Clinica Universidad de Navarra is a JCI-accredited leader in oncology, with high limb preservation rates for sarcoma patients. Breast cancer surgery typically costs $6,800–$12,400. The hospital ranks as Spain's top private facility. Over 700,000 international patients have trusted the clinic's care.
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\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
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serious ones under 5%"},"contraindications":["Unfit for general anesthesia from severe cardiopulmonary disease (relative)","Uncontrolled bleeding disorder or unmanageable perioperative anticoagulation","Active uncontrolled systemic infection","Lumpectomy: radiotherapy not possible, multicentric disease, or unfavorable tumor-breast ratio","Pregnancy in first trimester (relative; timing and approach individualized)","Widely metastatic disease where surgery is only palliative (relative)"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Lumpectomy often same-day; simple mastectomy usually 1-2 nights; with sentinel node biopsy, no immediate reconstruction."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle walking early; arm range-of-motion exercises soon after surgery; strenuous upper-body and resistance exercise after surgeon clearance and drain/wound healing."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time for swelling to settle and scar to mature; oncologic outcome depends on pathology and adjuvant therapy."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After drain removal, first wound check and pathology review; later with axillary dissection, drains or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, often including drain removal if drains used."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Review of final pathology and discussion of adjuvant therapy, usually with a multidisciplinary plan."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"Check of healing, arm mobility and lymphedema before or during adjuvant treatment."}}],"indications":["Biopsy-proven invasive breast cancer","Ductal carcinoma in situ","Localized, operable breast cancer suitable for breast-conserving surgery or mastectomy","Residual disease or operable tumor after neoadjuvant therapy"],"main_risks":["Bleeding or hematoma","Seroma","Wound infection or delayed healing","Pain, numbness or chronic postsurgical pain","Lymphedema and reduced shoulder mobility, particularly after axillary dissection","Positive margins requiring re-excision","Breast asymmetry or contour deformity","Anesthesia-related risks and venous thromboembolism","Psychological and body-image effects"],"pain":"Mild to moderate pain, usually controlled with oral analgesics, most noticeable in the first several days; chest wall and armpit tightness, numbness or tingling may persist for weeks to months.","preparation":["Completed imaging, biopsy and staging per oncology team","Multidisciplinary tumor board review and surgical planning","Preoperative assessment and anesthesia evaluation","Review of current medications and supplements with the surgical team","Fasting before general anesthesia per hospital instructions","Preoperative localization of the tumor if non-palpable","Stop smoking where possible","Arrange help at home; discuss reconstruction options"],"recovery_timeline":[{"phase":"Day 0-3","description":"Recovery from anesthesia, wound and drain care, early gentle arm movement.","restrictions":["No driving while on opioid analgesics","Avoid lifting heavy objects"]},{"phase":"Weeks 1-2","description":"Wound healing, drain removal if present, pathology review, return to light daily activity.","restrictions":["No heavy lifting","Keep wound dry and clean as instructed"]},{"phase":"Weeks 3-6","description":"Progressive restoration of shoulder range of motion and return to work; adjuvant therapy may begin.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 2-12","description":"Scar maturation, resolution of swelling and numbness, ongoing oncologic follow-up.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery of daily activity and arm mobility after breast-conserving surgery or mastectomy without reconstruction; longer with axillary dissection."},"result_longevity":"Surgical removal of the tumor is permanent, and scars and breast contour are long-lasting once healed. Long-term cancer control depends on stage, pathology, adjuvant therapy and ongoing surveillance.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Repeat surgery, mainly re-excision for positive margins after lumpectomy; mastectomy rates much lower"},"scars":"Linear breast scar (lumpectomy) or horizontal chest wall scar (mastectomy), plus a small axillary scar if lymph nodes are treated. Fades over 6-12 months; hypertrophic scarring possible.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One operation typically; a second operation may be needed for re-excision of margins or completion axillary surgery."},"stages":[{"code":"primary_surgery","label":"Lumpectomy with sentinel node biopsy","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial operation."}}],"qualifier":"Scope is surgery without reconstruction; adjuvant radiotherapy, chemotherapy and endocrine therapy are separate treatments."},"success":{"metric":"Local recurrence-free rate after surgery","value":95,"unit":"percent","horizon":"5 years","population":"Adults with operable early-stage breast cancer, with appropriate adjuvant therapy","evidence_status":"limited"},"techniques":[{"name":"Lumpectomy (breast-conserving surgery)","suits_whom":"Smaller, localized tumors with favorable tumor-to-breast ratio and ability to receive radiotherapy","recovery":"Faster; often same-day discharge, about 1-3 weeks to return to usual activity"},{"name":"Mastectomy (simple or skin-sparing)","suits_whom":"Large or multicentric tumors, patient preference, or when radiotherapy is not possible or breast conservation is not feasible","recovery":"Longer; about 2-6 weeks, often with drains for 1-2 weeks"},{"name":"Sentinel lymph node biopsy","suits_whom":"Nodal staging in invasive cancer with clinically negative axilla","recovery":"Minimal arm impact; axillary dissection slows arm recovery and raises lymphedema risk"}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for unilateral lumpectomy with sentinel node biopsy, without reconstruction."},"initial_assessment_documents":["Breast biopsy pathology report","Receptor status report","Mammogram and ultrasound reports","Breast MRI report (if available)","Staging CT or PET-CT report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One trip usually; 7-14 days' stay for drain removal and pathology review. Second trip only for re-excision or axillary surgery."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can put questions about your treatment to the treating team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether follow-up care is at the same facility as the surgery","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Check that the surgical team has your full medical record and has reviewed 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concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain or trouble 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