各種がん検診について Cancer screenings 【English version】

Ibaraki City provides cancer screenings and health checkups for residents. These screenings help with early detection and treatment. Please use your Screening Ticket (健診チケット) to participate.

がん検診の種類 Kind of cancer screenings

Ibaraki City is conducts the following cancer screenings:

・子宮がん検診 Cervical cancer screening

・乳がん検診 Breast cancer screening

・胃がん検診 Stomach cancer screening (X-ray ・ Endoscopy)

・肺がん検診 Lung cancer screening

・前立腺がん検診 Prostate cancer screening

・大腸がん検診 Colorectal cancer screening

・胃がんリスク検診 Stomach cancer risk screening

・肝炎検査 Hepatitis B&C

検診の実施場所について Screening Locations

• Contracted Medical Institutions (委託医療機関): Clinics and hospitals designated by the city

• Mobile Screening Units (巡回車検診): Buses visiting community centers and public facilities

• Ibaraki City Health Medical Center (茨木市保健医療センター): Some screenings are available only here (e.g., osteoporosis)

※In addition to cancer screenings, osteoporosis screening is provided. It is available exclusively at the Ibaraki City Health Medical Center, and no screening ticket is required.The osteoporosis screening is available during the fiscal year for residents aged 18 or older.

検診費用と費用免除について Fee and Exemptions

• Standard fees: 300–2,000 yen depending on screening type.

• Free screenings available for:

1. Officially registered residents with the Ibaraki City aged 70 or older
2. Residents of tax-exempt households officially registered with the Ibaraki City
3. Residents on public assistance officially registered with the Ibaraki City

健診チケットについて Screening Ticket

Every April, Ibaraki City mails a Screening Ticket (健診チケット) to eligible residents. You must bring this ticket and your health insurance card when attending a screening.

If you have not received it or have lost it, you can apply for a reissue.

If you would like a reissue, please email us "kensin@city.ibaraki.lg.jp" .

(Please click "kensin@city.ibaraki.lg.jp" at the bottom.)

Please include the following information in your mail:

1. Apply for a reissue of a Screening Ticket
2. Your name
3. Date of birth
4. Address
5. Email address to contact you
6. Name of cancer screenings you would like to receive

The details of each cancer screening are listed below under each screening.

2025年度の対象者 Eligible persons Fiscal year 2025

Women officially registered as residents of Ibaraki who are aged 20 or older as of April 1, 2025, are eligible for services provided once every two years.

If any of the following apply to you, you will not be eligible for cancer screening and will not be able to undergo cancer screening, even if you bring a Screening Tiket（健診チケット） or free coupon.

• Currently undergoing treatment or follow-up observation for cervical cancer, or regularly visiting a medical institution due to a potential diagnosis of cervical cancer.
• Individuals who have been found to have abnormalities in cervical cytology and are currently under follow-up observation.

検診内容 Inspention contents

• Medical interview 問診
• Visual examination 視診
• Pelvic examination 内診
• Pap smear 細胞診

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）
• Mobile Screening Units (at Community Centers, etc.)（巡回車検診（コミュニティセンター等）

検査費用 Fee

500 yen

2025年度の対象者 Eligible persons Fiscal year 2025

Women officially registered as residents of Ibaraki who are aged 40 or older as of April 1, 2025, are eligible for services provided once every two years.

If any of the following apply to you, you will not be eligible for cancer screening and will not be able to undergo cancer screening, even if you bring a Screening Tiket（健診チケット） or free coupon.

• Currently undergoing treatment or follow-up observation for breast cancer, or regularly visiting a medical institution due to a potential diagnosis of breast cancer.
• Individuals with obvious symptoms, particularly those experiencing "lump(s)" or "bloody discharge from the nipple," should seek immediate examination at a medical institution with a breast surgery department or similar, under health insurance coverage.

• Individuals whose mammography results show no abnormalities, but the physician's clinical examination (visual and palpation) indicates a disease requiring treatment or observation (including suspected cases).

• Pregnant individuals or those who may be pregnant.

• Individuals who are currently breastfeeding or have stopped breastfeeding within the past year.

• Individuals with devices such as pacemakers or VP shunts implanted under the chest wall, or who have undergone chest wall surgery.

• Individuals who have undergone breast augmentation surgery.

※Individuals with diabetes who use an insulin pump or a continuous glucose monitor cannot undergo examinations while wearing these devices. Please consult your physician in advance.

検診内容 Inspention contents

The contents of the health examination are as follows:

• Medical interview 問診
• Visual examination and Palpation (Only at contracted medical institutions) 視触診（委託医療機関のみ）
• Mammography examination マンモグラフィ検査

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）
• Mobile Screening Units (at Community Centers, etc.)（巡回車検診（コミュニティセンター等）

検査費用 Fee

800 yen

The city's stomach cancer screening offers two testing methods: stomach X-ray (barium) and endoscopy.

Stomach X-ray is available for individuals aged 40 or older.

Endoscopy is available for individuals aged 50 or older.

People aged 50 or older should choose one of the two testing methods after checking the differences in testing locations and fees, and proceed with the screening accordingly.

バリウム検査 stomach X-ray (barium)

The stomach X-ray screening involves drinking a barium preparation as a contrast agent before the procedure.

After consuming the barium, you will be positioned on the screening table for X-ray imaging. During the procedure, you will change postures to allow a thorough screening, including left-facing, right-facing, prone (face down), supine (face up), and standing positions.

After the screening, you will need to take a laxative to ensure the barium is expelled from your body.

This method provides an overview of the entire stomach.

*This is an image of a stomach X-ray screening.
*Currently, Ibaraki City does not provide screening gowns.

2025年度の対象者 Eligible persons Fiscal year 2025

Individuals who are officially registered as residents of Ibaraki and will reach the age of 40 or older during the fiscal year 2025 are eligible.

However, the following individuals are excluded from eligibility:

1. Pregnant individuals
2. Those undergoing treatment or follow-up observation for stomach cancer or other stomach-related diseases
3. Individuals with barium preparation allergies
4. Individuals who have undergone total gastrectomy (If you have had a partial gastrectomy, please notify us at the time of reservation.)
5. Individuals with a body weight of 130 kilograms or more
6. Those who have already undergone the Ibaraki City stomach cancer screening (stomach X-ray (barium) or endoscopy) during this fiscal year
7. Those who underwent the Ibaraki City stomach cancer screening (endoscopy) in FY 2024

※On the day of the screening, based on the medical interview and other assessments, the following individuals may be deemed ineligible for the screening at the discretion of medical professionals:

1. Individuals with a systolic blood pressure of 180 mmHg or higher or a diastolic blood pressure of 110 mmHg or higher
2. Individuals with constipation (e.g., no bowel movement for more than 72 hours before the screening)
3. Individuals who cannot independently support themselves on the screening table
4. Others who, due to past medical history or surgeries related to the digestive system, cardiovascular system, kidneys, or other conditions, might face potential risks during the screening

※If you are already experiencing stomach pain or other noticeable symptoms, please do not wait for the screening. Instead, visit a medical institution for treatment under health insurance (paid).

検診内容 Inspention contents

• Medical interview 問診
• X-ray X線

実施場所 Screening Locations

• Ibaraki City Health Medical Center（茨木市保健医療センター）
• Mobile Screening Units (at Community Centers, etc.)（巡回車検診（コミュニティセンター等）

This screening will not be conducted at contracted medical institutions.

検査費用 Fee

500 yen

注意事項 Precautions for Those Undergoing Stomach X-ray (Barium) Screening

Please adhere to the following instructions to ensure the smooth completion of your screening:

1. The day before the screening

   • Complete your dinner by around 10 PM the night before the screening.
   • You may drink tea or water until bedtime.

2. On the day of the screening

   • To prevent dehydration and to clear stomach mucus, drink approximately one cup of water (about 200 ml) up to 2 hours before arriving at the scneening venue.
   • After this, do not eat, drink, or consume anything (including chewing gum or candy) until the screening is complete.

3. Smoking

   • Do not smoke from when you wake up in the morning until the screening is finished.

4. Medication

   • If you take medications such as blood pressure pills every morning, take them by 7 AM with the water allowed (as mentioned above).
   • However, if you are taking diabetes medications (oral medication or insulin injections), do not use them on the morning of the exam, as they may cause hypoglycemia.

5. Clothing

   • On the day of the screening, you may need to remove clothing with metal objects, such as zippers or buttons.
   • Screening gowns are not provided, so please wear clothing that does not require changing.
   • Pants or skirts may need to be slightly adjusted; it is recommended to wear elastic waistband clothing for convenience.

6. Diabetes-related devices

   • If you use medical devices such as insulin pumps or continuous glucose monitoring systems, you cannot undergo the screening while wearing them. Please consult your doctor in advance for instructions.

7. Important notes

   • Your physical condition and the results of the medical interview on the day may prevent you from undergoing the screening.
   • Carefully review the instructions mailed to you before attending the screening.

By following these precautions, you can proceed safely and efficiently with the stomach X-ray screening.

胃内視鏡検査 Endoscopy

An endoscopic screening is conducted by inserting an endoscope (a thin tube with a camera) through the mouth or nose into the stomach to directly observe the inside of the stomach.

Since a camera is used to examine the stomach, not only small lesions but also conditions such as bleeding can be observed in detail. Depending on the judgment of the examining physician, a biopsy (a procedure that involves taking a small tissue sample for observation under a microscope) may be conducted as part of an insurance-covered medical examination (paid service). Therefore, please bring your insurance card, such as the "My Insurance Card."

For the city's endoscopic stomach screening, tests using sedatives to put patients in a sleep-like state or pain-relief medication (analgesics) are not available.

If the endoscope is inserted through the nose, medication to prevent nasal bleeding will be used. In some cases, local anesthesia may also be administered. Individuals with allergies to medication must consult with the physician. Please note that side effects may occur with the medication used during the screeening.

*This is an image of an endoscopy. The image shows a transoral endoscope; however, there are medical institutions that perform examinations using transnasal endoscopes as well.

2025年度の対象者 Eligible persons Fiscal year 2025

Residents of Ibaraki City aged 50 or older at the time of the screening are eligible. Please note that if you undergo screening in the current fiscal year, you will not be eligible for screening in the following fiscal year; eligibility will resume the fiscal year after next, as the screening is conducted once every two years.

However, the following individuals are excluded from eligibility:

1. Those who are not residents of Ibaraki City
2. Those who have undergone Ibaraki City stomach cancer screening (either stomach X-ray (barium) or stomach endoscopy ) in the current fiscal year
3. Those who will undergo Ibaraki City stomach cancer screening (endoscopy) in fiscal year 2024
4. Those currently undergoing treatment for stomach cancer or other conditions affecting the areas examined in endoscopy (esophagus, stomach, duodenal bulb), or who have undergone endoscopy for reasons other than city stomach cancer screening within the past year
5. Individuals with apparent symptoms (self-reported)
6. Individuals requiring further examination due to abnormalities detected during other screenings, health check-ups, stomach X-ray (barium) tests, or stomach cancer risk screenings (ABC tests)
7. Pregnant women or those who may be pregnant
8. Individuals hospitalized for any illness, regardless of the type
9. Those who have undergone a total gastrectomy
10. Individuals undergoing treatment with medications such as antithrombotic drugs or antiplatelet drugs (blood-thinning medication) (please bring a medication booklet with you)
11. Those who have allergies to medications used during the exam
12. Individuals with severe illnesses or surgical histories affecting the throat or nose that make endoscope insertion impossible
13. Those who wish to undergo screenings using sedation or pain relief medications
14. Individuals with respiratory failure or severe heart conditions (such as acute myocardial infarction or critical arrhythmias)
15. Those with apparent bleeding tendencies or suspected bleeding tendencies
16. Those with extremely high blood pressure (individuals with high blood pressure will have their blood pressure checked immediately before the exam to confirm eligibility for the test)
17. Individuals whom the physician has determined should not undergo the screening due to their overall medical condition
18. Those who cannot provide consent for the screening

検診内容 Inspention contents

• Medical interview 問診
• Endoscopy 胃内視鏡検査

実施場所 Screening Locations

Only at Contracted Medical Institutions 委託医療機関のみ

*It will not take place at the Ibaraki City Health Medical Center or mobile screening units.

検査費用 Fee

2,000 yen

2025年度の対象者 Eligible persons Fiscal year 2025

Individuals who are officially registered as residents of Ibaraki and will reach the age of 40 or older during the fiscal year 2025 are eligible.

If any of the following apply to you, you will not be eligible for cancer screening and will not be able to undergo cancer screening, even if you bring a Screening Tiket（健診チケット）.

• Those currently undergoing treatment or follow-up observation for lung cancer or other lung diseases, or who are regularly visiting medical institutions due to a suspected lung-related condition.
• Pregnant individuals.
• Those experiencing symptoms such as blood in sputum. → In such cases, please visit a medical institution with your My Number Health Insurance Card or equivalent documentation, instead of undergoing a screening.

※Individuals with diabetes who use an insulin pump or a continuous glucose monitor cannot undergo screenings while wearing these devices. Please consult your physician in advance.

検診内容 Inspention contents

• Medical interview  問診
• Chest X-ray  胸部X線検査
• Sputum Test (if needed)   喀痰（かくたん）検査（条件あり）

(For individuals aged 65 or older, this screening also fulfills the legally required tuberculosis examination.)

Note: The sputum test is available for individuals who meet the following conditions:

• Age 50 or older and a smoking index of 600 or higher (including the number of cigarettes smoked prior to quitting).
• Smoking index calculation: (Number of cigarettes smoked per day) × (Number of years smoking) (For heated tobacco products, substitute the number of cartridges consumed per day × the number of years smoking).

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）

検査費用 Fee

300 yen (500 yen for individuals receiving the sputum test)

2025年度の対象者 Eligible persons Fiscal year 2025

Men aged 55 or older who are officially registered as residents of Ibaraki City on the day of the screening and who are not currently undergoing treatment for prostate-related conditions are eligible to participate.

However, individuals who fall under any of the following categories will not be eligible for the screening, even if they bring their Screening Ticket (健診チケット):

• Those currently undergoing treatment for prostate-related diseases such as prostate cancer, benign prostatic hyperplasia, or prostatitis.
• Those under regular observation or follow-up through PSA tests or other examinations.

検診内容 Inspention contents

• Medical interview 問診
• PSA (Prostate-Specific Antigen) Test PSA検査

The PSA test is a blood test.

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）

検査費用 Fee

300 yen

2025年度の対象者 Eligible persons Fiscal year 2025

Individuals who are officially registered as residents of Ibaraki and will reach the age of 40 or older during the fiscal year 2025 are eligible.

Even if you bring a Screening Ticket, you will not be eligible for the screening if any of the following apply to you:

• You are currently receiving treatment or undergoing follow-up observation for conditions such as colon polyps, hemorrhoids, etc., or you regularly undergo colonoscopy (intestinal camera) examinations.
• You are currently experiencing menstruation. (Please schedule your screening after your period has ended.)
• You have hemorrhoids. (Please wait until your symptoms have subsided before scheduling your screening.)

検診内容 Inspention contents

• Medical interview 問診
• fecal occult blood test (two-day method) 便潜血反応検査（二日法）

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）

検査費用 Fee

300 yen

2025年度の対象者 Eligible persons Fiscal year 2025

Residents of Ibaraki City who are 30, 35, 40, 45, 50, 55, 60, 65, or 70 years old as of April 1, 2025, are eligible for the screening.

However, individuals who meet any of the following criteria are excluded from the screening and cannot undergo the screening:

• Those currently undergoing treatment for gastrointestinal diseases, such as esophageal, stomach, or duodenal conditions.
• Those who have had their stomach surgically removed or have a history of stomach cancer.
• Those with kidney failure (creatinine levels of 3 mg/dl or higher).
• Those taking or who have taken Gastric Acid Suppressing Drugs, including Proton Pump Inhibitors (PPI) or Potassium-Competitive Acid Blockers (P-CAB, e.g., TAKECAB), within the past two months.
• Those who have already undergone Helicobacter pylori eradication therapy.
• Those who previously received a risk classification of B, C, or D in past stomach cancer risk screenings.

検診内容 Inspention contents

• Medical interview 問診
• Pepsinogen stomach test ペプシノゲン胃検査
• Helicobacter pylori antibody test ピロリ抗体検査

The pepsinogen stomach test and the Helicobacter pylori antibody test are blood tests.

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）

検査費用 Fee

400 yen

2025年度の対象者 Eligible persons Fiscal year 2025

• Individuals who are officially registered as residents of Ibaraki City and will turn 40 years old or older during the fiscal year 2025, and have never undergone hepatitis screening before.
• Individuals who have never been diagnosed with hepatitis C or hepatitis B.
• Individuals who are neither currently undergoing treatment for hepatitis C or hepatitis B nor receiving regular hepatitis screenings or follow-up monitoring.

検診内容 Inspention contents

• Medical interview 問診
• Hepatitis C (HCV Antibody) Test C型肝炎（HCV抗体）検査
• Hepatitis B (HBs Antigen) Test B型（HBs抗原）検査

The HCV antibody test and the HBs antigen test are blood tests.
In addition, based on the results of the hepatitis C (HCV antibody) test, an additional HCV-RNA test (quantitative test for hepatitis C virus levels) may be conducted. However, no additional blood draw or costs will be required for this test.

実施場所 Screening Locations

• Contracted Medical Institutions（委託医療機関）: Clinics and hospitals designated by the city
• Ibaraki City Health Medical Center（茨木市保健医療センター）

検査費用 Fee

300 yen

This screening program offers five types of cancer screenings (breast cancer, cervical cancer, stomach cancer, lung cancer, and colorectal cancer) conducted once a month on Sundays. It is a convenient option designed for individuals who find it difficult to attend screenings during weekdays or for those who wish to undergo multiple screenings at once in a single session.

対象者 Eligibility

Women who are residents officially registered in Ibaraki City and are 40 years old or older as of April 1, 2025, and are eligible to undergo all five types of cancer screenings.

実施場所 Screening Venue

Only at Ibaraki City Health Medical Center (茨木市保健医療センター)