高円宮妃殿下のおことば

本日は第一回がん撲滅サミットが盛大に開催され、皆様とご一緒できますことを大変うれしく思います。

日本では2人に1人ががんにかかり、3人に1人ががんで亡くなると言われており、あらゆる病気の中で最も死亡率が高いとうかがっております。1981年より日本人の死因第1位を占めており、国民病ともいえるかもしれません。がんは全身のあらゆる部位で発症いたしますし、初期には自覚症状がないため、今でも発見されたときにはすでに進行していて、治療が遅れるケースが多くあります。しかし、早期発見により、完全に治療、治癒することも可能な病です。

医学とがんの闘いは実に長い歴史を持っており、がんの最初の記録は紀元前1500年ごろの古代エジプトの医学書にあります。そして紀元前1400年ごろ、古代ギリシャの医聖ヒポクラテスががんに蟹(かに)を意味するカルキノスという名前をあてがえました。その数百年後に医学論を書いた学者のアウルス・コリネリウス・ケルススがカルキノスをキャンサーとラテン語に訳したのです。英語では今でもがんのことをキャンサーと呼びますが、発がん物質を意味するカルシノシンはヒポクラテスのカルキノスが語源です。

これだけ長く闘っているのですから、がんは医学にとって永遠のテーマであり、人類は終わりなき闘いを繰り広げていく運命にあるのかもしれません。進化医学の出番も増えるのかもしれません。

いずれにしろ何事においても、攻めなければ負けしかない中、がん撲滅を目指すぐらいの意気込みが必須と感じます。お身内にがん患者がいらっしゃる作家でジャーナリストの中見利男氏の「オールジャパンでがん撲滅に立ち上がろう」という呼びかけに、医学医療のみならずあらゆる分野の方が賛同されたことによって、ここに新たな挑戦が始まるのを心強く思っております。同じ志を持った多くの人間が同じ方向に動けば、大きなエネルギーがうまれます。

かかげておられる目標の中でも、特にがん最先端医療において個々の患者、治療へ直結する医療のベストミックスを早急につくりあげていくことは重要であり、医師力を増進するのは当然として、患者力の向上を目指すのは実に意義深いことと考えます。

がんに関する先端医療や名医に関する情報を発信することや、患者主体の治療が出来る社会を再構築すること、患者や家族が的確な決断の出来る医療社会を再構築することなど、患者とその家族の立場にたって考えるのは日本の医療の本質ではないでしょうか。

インターネットを駆使したシステムや遠隔医療、遠隔治療などを含む医療は、日本のみならず医療の十分ではない国や地域に希望の光となることでしょう。その昔、医学においては視野を広く持つことが普通でしたが、研究がめざましく進み、医学が進歩した今日では分野ごとに孤立してしまっています。人間は社交的な動物であり、優れたコミュニケーション能力を有していますので、新しい時代の医療にはみながアクセスできる引き出しの多い総合的に意見交換が速やかにできる環境が整備されることを期待しております。

本日のがん撲滅サミットが学術的に実りと発展性のある大会となりますよう、またがんの撲滅、及びがん偏見の撲滅に一日でも早くつながりますよう心より願って開会式に向ける言葉と致します。

Opening Remarks by Her Imperial Highness Princess Takamado

Today I am profoundly honored to have been invited to the First-ever Cancer Eradication Summit held in such a magnificent manner and to be with other distinguished guests, as well as all attendees. It is my great pleasure.

I have been told that in Japan, cancer is on the top list of the death rate, in which five out of ten of the Japanese people have contracted any cancer and one person out of three dies of the disease. We could assume cancer to be a disease affecting the whole nation, because it has been the leading cause of death among the Japanese since 1981. There are many cases in which late detection would lead to inopportune medical treatment and poor survival. It is because cancer could appear in any part of our body and has no obvious symptoms at first, or in the early stages. It means that even though cancer is fortunately diagnosed, it might be too late to be treated efficaciously. However, we would expect hopefully that early detection of the disease can lead to appropriate medical treatment and a full recovery.

The battle of human beings against cancer has an extraordinary history. We can find the first-ever cancer case in an ancient Egyptian medical book published in about 1500 B.C. According to the book, around 1400 BC, Hippocrates, an ancient Greek medical saint, used the Greek word of karkinos, which meant “crab”, in order to explain the likely symptoms of cancer unknown at that time. After hundreds of years, a Roman medical writer, Aulus Cornelius Celsus became the first user of the word of cancer by translating karkinos into Latin. In English, the word of cancer can still be used even now and “carcinosin”, which means a cancer-causing substance, is derived from the ancient Greek word of karkinos firstly used by Hippocrates.

Since we have had such a long history of the battle against cancer, it might definitely be an everlasting issue in medicine. And we, human beings, would be destined to tackle the disease forever. An increasing number of advanced technologies may be utilized in the treatment of cancer in the near future.

Whatever happens, under the circumstances where offense is the best defense and doing nothing is our defeat, I would like to put emphasis on the importance of our strong resolve to pursue the total destruction of cancer. I know Mr. Toshio Nakami, a writer and journalist, who has a close family member suffering from cancer, has been campaigning to call for action in order to tackle cancer and appealing to the public, “Let’s rise up for a fight against cancer as the whole nation!!”. His appeal has been widely accepted among a lot of people in a variety of fields as well as medical science field. I am not only very encouraged to hear that situation but also firmly believe that such an overall support to this initiative means a new challenge against cancer among the people will definitely get off to a good start. If many people who share this common goal and the same mind take some actions, I believe huge momentum would be gained in the campaign.

Among the objectives this summit tries to achieve, I think it is absolutely essential to rapidly create the best matching of cancer treatments utilizing a state-of-the-art technology with various conditions of each patient who need a treatment. While it should be no surprise that doctors should develop their abilities, I think it is quite more important for patients to enhance their abilities.

I do believe it is essential that Japanese medical services could provide useful and plain information on cancer, including advanced medicine and prominent doctors. And it is also important that measures to restructure a “medical-friendly society” should be taken, where patients can receive necessary medical services suitable for each individual. Such a medical-friendly society would be one where patients and their family members can make adequate medical decisions by themselves. The focal point of such a measure is to take patients’ and their families’ perspective into consideration in case of providing suitable medical services. Isn’t it the essence of the Japanese medicine? I firmly believe in this way.

By the way, I have confidence in that medical treatments utilizing Internet and telemedicine could be a shining hope not only for the Japanese people but also for other nations or regions where sufficient medical-care services are never expected. In the past, having a broader point of view was usually required in medical field. However, now that by and large, medical science has developed its research and health care capabilities, specialist fields are becoming increasingly fractionalized. I think human beings are intrinsically social creatures and are provided with highly developed capabilities of communication. In that sense, I look forward to an epoch-making environment surrounding medicine in which everybody can get easy and quick access to a wide variety of medical opinions and exchange of views.

I sincerely hope that this academic First-ever Cancer Eradication Summit will be very fruitful and successful, and lead to scientific expansion and development in the future. And I earnestly wish that this summit will gain momentum as much as possible, when it comes to realizing a medical society with no cancer and no prejudice against those suffering from it.