Kishiwada Tokushukai Hospital > Departments > Breast Surgery

Breast Surgery

Breast Cancer Care

  • Breast-conserving surgery and mastectomy
  • Sentinel lymph node biopsy — axillary management based on clinical indication
  • Breast reconstruction using autologous tissue (latissimus dorsi flap)
  • Systemic therapy: chemotherapy, targeted therapy, endocrine therapy
  • Radiation therapy — coordinated within the hospital

Intraoperative pathological assessment available for margin evaluation

What this means for you

  • Multidisciplinary treatment planning — surgery, systemic therapy, and radiation coordinated within one hospital
  • Led by Dr. Oura — former faculty member, Wakayama Medical University
  • Consultations are typically arranged within days to weeks
  • Second opinions are available
  • Female physician available for breast examination on request

Approximately 20 minutes from Kansai International Airport (KIX)

About Us

The Breast Surgery department at Kishiwada Tokushukai Hospital provides care for breast conditions,
including breast cancer and benign disease.
Diagnostic evaluation, surgery, systemic therapy, and radiation therapy are coordinated as part of a structured treatment pathway.

Outpatient care is led by a breast specialist.
For surgery and inpatient management, the department works with surgical and medical teams across specialties,
including coordination for metastatic disease when required.


Diagnostic and treatment resources include dedicated breast imaging and procedural equipment,
supported by pathology services for diagnostic confirmation.

When to visit / When to call ER

Visit this department if:

  • You notice a new breast lump, thickening, or hardness
  • You have nipple discharge (especially bloody), inversion, or persistent changes
  • You have skin changes such as dimpling, redness, swelling, or a persistent rash
  • You have persistent breast pain or require follow-up after imaging
  • You have been advised to undergo further evaluation or would like a second opinion

Call ER immediately if:

  • High fever with breast redness, severe pain, or rapidly worsening swelling
  • Bleeding from a wound or surgical site that does not stop
  • Severe shortness of breath, chest pain, or sudden collapse
  • New severe weakness, confusion, or difficulty speaking

If you are unsure, contact the Emergency Department first

Services

Appointments are required in principle. A referral letter is recommended but not mandatory.

Treatment flow

  1. 1

    Initial consultation and diagnostic evaluation

    Symptoms, medical history, and prior imaging are reviewed.
    Additional imaging or biopsy is arranged as needed to confirm diagnosis and assess disease extent.

  2. 2

    Treatment planning

    A treatment plan is developed based on diagnosis and staging.
    Options may include surgery, systemic therapy, and radiation therapy.

  3. 3

    Treatment and hospitalisation (when required)

    Surgery and inpatient care are provided in coordination with the surgical team.
    Intraoperative pathology may be used to guide surgical decisions.

  4. 4

    Follow-up and ongoing care

    Follow-up includes surveillance and symptom management.
    For recurrent or metastatic disease, care is coordinated across relevant specialties.

Clinical leadership

Breast Surgery is led by Vice President Shoji Oura, M.D., Ph.D.,
former faculty member of Wakayama Medical University.
His clinical focus includes breast cancer surgery, treatment planning, and early detection.

Shoji Oura, M.D., Ph.D.
(Vice President / Chief of Breast Surgery)

Publications — Shoji Oura MD PhD →

Contact

Patients from overseas

Contact us from overseas

Start with a brief message to our International Medical Support Department. Please include your diagnosis, current condition, and the type of consultation or treatment you are seeking. We will review your case and guide you through the next steps.

International Treatment Services — full details →