Global Leader inCancer Treatment
Excellence in Cancer Treatment
The Most Advanced Medical Technology
History of Cancer Treatment in Korea
Unparalleled Cancer Care Process and Infrastructure 07
06
04
03
One-stop Medical Services 08
Integrated Support System 09
Patient Testimonials 10
Information on Korean Hospitals 12
Korea is one of the top countries in Cancer Treatment which includes performing the most complex opera-
tions and researching cancer studies constantly. Thanks to the tremendous national efforts to eradicate
cancer, the overall 5-year survival rate for cancer patients treated in Korea has been steadily increasing
and was up to 64.1% most recently. Comparing to other medically-advanced countries in the world,
clinical outcomes of cancer patients in Korea are better Medical services provided at Korean hospitals are
now competing with the world's best hospitals in all aspects including healthcare systems, facilities as
well as treatment techniques.
Excellence in CancerTreatment
<Trends in the 5-year relative rates during 1993-2011 in Korea>
* Cancer Res Treat. 2013 Mar;45(1):1-14. The Korean Cancer Association
‘93-‘95 ‘96-‘00 ‘01-‘05 ‘07-‘11
Thyroid Gastric Lung Liver Breast Prostate Non-Hodgkinlymphoma
Colon andrectum
‘93-‘95
‘96-‘00
‘01-‘05
‘07-‘11
94.2
94.9
98.3
100.0
42.8
46.6
57.7
69.4
54.8
58.0
66.6
73.8
11.3
12.7
16.2
20.7
10.7
13.2
20.2
28.6
77.9
83.2
88.5
91.3
55.9
67.2
80.1
92.0
46.6
50.8
59.9
65.8
100.0
69.473.8
20.728.6
91.3 92.0
Gallbladder andbiliary tract
27.5
17.3
19.7
22.8
27.5
9.4
7.6
8.0
8.7
Pancreas
8.7
65.8
3
Liver Cancer
Operations and Procedures
About 50% survival rate for Stages 1 and 2 liver cancer cases where curative treatment options are available including liver transplantation surgery and local ablationWorld's best living-donor liver trans-plantation techniqueFirst to perform 2:1 liver transplantation, ABO incompatible liver transplantation and Bloodless liver transplantation
-
- -
Korea ('07-'11)
20.1% 28.6%
Korea ('01-'05)
Table 2. International Comparison of5-year Survival Rates for Liver Cancer
Canada ('04-'06)
16.0% 18.0%
USA ('99-'06)
Living-donor liver transplantationRadiofrequency ablation
Colon Cancer
Operations and Procedures
Survival rates of 95-98% for Stage 1 colorectal cancer cases and the world's highest survival rate even for advanced colorectal cancer patientsFirst in the world to successfully perform both operations and has attained the highest level of clinical outcomes. Surgery performed successfully for the world's oldest patient at 102 years of age
-
-
-
Korea ('07-'11)
66.6% 73.8%
Korea ('01-'05)
Table 3. International Comparison of5-year Survival Rates for Colorectal Cancer
Table 3 : International Agency for Research on Cancer (2011), National Cancer Information Center (2012)
Table 2 : International Agency for Research on Cancer (2011), National Cancer Information Center (2012)
Canada ('04-'06)
64.3% 63.0%
USA ('99-'06)
Minimally-invasive laparoscopic colorec-tal cancer operationSphincter-saving procedure for low rectal cancer
History of Cancer Treatmentin Korea
Table 1 : International Agency for Research on Cancer (2011), National Cancer Information Center (2012)
Operations and ProceduresLaparoscopic gastric cancer operation with intracorporeal anastomosisEndoscopic submucosal dissection
Korean technique used for gastric cancer treatment has been recognized as a global standard and is listed in the gastric cancer guidelines of NCCN (National Comprehensive Cancer Network)As many as 1000 foreign doctors come to Korea annually in order to learn these advanced treatment techniquesWorld's highest survival rate and surgical volume of operations
-
-
-
Stomach Cancer
57.7 %
Korea ('01-'05)
Table 1. International Comparison of5-year Survival Rates for Gastric Cancer
26.9 %
USA ('99-'06)
Korea ('07-'11)
69.4 %
Canada ('04-'06)
24.0 %
4
Table 4 : International Agency for Research on Cancer (2012), National Cancer Information Center (2011)
Table 5 : International Agency for Research on Cancer (2012), National Cancer Information Center (2011)
Breast Cancer
Korea ('07-'11)
88.5% 91.3%
Korea ('01-'05)
Table 4. International Comparison of5-year Survival Rates for Breast Cancer
Canada ('04-'06)
88.9% 88.0%
USA ('99-'06)
Operations and Procedures
World's highest survival ratesThe World's first study to prove the safety and feasibility in SLNB in breast cancer patients clinically suspected of axillary lymph node metastasis, which now serves as the standard for breast cancer surgery Top class Oncoplastic reconstruction techniques with free tumor margins and immediate breast reconstruction by utilizing world renowned plastic surgery Awarded with the highest rank in breast cancer clinical research by the US FDA (NAI)
- -
-
-
Sentinel lymph node biopsy (SLNB)Breast conserving surgery
Lung Cancer
Operations and Procedures
World's best treatment outcomes for Stages 2 and 3 lung cancer patientsWorld's largest cumulative volume of lung cancer surgeries performed by a single center (more than 5,000 cases) Achieved much higher 5-year survival rate of 62.8% than the worldwide average rate in Brochoplasty where patients could preserve the lungs as much as possible with minimal complications
-
-
-
Table 6. International Comparison of5-year Survival Rates for Lung Cancer
Korea ('07-'11)
16.2% 20.7%
Korea ('01-'05)
Table 6 : International Agency for Research on Cancer (2012), National Cancer Information Center (2011)
Canada ('04-'06)
15.9% 16%
USA ('99-'06)
Thyroid Cancer
Operations and Procedures
World's highest survival rates reaching 99.8%The largest number of foreign patients coming to Korea for thyroid cancer treatmentDeveloped the world's first advanced robotic thyroidectomy in order to improve the quality of life through incisions in the armpit rather than through the neck
-
-
-
Korea ('07-'11)
98.3% 100%
Korea ('01-'05)
Table 5. International Comparison of5-year Survival Rates for Thyroid Cancer
Canada ('04-'06)
97.5% 98.0%
USA ('99-'06)
Endoscopic thyroidectomyRobotic thyroidectomy
BronchoplastyStereotactic radiation therapy
5
6
The Most AdvancedMedical Technology
Korea provides a high-quality medical services by utilizing state-of-the-art equipments for cancer treatment in order to
promote trust in the treatment and improve the quality of life with the objective of "living a normal life during precision
cancer treatment with minimum side effects“.
1. Proton Therapy The protons from radiation selectively attack cancer cells to
minimize normal-tissue damage and harmful side effects. This novel therapy is only
available at Korea's National Cancer Center as well as 28 other hospitals in the
world. Moreover, the number of international cancer patients travelling to Korea
has been increasing since the treatment fees in Korea are as low as one-fifth of
those in USA.
3. Da Vinci Surgery The use of this minimally-invasive robotic surgery is flourishing
in Korea. Consequently, Korea has earned a reputation as the "Mecca" of robotic
surgery in the world. Furthermore, Korean hospitals run robotic surgery training
centers where a large number of doctors across the world visit annually to observe
technological advancements.
2. Cyberknife The most advanced medical device selectively tracks and removes
cancerous tissues without surgical operation, taking organ movement and
breathing of the patient into consideration. The cost of this treatment in Korea
is one-third of that in USA.
Unparalleled CancerCare Process and Infrastructure
Korean Cancer Centers lead the world in terms of their top tier infrastructure for patient care in designing individually
tailored cancer treatments, building optimal cancer care delivery systems, driving international cooperation and sharing
advanced medical technologies via training programs.
1. Cancer Center
We reorganized our cancer care system to be more disease-centered by establishing
cancer centers so that all relevant faculties of departments are involved in making
treatment decisions more promptly. The center provides one-stop system of full
support for prevention, examination, treatment, rehabilitation and aftercare. In
Korea, most university hospitals and high-level general hospitals including govern-
ment-designated 12 local cancer centers provide the world's top cancer treatments.
2. Multidisciplinary Approach
Our world-renowned multidisciplinary care teams of medical oncologists,
radiation therapists and other cancer specialists work closely together under one
roof to provide truly dedicated cancer treatments.
3. Fast Track System
When a patient is diagnosed with cancer or is referred from cooperating community hospitals, a multidisciplinary
team from the cancer center confirms the examination results, verifies the patient's status, plans the treatment,
arranges for additional examinations if needed. The team admits to initiate the treatment within 1 to 2 weeks depending
on the status of the patient and the waiting time is considerably reduced this way.
7
8
Pioneering Cancer Treatments
Korea has become one of the best in the world with regards to treating cancer, striving not
only to conquer cancer but also to prevent it through government-initiated clinical research
and development through combining efforts of industry and academy
* The Ministry of Health and Welfare, 2013
<The Status of Annual Government Investment in Cancer Research and Development>
0
1000
2000
3000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
416631 731 816 824
1119 1129
14221583
21232351
2733
Tota
l gov
ernm
ent i
nves
tmen
t(O
ne h
undr
ed m
illio
n w
on)
Year
1. 10-year Plan for Conquering Cancer Amounting to more than 200 billion
Korean Wons in investment per year since 2009, Korean government has been
actively supporting to build the infrastructure, and research and development to
eradicate cancer.
4. Hub country in clinical trials for anti-cancer drugs in Asia In the field
of anti-cancer drugs, Seoul, the capital of Korea stands at the top of the world
with regards to the number of clinical trials carried out and the outcomes of
these trials have been recognized to have the highest quality.
* Ministry of Food and Drug Safety (2013)
<The Total Number of Clinical Trials for Anti-Cancer Drugs in Korea During 2008-2012>
0
20
40
60
80
100
120
140
160
180
200
2008 2009 2010 2011 2012 year
72 74 72 78
110
50 42 5262
74
Korean pharmaceutical
companies
Multinationals
pharmaceutical
companies
3. Results of Cancer Research Throughout the world, negative growth rate
has been recorded in research output. However, Korea has stood out from the
rest with positive growth at a yearly average of 15.37%.
* The Ministry of Health and Welfare, 2013
<Annual Status of Cancer Paper Published in the Journal with Impact Factor(IF) 7 or more>
2970
2687
31343382
40503840 3898
37183710
3121
28441995
17 14
44 5873
66 7383
77 77
71 62
0
40
80
120
160
200
0
1000
2000
3000
4000
5000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Total Number of Papers Published(excluding Korea): 39,349Average annual growth rate : -0.4%
Nu
mb
er o
f Pa
per
s
Publication Year
Total Number of Papers Publishedin Korea: 715Average annual growth rate : 15.37%
2. Cancer-related Patents The average annual growth rate for cancer-related
patents is rapidly increasing and stands at 17.69% as opposed to 10.53% in the
USA owing to steady investment in research and development. Although USA is
still leading the world in cancer-related patents, Korea is now ranked the 6th in the
world.
* The Ministry of Health and Welfare, 2013
<Cancer-related patents of USA and Korea>
2076 20011753 1634 1586
2282
49805516
52665649 4942
1633
2234
3125 20
32
95107
120111
38
0
30
60
90
120
150
180
0
1000
2000
3000
4000
5000
6000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Num
ber
of P
aten
ts
Filing Year
The total number of USA Patent : 39,318Average annual growth rate : 10.53%
The total number of Korea Patent : 701Average annual growth rate : 17.59%
66
9
One-Stop Medical Services
Korea has implemented one stop medical services for overseas patients. Entry to, stay in and departure from Korea for
world-class medical services is simple. The process of one-stop medical services provided are described as below.
One-stop Medical Services
Medical Visa
Medical visa offered for accompanying individuals including family members and other personnel as well as the patient.
Once the patient receives an approval letter, he/she needs to apply for medical visa (C3-M or G1-M) from the Embassy of Republic
of Korea in the UAE. The medical visa will be issued to the patient, his/her family members and other accompanying personnel.
Pre-arrivalReal-time Online System & Concierge Services
One-click Medical Portal Website for medical
information, consultation and reservation.
http://www.medicalkorea.or.kr/
After treatment reservation is confirmed, Korean
hospital will send a concierge service request.
Post-departurePost-care Services
U-Healthcare System allows medical care staying
cooperated with patients’ doctor in their home
countries
Telemedicine centers to strengthen post -care services
On ArrivalFast Track Immigration & Airport Pick-up
Fast Track Immigration Services are
available at Incheon airport.
Ambulance accompanied by
medical staff and accommo-
dation transfer is provided
upon request
During StayCustomized Services for Patients and Families
Non-Medical Services
Center for Middle East provides
Non-medical Services such as visa
extension, 24/7 medical call, help
desk, monitoring and reporting for
patients and family.
Medical Services
Medical related services are provided
by each designated hospitals such
as escort to medical appointments
and examinations, interpretation
(Arabic, English, Korean, etc.)
Integrated Support System
10
1. Best Treatment for Referred Patients in the Field of Cancer
Highest quality of treatment in the field of cancer
(Stomach, lung, colon, breast, and etc) with most
advanced technology and infrastructure.
Korean hospitals provide professional medical services to all the needed inpatients and/or
outpatients to the highest quality. Especially, they aim to prevent any discomfort with
regards to languages, religions, diets, life styles, and allow patients to focus on treatment only.
4. Center for Global Healthcare - Middle East
Services exclusively designed for the patients from the Middle East are provided including
Arabic translation, Halal food, etc. Furthermore, concierge services regarding diet, religion,
and tourism are readily available for families and other accompanying personnel. For
assistance, medical call center is operating on a 24-hour basis at +82-15777-129.
2. Pre-post Care with Ubiquitous Health System
Ubiquitous medical services are provided through the U-health system; whereby pre-care
services are offered while patients are still in their home countries prior to the start of
treatment in Korea as well as post-care services after receiving treatment in Korea.
3. Medical Training Program in Korea
As part of the cooperation in the field of medical science and healthcare between the
Republic of Korea and Middle East countries, a pre-training program and a medical
exchange program including fellowships, sub-specialties, short-term exchange programs
have been organized to build a network with the medical staff in the Middle East countries
and to pursue other relevant cooperative agendas.
Non-MedicalServices
Pre-CareMedical
TreatmentPost-Care
PatientSatisfaction
Medical Training Pregram in Korea
Integrated Support System
11
Patient Testimonials- Hear from our patients and learn about their experiences -
Whole breast has to be removed?
Ms. al-Zawahri, 42, living in Abu Dhabi, the capital of UAE, was diagnosed
with breast cancer in April, 2012. Having assumed it is not a big deal as
long as surgery is successful, she was bewildered after hearing all her breast
tissue had to be removed. Must she remove her whole breast? Is there any
other treatment option?
The First Patient Received from UAE, Health Authority -
Abu Dhabi
Health Authority-Abu Dhabi recommended her hospitals from many countries
where breast cancer can be treated without having mastectomies and she
chose to head to Korea for its high-quality medical service and beautiful
environment. Thus, she became the very first patient under the patient-ex-
change contract between Health Authority-Abu Dhabi and Korea.
Committed to Treatment from the Moment of Admission
Ms. Al-Zawahri, having received a breast conserving cancer operation in
Ewha Womans University Cancer Center For Women (EWUCC), said she
could be committed to the treatment thanks to the efficient system and
kind medical staff. She was especially satisfied with EWUCC, Korea's first
hospital for women only, with Center of Excellence in Women's Health and
Lady's ward for women's cancer patients.
Came only for the surgery yet Went with additional
chemotherapy
With trust in Korean treatment procedure of breast cancer and satisfaction
of operation outcome removing cancer cells without removing whole
breast, Ms. al-Zawahri decided to extend her stay in Korea and receive an
additional chemotherapy. Beautiful and healthy as she used to be, she
returned to her country leaving a thank-you message to EWUCC and Abu
Dhabi Health Authority for her new life.
Visited Korea to treat breast cancer without breast removal
Patient Exchange Contract with Health Authority - Abu
Dhabi
Abu Dhabi, the capital city of the UAE, sends out around 3,000 patients
who cannot be treated within the nation to other countries. At the end of
2011, UAE Health Authorities visited Korean hospitals then agreed to send
UAE patients to Korea after witnessing excellence in Korean medicine.
Therefore, 24-year-old Sara Saad Ghaly Saad from Egypt, an acute lympho-
blastic leukemia patient, visited Korea for the first time through the
contract and was referred to Seoul St. Mary's Hospital's International
Healthcare Center where Bone Marrow Transplantation Center is
specifically operated.
Unrelated Peripheral Blood Stem Cell Transplantation
Performed
She received unrelated peripheral blood stem cell transplantation(surgery
to transplant unrelated donor's peripheral blood stem cell) on April 10th.
After being closely monitored for 10 days and confirmed to have no
complications found, she was prepared against Graft versus host disease.
Graft versus host disease is a rare but fatal condition after bone marrow
transplantation, so its prevention is vital. Sara recovered gradually and
returned to her country, satisfied with the successful operation outcome
and the care provided by the staff for her.
Total Hip Replacement Arthroplasty in the middle of the
Examination
After her arrival on February 12th, 2013, Sara was found to have a broken
hip joint from her whole-body examination for bone marrow transplant.
Since it was imminent situation with emergency operation warranted, the
examination was immediately paused and total hip replacement arthroplas-
ty was completed with orthopedic department through the multidisci-
plinary system in Seoul St. Mary's hospital. Thanks to early diagnosis and
multidisciplinary approach, she had no complications and prepared to
proceed to the bone marrow transplantation after a week of rest.
Blood Cancer Patient sent by Health Authority - Abu Dhabi
Information on Korean Hospitals
12
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
255-2 SEOHYEON-DONG, BUNDANG-GU, SENGNAM-SI,GYEONGGI-DO, KOREAhttp://www.dmc.or.kr/global
+82-31-779-5015
+82-31-779-5015
Liver Cancer
1-19, MUKJEONG-DONG, JUNG-GU, SEOUL 100-380, KOREA
http://www.cheilmc.co.kr/cheilmcenglish
+82-2-2000-7351
+82-31-779-5015
Breast, Thyroid, Cervical and Prostate Cancer
322 SEOYANG-RO, HWASUN-GUN, JEOLLANAM-DO,519-763, KOREAwww.cnuhh.com/eng
+82-61-379-8599/7892
+82-61-379-7894
[email protected], Colon, Breast, Thyroid, Liver, Lung, Pancreas, Cervical,Prostate and Kidney Cancer
102 HEUKSEOK-RO, DONJAK-GU, SEOUL 156-755, KOREA
www.caumc.or.kr/eng
+82-2-6299-1140
+82-80-830-8275
Stomach, Colon, Breast, Thyroid and Kidney Cancer
EWHA WOMANS UNISERSITY MOKDING HOSPITALl,911-1 MOKDONG, YANGCHEON-KU, SEOUL 158-710, KOREAhttp://eng.eumc.ac.kr/
+82-2-5650-5890
+82-2-2648-5890
Stomach, Colon, Breast, Thyroid, Cervical and Prostate Cancer
Bundang Jesaeng General Hospital
Name of Hospital Information on hospital
Cheil General Hospital & Women's Healthcare Center
Chonnam National Univ. Hwasun Hospital
Chung-Ang University Hospital
Ewha Womans University Medical Center
13
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
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Fax
E-mailAvailable
Cancer Treatment
Address
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Fax
E-mailAvailable
Cancer Treatment
Address
Home page
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Fax
E-mailAvailable
Cancer Treatment
Address
Home page
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Fax
E-mailAvailable
Cancer Treatment
21, NAMDONG-DAERO 774 BEON-GIL, NAMDONG-GU, INCHEON
foreigner.gilhospital.com
+82-32-460-3213
+82-32-461-3214
[email protected] Cancer
141 GAMSAMBUG-GIL, DALSEO-GU, DAEGU 704-954, KOREA
http://www.gooh.co.kr/english
+82-53-560-9114
+82-53-560-9090
Colon and Thyroid Cancer
222 WANGSIMINI-RO SEONGDONG-GU, SEOUL 133-792, KOREA
www.hyumc.com
+82-2-2290-9553
Thyroid Cancer
27, INHANG-RO, JUNG-GU, INCHEON, 400-711, KOREA
http://inha.com/eng
+82-32-890-2080
Stomach, Colon, Breast, Thyroid, Liver, Lung, Pancreas, Cervical,Prostate and Kidney Cancer
701-4 NAEGALSAN-DONG, GANGSEO-GU, SEOUL 157-723, KOREA
https://www.mizmedi.com/eng/main/main.asp
+82-2-2007-1245
+82-2-2007-1249
Breast, Thyroid and Cervical Cancer
Gachon University Gil Medical Center
Name of Hospital Information on hospital
Goo Hospital
Hanyang University Hospital
Inha University Hospital
MizMedi Women's Hospital
Information on Korean Hospitals
14
Address
Home page
Tel
Fax
E-mailAvailable
Cancer Treatment
Address
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E-mailAvailable
Cancer Treatment
Address
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FaxE-mail
Available Cancer Treatment
Address
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FaxE-mail
Available Cancer Treatment
Address
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Fax
E-mailAvailable
Cancer Treatment
120-1 NEUNGDONG-RO, GWANGJIN-GU, SEOUL 143-729, KOREA
http://www.kuh.ac.kr/english
+82-2-2030-7221/8361
+82-2-2030-7224
Stomach, Colon, Breast, Thyroid, Cervical and Prostate Cancer
KONYANG UNISERSITY HOSPITAL 158 GWANJEODONG-RO,SEO-GU, DAEJEON, KOREAhttp://www.kyuh.ac.kr/eng/index.asp
+82-42-600-6654
+82-42-600-6657
[email protected], Colon, Breast, Thyroid, Liver, Lung, Pancreas, Cervical,Prostate and Kidney CancerKOREA UNIVERSITY ANAM HOSPITAL, 73 INCHON-RO,SEOUL 136-750, KOREAhttp://anam.kumc.or.kr/language/ENG/
+82-2-920-5677
Colon and Thyroid Cancer
#23 KYUNGHEEDAE-RO, DONGDAEMUN-GU, SEOUL 130-872, KOREA
http://www.khmc.or.kr/eng/
+82-2-958-9644
+82-2-958-2980
[email protected], Colon, Breast, Thyroid, Liver, Pancreas, Cervical,Prostate and Kidney Cancer
179 GUDEOK-RO, SEO-GU, BUSAN, KOREA, 602-739
http://www1.pnuh.co.kr/coding/eng3/main2.html
+82-51-240-7472/7473
+82-51-254-0192
Stomach and Breast Cancer
Konkuk University Medical Center
Name of Hospital Information on hospital
Konyang University Hospital
Korea University Anam Hospital
Kyung Hee University Hospital
Pusan National University Hospital
15
Address
Home page
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Fax
E-mailAvailable
Cancer Treatment
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E-mailAvailable
Cancer Treatment
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Cancer Treatment
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E-mailAvailable
Cancer Treatment
101 DAEHAK-RO JONGNO-GU, SEOUL 110-744, KOREA
www.snuh.org/english
+82-2-2072-2890
+82-2-2072-0785
[email protected], Colon, Breast, Thyroid, Liver, Pancreas, Cervical,Prostate and Kidney Cancer
222 BANPODAE-RO SEOCHO-GU, SEOUL 137-701, KOREA
http://www.cmcseoul.or.kr
+82-2-2258-5745
+82-2-2258-5752
[email protected], Colon, Breast, Thyroid, Liver, Lung, Pancreas,Cervical, Prostate and Kidney Cancer
50 YONSEI-RO, SEODAEMUN-GU, SEOUL 120-752 KOREA
http://sev.iseverance.com/
+82-2-2228-5800
+82-2-362-6835
[email protected], Colon, Breast, Thyroid, Liver, Lung, Pancreas,Cervical, Prostate and Kidney Cancer
170, HYEONCHUNG-RO, NAM-GU, DAEGU 705-703, KOREA
www.yumc.ac.kr
+82-53-623-4114
+82-80-623-8001
Colon and Breast Cancer
Seoul National University Hospital
Name of Hospital Information on hospital
Seoul St. Mary's Hospital
Severance Hospital
Yeungnam University Medical Center
Global Leader inCancer Treatment