric cancer risk assessment test (ABC method) Blood test	5,500 yen	●Screens for gastric cancer [Pepsinogen, H. pylori antibody] A blood test designed to determine your risk of developing gastric cancer by testing for H pylori infection and assessing the severity of gastric mucosal atrophy, categorizing the results into categories A, B, C, and D. The test is meant to evaluate your current and future risk of gastric cancer and does not guarantee the discovery of cancer. Advanced imaging tests are necessary for diagnosing gastric cancer. The following persons are not eligible for this test: ●Undergoing treatment for gastric diseases ●Have had a gastrectomy ●Have undergone H. pylori eradication treatment ●Have had kidney failure ●Taking acid suppression medication
Pepsinogen Blood test	3,300 yen	●Screens for atrophic gastritis, etc. Serum pepsinogen can be used to assess the level of gastric mucosal inflammation and atrophy.
H. pylori antibody test Blood test	2,200 yen	●Screens for gastric cancer, ulcers, etc. A blood test that checks for the presence of Helicobacter pylori antibodies in the blood. H. pylori is a bacteria that infects the gastric mucosa and causes inflammation in the stomach. We strongly recommend this test to those who have never been tested before.
H. pylori test set Blood test	3,850 yen	[H. pylori antibody test, H. pylori stool antigen test] In some cases, a serum antibody test may not be enough to detect an H. pylori infection. A more accurate assessment can be made by performing both the serum and stool tests.

Abdomen

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Examination items	Price (tax included)	Description
Lower abdomen MRI (3.0 Tesla) Dietary restrictions [N/A] During pregnancy	27,500 yen (＋20 minutes)	We recommend using this scan to evaluate the prostate for men experiencing symptoms such as difficulty urinating or urinary retention. Women are able to screen the uterus and ovaries without the risk of exposure to radiation.
Abdominal ultrasound Dietary restrictions	6,600 yen (＋15 minutes)	Ultrasound waves are used to examine the size and condition of the abdominal organs (liver, gallbladder, pancreas, kidneys, and spleen), the presence of benign and malignant tumors, gall stones, kidney stones and other irregularities.
Upper abdominal CT Dietary restrictions [N/A] During pregnancy	19,800 yen (＋5-10 minutes)	The low-dose 80-slice CT scan generates cross-sectional images of the upper abdomen, mainly the liver, gallbladder, pancreas, kidney and spleen.
Upper & lower abdominal CT Dietary restrictions [N/A] During pregnancy	23,100 yen (＋5-10 minutes)	In addition to the upper abdominal region, the lower abdomen is scanned, including the small and large intestine, bladder, the prostate gland in men, the uterus, and ovaries in women. We recommend this test for those with a family history of cancer, are heavy drinkers, or frequently eat out.
Visceral fat CT [N/A] During pregnancy	8,800 yen (＋5-10 minutes)	The low-dose 80-slice CT is used to measure the surface area of visceral and subcutaneous fat. We recommend this scan to persons worried with their waist size or have had any abnormality with their lipids, blood glucose, or blood pressure.
Elastase 1 Blood test	3,300 yen	The elastase 1 tumor marker is useful in detecting pancreatitis and pancreatic cancer.

Colorectal

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Examination items	Price (tax included)	Description	Same day add-on
Fecal occult blood test (two-day method)*A stool collection kit is provided [N/A] During menstruation	2,200 yen	●Screens for colon cancer, polyps, etc. Two stool samples are collected in advance and tested for the presence of blood.

For women

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Examination items	Price (tax included)	Description
Mammogram [N/A] During pregnancy [N/A] During breastfeeding	7,700 yen (＋15 minutes)	●Screens for breast cancer Your breasts are compressed on a table during the exam, X-rayed from top to bottom and side to side, and evaluated for lumps (tumors), skin stretches, and calcifications. Everyone experiences mammograms differently. You may experience some discomfort during the procedure.Recommended for women over the age of 40. For women in their 20s and 30s, we recommend the breast ultrasound over the mammogram.
3D Mammogram [N/A] During pregnancy [N/A] During breastfeeding	13,200 yen (＋15-20 minutes)	●Screens for breast cancer Unlike the conventional 2D mammogram, which yields planar images, the multidirectional 3D mammogram generates high-resolution images, making the detection of lesions easier even in dense breast tissues where detection was previously difficult.*If your course includes a 2D mammogram, you may upgrade to a 3D mammogram for an additional fee of 5,500 yen.
Breast ultrasound [OK] During pregnancy [OK] During breastfeeding	5,500 yen (＋15 minutes)	●Screens for breast cancer Ultrasound waves are used to evaluate the breast tissue for presence of lumps* Available to women of all age. We especially recommend the test to women in their 20s and 30s.
Pap smear [N/A] During pregnancy [OK] During menstruation	5,500 yen (＋10 minutes)	●Screens for cervical cancer A procedure in which a small silicon brush is used to collect cell samples from the cervix that are then examined for any abnormal cell changes. Everyone experiences pap smears differently, however, the procedure is rarely painful.
HPV (human papillomavirus) test * This must be taken simultaneously with the pap smear. [N/A] During pregnancy [OK] During menstruation	5,500 yen (＋10 minutes)	●Screens for cervical cancer The HPV test aims to detect the presence of human papillomavirus, a virus that causes cervical cancer. The procedure is performed exactly like the pap smear.
Transvaginal ultrasound [N/A] During pregnancy [OK] During menstruation	5,500 yen (＋10 minutes)	●Screens for uterine fibroids, endometriosis, ovarian cancer, ovarian cysts, etc. A wand-like probe (transducer), slightly wider than a finger, is inserted into the vagina. Soundwaves are then used to examine the pelvic region and look for the presence of any tumors.
Women’s screening set [N/A] During pregnancy [N/A] During Breast Feeding [OK] During menstruation	27,500 yen (＋40 minutes)	[3D mammogram, breast ultrasound, pap smear, and transvaginal ultrasound] Save 2,200 yen off women’s screening options by choosing this set.

Thyroid

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Examination items	Price (tax included)	Description	Same day add-on
Thyroid ultrasound	7,700 yen (＋10 minutes)	●Screens for Graves’ disease, Hashimoto’s thyroiditis, etc. The thyroid ultrasound uses ultrasound waves to examine the neck and evaluate the size and condition of the thyroid gland to determine whether there is any inflammation or tumors.
Thyroid function test Blood test	6,600 yen	●Screens for Graves’ disease, Hashimoto’s thyroiditis, etc. [TSH, free T3, free T4] This is a blood test that measures your hormone levels to evaluate the function of your thyroid. Abnormalities in the thyroid can result in depression, edema (swelling), abnormal menstruation, etc. The test is recommended once every five years for women, regardless of whether they are experiencing subjective symptoms.

Lung

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Examination items	Price (tax included)	Description	Same day add-on
Chest CT [N/A] During pregnancy	19,800 yen (＋5-10 minutes)	●Screens for early-stage lung cancer The low-dose 80-slice CT scanner generates cross-sectional images of the lungs and mediastinum. The scan helps detect small, early-stage cancer or inflammation not visible on a chest X-ray.
Lung cancer set*Use of specific sputum collection kit for cytology [N/A] During pregnancy	28,050 yen (＋5-10 minutes)	[Chest CT, SCC, CYFRA, Pro-GRP, sputum cytology] We recommend this set to cigarette smokers or persons with excessive phlegm. Before your appointment, you will be asked to collect samples over three consecutive days for the sputum cytology. Save 4,400 yen off lung screening options by choosing this set.

Maternal & Aging care Offering optional exams available to men and women

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Examination items	Price (tax included)	Description
MMRV immunity set (Measles, Mumps, Rubella, and Varicella-zoster viruses) Blood test	14,850 yen	●Measles, Rubella, Mumps, and Varicella-zoster (Chicken pox) In recent years, there have been outbreaks of infectious diseases among unvaccinated young adults, impacting businesses and raising much social concern. Pregnant mothers and their babies are also at risk for serious complications following infection by some of these viruses. Therefore, checking whether you have immunity against these viruses is strongly advised. The antibody test for each virus can be added individually upon request.
Ovarian reserve (Anti-Müllerian Hormone) test (woman) ※For women only Blood test	7,700 yen	This test measures a woman’s ovarian reserve, or how many eggs remain in her ovaries. It can be useful when planning for a family.
Vitamin D test Blood test	3,300 yen	Vitamin D deficiency has been associated with increased risk of cancer, lifestyle-related diseases, infertility in women, and andropause in men. For most people, it isn’t easy to meet the recommended intake levels in their day-to-day lives, and thus should actively take measures to increase their vitamin D intake.
Bone mineral density test (DEXA scan) [N/A] During breastfeeding	3,300 yen (＋5 minutes)	●Screens for osteoporosis The DEXA scan measures calcium and other minerals in your bones using X-rays. The test is useful in diagnosing osteoporosis.
Equol Urine test	4,950 yen	Equol, a metabolite produced from soy isoflavones, functions similarly to estrogen and shows promise in treating menopausal disorders, premenstrual syndrome in women, and prostate enlargement and baldness in men. However, recent studies show that only two in three people achieve the desired effect from consuming soy products. Please use this test to improve your diet and take measures to promote your health and wellbeing. *You will be provided with a special urine collection kit on the day of your appointment.

Other

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Examination items	Price (tax included)	Description
Testosterone (male hormone test) Blood test	3,300 yen	This test measures the testosterone level in the blood, which can affect cognitive function, mood, reduction in muscle mass, and problems with sexual function in men. (Test must be done by 11 am.)
Allergy test Blood test	15,400 yen	This test screens for 39 major allergens that can cause allergic reactions. ●Airborne allergens: dust (dust mites, house dust), animals (cat and dog dander), insects (cockroach, moth), trees (cedar, Japanese cypress, alder, and birch), grasses (orchard grass, timothy grass, ragweed, mugwort), airborne fungi (Alternaria and Aspergillus mold), other (Candida, Malassezia, latex) ●Food allergens: eggs (egg white, ovomucoid protein), milk, wheat, legumes and grains (soy, buckwheat, peanut, rice, sesame), shellfish (shrimp, crab), fruits (kiwi, apple, banana), meat and fish (chicken, beef, pork, tuna, salmon, mackerel)
Rheumatoid arthritis test Blood test	7,700 yen	[Rheumatoid factor (RF), anti-CCP antibody, C-reactive protein] This test is used in conjunction with other tests to diagnose rheumatoid arthritis.
Ferritin test (iron deficiency anemia) Blood test	3,300 yen	Ferritin is a protein that stores iron. The test measures the amount of ferritin in your blood, and can indicate whether you have iron deficiency anemia.
Small dense LDL test (sd-LDL) Blood test	5,500 yen	This test measures the level of small dense LDL cholesterol, a type of LDL cholesterol that is a significant contributor to arteriosclerosis.
HIV antibody test *For privacy purposes, the results of the HIV antibody test will be sent separately from your health report to an address of your choosing. Blood test	3,300 yen	[HIV antibody] This test shows whether you are infected with HIV.
Infectious disease set *For privacy purposes, the results of the HIV antibody test will be sent separately from your health report to an address of your choosing. Blood test	9,900 yen	[HIV antibody, syphilis, HBs antigen & antibody, HCV antibody] This set checks whether you are infected with HIV, syphilis, hepatitis B, or hepatitis C. Each test item can be added to your course individually upon request.
Urine sodium test Urine test	2,200 yen	The test analyzes the sodium and creatin levels in your urine, along with your height, weight, and age, to estimate your sodium intake.
Blood typing (ABO, Rh typing) Blood test	1,100 yen	ABO grouping and Rh typing are used to determine your blood type.