**2. Gynecological examination flow**

In general, there are three Ningen Dock programs, a half-day course, one-day course, and two-day course. Depending on the selection of the course, different diagnostic and procedural options are available. The cost is not covered by the social insurance. Asymptomatic women, aged from 18 until ~90 undergo medical evaluations, including a medical history, physical examination, blood sampling, urine sampling, and radiological imaging, as part of a routine health check-up and cancer screening (see **Table 1**). The popular plan for women is a gynecological cancer screening. Gynecologic examinations include uterine cytology (Papanicolaou test), transvaginal ultrasonography, and pelvic examination by a gynecologist.

against symptom-free population, and this can cause remarkable reduction in the probability of malignant disease. The study sample is derived from the representative population of highincome and high-attitude toward health maintenance, providing most of our observations as

Life Habits Check Investigation of lifestyle through medical questionnaire,

Lungs Chest X-ray to screening pulmonary disorders such as lung

Heart Screening for high blood pressure and cardiac disorder by

Digestive organs Upper GI tests, abdominal ultrasonography, blood tests,

Breast X-ray and ultrasonography

electrocardiogram.

and gallbladder. Eyes Screening for cataract, glaucoma, and visual change by fundus

CA19-1, and SCC) are optional.

and syphilis and determining blood type.

Gynecology Screening for gynecological disorders such as uterine cancer

Others Screening tests for hearing, infections such as hepatitis virus

This course is arranged for those who want to take an opportunity to refresh and receive the screening in a more

relaxed manner. The courses contain optional examinations that can be added upon the request.

physical check-up, and advice on how to prevent the development of diseases and how to treat them.

http://dx.doi.org/10.5772/intechopen.72142

47

and stool analysis to screen gastrointestinal diseases such as cancer, ulcer, polyp, and dysfunction of liver and pancreas by investigating esophagus, stomach, duodenum, liver, pancreas,

photography and intraocular pressure measurement.

and ovarian tumors through pelvic examination, cervical cytology and ultrasonography. Tumor markers (CA125, CA72-4,

cancer, tuberculosis, and emphysema.

Great Role in Gynecological Cancer Prophylaxis of a Unique Health Check-Up Institute, Ningen…

If anything abnormal is found, the participants are provided the most appropriate advice, by determining whether follow-up observations would be sufficient, or if medical treatment is required, what kind of medical treatment should be provided, and what facility would be

**Table 2** shows the cytologic and ultrasonographic findings of all subjects who visited the Ningen Dock in our institute between 2002 and 2016 [3, 4]. Of the cytology from cervix, 140 cases (0.8%)

**3. Incidence of positive gynecological cancers in examinees of** 

important implications in terms of public health.

appropriate for a particular treatment.

**Table 1.** Test items of Ningen dock.

**Basic examination (1-day course)**

**Ningen Dock**

Optional

Cervical and endometrial smears are performed using a speculum and/or brush. The cytology findings divided into seven groups: high-grade squamous intraepithelial lesions (HSIL), low-grade squamous intraepithelial lesions (LSIL), atypical squamous cells of undetermined significance (ASC-US), squamous cell carcinoma, atypical glandular cells (AGC), cervical adenocarcinoma, and normal. The cytological findings of endometrium are classified into four categories: suspected endometrial carcinoma, atypical endometrial cell, benign endometrial abnormality, and normal endometrium. When inadequate for classification, smears were again taken from examinees, and their smear samples are retrospectively reviewed if needed.

Abnormal cytologic and/or ultrasonographic findings introduce all examinees to the medical facilities for further managements. Even though no additional information are provided regarding their detailed examination outcomes, the present findings obtained from asymptomatic women may indicate annual gynecologic check-up and adequate follow-up programs


relaxed manner. The courses contain optional examinations that can be added upon the request.

**Table 1.** Test items of Ningen dock.

check-ups focus on comprehensive assessments regarding the whole body even without disorders, while medical examinations include a specific disease or organ. In many countries, including Japan, a series of systemic routine health examinations and preventive medicine

In Japan, there are unique facilities (namely Ningen Dock) for health check-up that provide asymptomatic participants with a health examination, including cancer screening activities, at their own expense [1]. Japan is indeed a country in the world with the most advanced medical devices. For example, about half of the CT scans and about one-third of the MRI scans are owned by medical facilities in Japan [2]. The most advanced examination equipment and examinations do not only provide high accuracy, but they also reduce stress on the body of the client. Usage of the medical equipment and diagnostic techniques allows us for successful detection of many diseases in their early stages of development. This early detection leads to quicker response for the disease.

The "OMOTENASHI" services provided by staffs, including nurses, technologists, and doctors, is supporting the popularity. With the careful client support underpinned by the Japanese culture of hospitality, the Ningen Dock in Japan is popular in neighboring countries. The number of people from another country is rapidly increasing, to visit Japan, to receive the medical services of Ningen Dock. These situations prompted us to introduce a major role of

In general, there are three Ningen Dock programs, a half-day course, one-day course, and two-day course. Depending on the selection of the course, different diagnostic and procedural options are available. The cost is not covered by the social insurance. Asymptomatic women, aged from 18 until ~90 undergo medical evaluations, including a medical history, physical examination, blood sampling, urine sampling, and radiological imaging, as part of a routine health check-up and cancer screening (see **Table 1**). The popular plan for women is a gynecological cancer screening. Gynecologic examinations include uterine cytology (Papanicolaou

Cervical and endometrial smears are performed using a speculum and/or brush. The cytology findings divided into seven groups: high-grade squamous intraepithelial lesions (HSIL), low-grade squamous intraepithelial lesions (LSIL), atypical squamous cells of undetermined significance (ASC-US), squamous cell carcinoma, atypical glandular cells (AGC), cervical adenocarcinoma, and normal. The cytological findings of endometrium are classified into four categories: suspected endometrial carcinoma, atypical endometrial cell, benign endometrial abnormality, and normal endometrium. When inadequate for classification, smears were again taken from examinees, and their smear samples are retrospectively reviewed if needed. Abnormal cytologic and/or ultrasonographic findings introduce all examinees to the medical facilities for further managements. Even though no additional information are provided regarding their detailed examination outcomes, the present findings obtained from asymptomatic women may indicate annual gynecologic check-up and adequate follow-up programs

test), transvaginal ultrasonography, and pelvic examination by a gynecologist.

development in response to client needs undergo on a voluntary basis.

46 Cervical Cancer - Screening, Treatment and Prevention - Universal Protocols for Ultimate Control

Ningen Dock in gynecological malignancy prophylaxis.

**2. Gynecological examination flow**

against symptom-free population, and this can cause remarkable reduction in the probability of malignant disease. The study sample is derived from the representative population of highincome and high-attitude toward health maintenance, providing most of our observations as important implications in terms of public health.

If anything abnormal is found, the participants are provided the most appropriate advice, by determining whether follow-up observations would be sufficient, or if medical treatment is required, what kind of medical treatment should be provided, and what facility would be appropriate for a particular treatment.
