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<li>年間280万人の外来患者と36万人の救急患者を受け入れています。</li> <li>心臓血管研究所では、ロボット支援手術を用いて年間20件以上の心臓移植を行っています。</li> <li>シャーロット・R・ブルームバーグ小児センターでは、年間4万人の小児患者に対し、最高水準のがん治療を提供しています。</li> <li>消化器・肝臓研究所は、米国の消化器外科で第3位にランクされており、胃内バルーン留置術を提供しています。</li> <li>当病院は、脳神経外科、泌尿器科、内分泌学の発祥の地です。</li> </ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":82,"alias":"johns-hopkins-hospital","name":"Johns Hopkins Hospital","short_description":"<p>ジョンズ・ホプキンス病院は、20人のノーベル賞受賞者を輩出した世界的に有名な医療センターです。CPR、腎透析、そして最初の「ブルーベビー」手術の先駆者です。心臓・血管、消化器科、小児科で最もよく知られています。</p> <ul> <li>年間280万人の外来患者と36万人の救急患者を受け入れています。</li> <li>心臓血管研究所では、ロボット支援手術を用いて年間20件以上の心臓移植を行っています。</li> <li>シャーロット・R・ブルームバーグ小児センターでは、年間4万人の小児患者に対し、最高水準のがん治療を提供しています。</li> <li>消化器・肝臓研究所は、米国の消化器外科で第3位にランクされており、胃内バルーン留置術を提供しています。</li> <li>当病院は、脳神経外科、泌尿器科、内分泌学の発祥の地です。</li> </ul>","images":[{"base_url":"clinic/5cf776ee62f32","title":"Modern exterior of Johns 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</ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":83,"alias":"memorial-hospital","name":"Memorial Sloan Kettering Cancer Center","short_description":"<p>メモリアル・スローン・ケタリングがんセンターは、腫瘍学を専門とする世界で最も古く、最大の病院です。200種類以上のがんを治療しており、小児がんの分野では全米トップ2の施設にランクされています。多くの専門家が米国科学アカデミーおよび医学アカデミーの会員です。</p> <ul> <li>当センターは120の研究所を運営し、FDA承認済みの9つの薬剤を開発しました。</li> <li>ニューヨーク市で最大のDa Vinciロボット群を保有しています。100人以上の外科医が低侵襲手術を行っています。</li> <li>脳神経外科医は毎年800件以上の脳手術と1,500件以上の脊椎手術を行っています。</li> <li>当センターでは年間400件以上の乳房再建術が行われています。外見を回復するための高度再建センター（Advanced Reconstruction Center）を備えています。</li> <li>前立腺がんに対する独自の放射線治療法「SHARP」を開発しました。小線源治療では、ポータブルCTユニットを使用して正確なシード配置を行います。</li> </ul>","images":[{"base_url":"clinic/5ab24c7d2619a","title":"Memorial Sloan Kettering Cancer Center exterior, historic building in New York"},{"base_url":"clinic/5ab24c7d594ea","title":"Chemotherapy treatment room at Memorial Sloan 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_diag_102_price_to_</li>\n<li><strong>整形外科医によるコンサルテーション</strong>: _diag_354_price_from_ – _diag_354_price_to_</li>\n<li><strong>シンチグラフィ</strong>: _diag_97_price_from_ – _diag_97_price_to_</li>\n<li><strong>インプラント置換を伴う骨切除術</strong>: _op_463_price_from_ – _op_463_price_to_</li>\n<li><strong>乳がんの化学療法</strong>: _op_708_price_from_ – _op_708_price_to_</li>\n<li><strong>肉腫の放射線治療</strong>: _op_763_price_from_ – _op_763_price_to_</li>\n<li><strong>ガンマナイフ</strong>: _op_112_price_from_ – _op_112_price_to_</li>\n<li><strong>身体部位のCTスキャン</strong>: _diag_296_price_from_ – _diag_296_price_to_</li>\n</ul>\n\n<p><strong>Bookimed専門家の見解:</strong> 症例数の多い研究センターは、複雑な骨がんに対して最良の治療成績を提供します。テキサス大学MDアンダーソンがんセンターは、全米がん研究所（NCI）のトップランクのセンターとして、年間13万人以上の患者を受け入れています。小児患者には、メモリアル・スローン・ケタリングがんセンターで見られるような専門的な知識が必要となることがよくあります。同センターは、小児腫瘍学において全米トップ2の施設として認められています。これらの機関では、四肢温存手術や高度な再建術に不可欠な多職種チームによる治療を受けることができます。</p>"},"trust_block":{"text":"<p>世界的な医療ツーリズムプラットフォームであるBookimedは、アメリカ合衆国での骨肉腫治療を検討されているお客様に対し、専門的なサポートと信頼できる医療ソリューションを提供することで、あらゆる状況において最適な支援をお約束します。<a href=\"https://us-uk.bookimed.com/page/clinic-ranking-policy/\">スマート自動ランキングシステム</a>を使用して透明性の高いクリニックリストを作成しており、データサイエンティストがAIを活用して正確性を細かく管理しています。当プラットフォームは、治療を終えた<a href=\"https://us-uk.bookimed.com/page/reviews-comments-policy/\">実際の患者様によるレビュー</a>を公開することで、情報の信頼性を保証しています。Bookimedは包括的な医療ソリューションを提供し、クリニックからの最新情報を通じて信頼性を維持しています。アメリカ合衆国での骨肉腫治療に関するコンテンツは、経験豊富な医療ライターが作成し、専門家が監修しており、<a href=\"https://us-uk.bookimed.com/page/bookimed-editorial-policy/\">Bookimedの編集ガイドライン</a>を遵守しています。これは、高品質で明確な健康情報を提供するという当プラットフォームの取り組みを反映したものです。詳細やご質問については、marketing@bookimed.comまでお気軽にお問い合わせいただくか、当社の詳細やミッションについては<a href=\"https://us-uk.bookimed.com/about/\">こちら</a>をご覧ください。</p>"}},"texts":{}},"faq":[{"id":"6a73cf20bb086ba1760f1272","question":"米国における骨肉腫の標準的な治療アプローチは何ですか？","answer":"<p>米国の骨肉腫の標準治療は、術前化学療法、外科的切除、および術後化学療法を組み合わせたマルチモーダルアプローチに従います。専門家は、機能を維持するために四肢温存手術に重点を置いています。国立がん研究所が指定する主要ながんセンターでは、これらのプロトコルを使用した場合、肉腫症例の生存率が80%に達すると報告されています。</p> <ul> <li><strong>化学療法レジメン：</strong> ほとんどの患者は、メトトレキサート、ドキソルビシン、シスプラチンを使用するMAPプロトコルを受けます。</li> <li><strong>外科的目標：</strong> 外科医は、陰性マージンを確保し、再発を防ぐために広範な切除を行います。</li> <li><strong>四肢温存：</strong> 先進的なセンターでは、切断を避けるために金属製人工関節や同種移植片を使用します。</li> <li><strong>術後ケア：</strong> 微小ながん細胞を排除するために、術後化学療法が数ヶ月間継続されます。</li> </ul> <p><strong>Bookimed専門家の見解：</strong> テキサス大学MDアンダーソンがんセンターのようなトップクラスの機関のデータによると、症例数の多いセンターほど優れた成果を上げています。MDアンダーソンは年間13万人の患者を治療し、肉腫の5年生存率80%を維持しています。専門センターを選択することで、陽子線治療や一般的な病院では利用できない複雑な四肢温存技術などの特定の外科的技術へのアクセスが保証されます。</p> <p><strong>患者のコンセンサス：</strong> 患者はMAPレジメンから始めることの重要性を指摘し、切断よりも四肢温存手術を好みます。多くの患者は、外科的マージンと治療計画を確認するために、主要な大学病院でセカンドオピニオンを求めることの重要性を強調しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a73cf38e034ff5ceb0b5f33","question":"骨肉腫に対して最も一般的に使用される特定の化学療法薬は何ですか？","answer":"<p>米国の骨肉腫の標準治療では、MAPレジメンが使用されます。このプロトコルは、高用量のメトトレキサートとロイコボリンレスキュー、ドキソルビシン、およびシスプラチンを組み合わせたものです。これらの薬剤は、手術前に腫瘍を効果的に縮小させ、手術後に微小な細胞を排除します。専門家は、複雑な症例や転移性の症例に対して、イホスファミドとエトポシドも使用します。</p> <ul> <li><strong>MAPレジメン：</strong> 小児および若年成人向けの標準的な3剤併用療法。</li> <li><strong>ドキソルビシンとシスプラチン：</strong> ほとんどの年齢層で使用される主要な基盤薬。</li> <li><strong>高用量メトトレキサート：</strong> 健康な細胞を保護するためにロイコボリンレスキューを必要とする強力な薬剤。</li> <li><strong>イホスファミドとエトポシド：</strong> 進行性、再発性、または転移性の骨肉腫症例のために確保されています。</li> </ul> <p><strong>Bookimed専門家の見解：</strong> MDアンダーソンのような、米国国立がん研究所（NCI）が指定する大規模ながんセンターを選択することが不可欠です。彼らは年間13万人の患者を治療し、多くのFDA承認薬を開発しています。この症例数は、チームがMAPレジメンの複雑な副作用を管理する上で非常に熟練していることを保証します。専門センターでは、これらの集中的な化学療法プロトコルと並行して、高度な再建技術を提供することがよくあります。</p> <p><strong>患者のコンセンサス：</strong> 患者は、高用量メトトレキサートが治療の中で最も困難な部分であることが多いと指摘しています。彼らは頻繁に口内炎を経験するため、これらの副作用に対するサポートについて早期に相談することを推奨しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a73cf56bb086ba1760f1274","question":"四肢温存手術によって、患部を常に救うことはできますか？","answer":"<p>四肢温存手術は、約90%から95%の症例で成功します。四肢を救うことが常に可能とは限りません。医師は再発を防ぐために腫瘍の完全切除を優先します。がんが主要な神経や血管に浸潤している場合は、切断が必要になります。治癒不可能な感染症も切断を必要とします。</p> <ul> <li><strong>腫瘍学的マージン：</strong> 外科医は腫瘍の周囲の健康な組織層を切除しなければなりません。</li> <li><strong>血管の完全性：</strong> 血流の回復は、組織の生存と治癒に不可欠です。</li> <li><strong>神経機能：</strong> 四肢が機能するためには、感覚と運動が維持されていなければなりません。</li> <li><strong>感染管理：</strong> 深部の骨感染症は、患者を救うために切断を余儀なくされる場合があります。</li> </ul> <p><strong>Bookimed専門家の見解：</strong> 症例数の多いセンターは、複雑な症例において四肢を温存する上で明確な優位性を示しています。テキサス大学MDアンダーソンがんセンターでは、年間13万人の患者を診察しています。彼らは肉腫の5年生存率が80%であると報告しています。メモリアル・スローン・ケタリングがんセンターのような大規模施設も、高度な再建術を活用しています。これらのセンターは、小規模な病院では救えないと判断されるような症例を扱うことがよくあります。</p> <p><strong>患者のコンセンサス：</strong> 患者は、明確なマージンが成功のための最も重要な要因であると指摘しています。彼らは、機能しない温存された四肢よりも、機能的な義肢の方が生活の質（QOL）を向上させることが多いと強調しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a73cf75bb086ba1760f1276","question":"米国で骨肉腫の治療を受けるには、患者はどこに行くべきですか？","answer":"<p>患者は、米国国立がん研究所（NCI）が指定する専門センターで骨肉腫の治療を受けるべきです。主要な施設には、テキサス大学MDアンダーソンがんセンターやメモリアル・スローン・ケタリングがんセンターなどがあります。これらの施設は多職種チームを提供しています。また、高度な四肢温存手術や専門的な小児腫瘍ケアを提供しています。</p> <ul> <li><strong>四肢温存手術：</strong> 拡張型プロテーゼや骨移植を使用することで、切断を回避する高度な技術です。</li> <li><strong>陽子線治療：</strong> 標的を絞った放射線照射により、腫瘍周辺の健康な組織へのダメージを最小限に抑えます。</li> <li><strong>小児専門知識：</strong> 小児および青年における希少な骨腫瘍を管理するための専門プログラム。</li> <li><strong>臨床試験：</strong> 進行性の症例に対する新しい免疫療法や標的薬へのアクセス。</li> </ul> <p><strong>Bookimed専門家の見解：</strong> データによると、希少な骨腫瘍の治療経験には明確な差があります。MDアンダーソンは年間13万人の患者を治療しており、肉腫の5年生存率は80%と報告されています。大規模なセンターでは、複数の言語に対応した無料の通訳を提供していることが多く、生存率の高い治療を求める海外の患者にとって非常にアクセスしやすくなっています。</p> <p><strong>患者のコンセンサス：</strong> 患者は、一般的な腫瘍内科医ではなく、肉腫専門のチームを見つけることの重要性を強調しています。最善の四肢温存アプローチを確認するために、セカンドオピニオンを受けることを推奨しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a73cf8fbb086ba1760f1277","question":"再発または転移性骨肉腫に対して、臨床試験や新しい免疫療法は利用できますか？","answer":"<p>再発または転移性骨肉腫の患者様は、米国で新しい免疫療法の臨床試験にアクセスできます。これには、HER2標的ワクチン、CAR-T細胞療法、およびマルチエージェント・チェックポイント阻害剤が含まれます。国立がん研究所が指定する主要なセンターは、難治性症例に対するこれらの高度な実験的プロトコルを促進しています。</p> <ul> <li><strong>リステリアベースのワクチン：</strong> OST-HER2は、肺転移切除後の患者においてHER2発現細胞を標的とします。</li> <li><strong>CAR-T細胞療法：</strong> 試験では、操作された細胞がGD2、HER2、FOLR1などの抗原を標的とします。</li> <li><strong>併用プロトコル：</strong> チェックポイント阻害剤は、放射線療法やカボザンチニブなどのマルチキナーゼ阻害剤と組み合わされます。</li> <li><strong>バクトセルチブ試験：</strong> この経口薬は、再発性、難治性、または進行性の疾患に対して調査されています。</li> </ul> <p><strong>Bookimed専門家の見解：</strong> 臨床試験へのアクセスは、研究実績の多いセンターに集中しています。テキサス大学MDアンダーソンがんセンターは年間13万人の患者を診療しています。メモリアル・スローン・ケタリングがんセンターは、FDA承認薬を9つ開発しました。これらの施設は、小規模な病院では対応できない肺転移切除後の試験を提供することがよくあります。</p> <p><strong>患者のコンセンサス：</strong> 患者様は、臨床試験が進行症例に対する主要な治療経路であると指摘しています。オープンラベルの試験オプションを見つけるために、大規模な肉腫センターでセカンドオピニオンを得ることの重要性を強調しています。</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":true,"relations":{"countries":[{"name":"アメリカ合衆国","alias":"united-states","iso_code":"US"},{"name":"イスラエル","alias":"israel","iso_code":"IL"},{"name":"イタリア","alias":"italy","iso_code":"IT"},{"name":"インド","alias":"india","iso_code":"IN"},{"name":"ウクライナ","alias":"ukraine","iso_code":"UA"},{"name":"エジプト","alias":"egypt","iso_code":"EG"},{"name":"オーストリア","alias":"austria","iso_code":"AT"},{"name":"キプロス","alias":"cyprus","iso_code":"CY"},{"name":"スイス","alias":"switzerland","iso_code":"CH"},{"name":"スペイン","alias":"spain","iso_code":"ES"},{"name":"タイ","alias":"thailand","iso_code":"TH"},{"name":"チェコ共和国","alias":"czech-republic","iso_code":"CZ"},{"name":"トルコ","alias":"turkey","iso_code":"TR"},{"name":"ドイツ","alias":"germany","iso_code":"DE"},{"name":"メキシコ","alias":"mexico","iso_code":"MX"},{"name":"中国","alias":"china","iso_code":"CN"},{"name":"大韓民国","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"ニューヨーク","alias":"new-york"},{"name":"メリーランド","alias":"maryland"},{"name":"ヒューストン","alias":"houston"}],"operations":[{"name":"乳房切除術","alias":"mastectomy"},{"name":"腹腔鏡下腎摘出術","alias":"laparoscopic-nephrectomy"},{"name":"化学療法","alias":"chemotherapy"},{"name":"肝がん切除術","alias":"removal-of-liver-cancer"},{"name":"大腸癌切除術","alias":"removal-of-colon-cancer"},{"name":"脳腫瘍摘出術","alias":"removal-of-the-brain-tumor"},{"name":"高密度焦点式超音波焼灼術","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"前立腺摘除術","alias":"prostatectomy"},{"name":"高周波焼灼術","alias":"radiofrequency-ablation"},{"name":"悪性黒色腫手術","alias":"melanoma-surgery"},{"name":"腎摘出術","alias":"nephrectomy"},{"name":"ダヴィンチロボットシステム","alias":"da-vinci-robotic-system"},{"name":"放射線治療","alias":"radiotherapy"},{"name":"骨髄移植術","alias":"bone-marrow-transplantation"},{"name":"経鼻的腫瘍切除術","alias":"transnasal-resection-of-tumor"},{"name":"同種骨髄移植術","alias":"allogenic-bone-marrow-transplantation-from-a-related-donor"},{"name":"非血縁者間同種骨髄移植術","alias":"allogenic-bone-marrow-transplantation-from-an-unrelated-donor"},{"name":"ダビンチ前立腺全摘術","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"ホルモン療法","alias":"hormonal-therapy"},{"name":"SIRT療法","alias":"sirt-therapy"},{"name":"乳がん手術","alias":"operation-on-breast-cancer"},{"name":"子宮摘出術","alias":"hysterectomy"},{"name":"免疫療法","alias":"immunotherapy"},{"name":"分子標的治療","alias":"targeted-therapy"},{"name":"膵頭十二指腸切除術","alias":"whipple-surgery"},{"name":"ロボット支援直腸切除術","alias":"robotic-total-mezorektumektomiya"},{"name":"定位脳手術","alias":"stereotaxic-surgeries"},{"name":"レーザー手術","alias":"laser-surgery"},{"name":"肺癌手術","alias":"lung-cancer-surgery"},{"name":"骨切除術","alias":"resection-of-the-bone"},{"name":"定位放射線手術","alias":"stereotaxic-surgery"},{"name":"甲状腺癌複合治療","alias":"complex-treatment-of-thyroid-cancer"},{"name":"精巣腫瘍摘出術","alias":"removal-of-tumor-of-testicle"},{"name":"キイトルーダ療法","alias":"keytruda"},{"name":"腹腔鏡下直腸間膜切除術","alias":"laparoscopic-mesorectumrctonomy"},{"name":"定位放射線治療","alias":"radiosurgery-of-a-brain-tumor"},{"name":"喉頭がんレーザー手術","alias":"laser-surgery-for-laryngeal-cancer"},{"name":"甲状腺摘出術","alias":"thyroidectomy"},{"name":"大腸癌に対する放射線療法","alias":"radiation-therapy-for-colorectal-cancer"},{"name":"喉頭癌放射線治療","alias":"radiotherapy-for-throat-cancer"},{"name":"喉頭癌手術","alias":"throat-cancer-operation"},{"name":"膵臓癌手術","alias":"pancreatic-cancer-surgery"},{"name":"脳腫瘍摘出術","alias":"brain-tumor-surgery"},{"name":"開頭術","alias":"craniotomy"},{"name":"脊髄腫瘍摘出術","alias":"removal-of-spinal-cord-tumor"},{"name":"胃癌手術","alias":"gastrectomy"},{"name":"結腸切除術","alias":"colectomy-large-bowel-resection"},{"name":"膠芽腫切除術","alias":"resection-of-glioblastoma"}],"diagnostics":[{"name":"PET-CT検査","alias":"pet-ct"},{"name":"MRI検査","alias":"mri-one-department"},{"name":"大腸内視鏡検査","alias":"colonoscopy"},{"name":"マンモグラフィ検査","alias":"mammography"},{"name":"甲状腺超音波検査","alias":"thyroid-ultrasound"},{"name":"生検","alias":"biopsy"},{"name":"脳神経外科相談","alias":"consultation-neurosurgeon"},{"name":"前立腺生検","alias":"prostate-biopsy"},{"name":"血液検査","alias":"extended-analysis-of-blood"},{"name":"生化学的血液検査","alias":"biochemical-analysis-of-blood"},{"name":"腫瘍マーカー検査","alias":"identification-of-tumor-markers"},{"name":"CT検査","alias":"ct"},{"name":"シンチグラフィ検査","alias":"scintigraphy"},{"name":"腫瘍専門医の診察","alias":"consultation-of-oncologist"},{"name":"PSA検査","alias":"psa-test"},{"name":"MRI検査","alias":"mri-of-the-spine"},{"name":"腹部CT検査","alias":"abdominal-ct-scan"},{"name":"CT検査","alias":"ct-of-three-cavities"},{"name":"経直腸超音波ガイド下前立腺生検","alias":"transrectal-ultrasound-guided-prostate-biopsy"},{"name":"造影MRI検査","alias":"mri-of-the-brain-with-contrast-medium"},{"name":"MRI検査","alias":"mri-of-the-abdominal-cavity"},{"name":"胸部CT検査","alias":"ct-of-the-chest"},{"name":"脳生検","alias":"brain-biopsy"},{"name":"腎生検","alias":"renal-biopsy"},{"name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