{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=spain/illness=pancreatic-neuroendocrine-tumors/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=spain/illness=pancreatic-neuroendocrine-tumors/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=spain/illness=pancreatic-neuroendocrine-tumors/data.json","title":"Pancreatic neuroendocrine tumors Treatment in Spain 2026 — Cost & Clinics","description":"Compare 4 verified Pancreatic neuroendocrine tumors treatment in Spain, ranked on real patient requests & reviews, not ads. See prices for each. Get your free quote!","heading":"Pancreatic neuroendocrine tumors treatment in Spain — get 3 personalized clinic matches","locale":"en","schemaVersion":"ClinicListingPageDataV1","snapshotId":"483349a6-138ade7e","contentVersion":"483349a6","generatedAt":"2026-11-14T18:17:21.206Z"},"filters":{"country":"spain","illness":"pancreatic-neuroendocrine-tumors","page":1},"pagination":{"page":1,"totalCount":4,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Spain","url":"/clinics/country=spain/"},{"name":"Pancreatic neuroendocrine tumors","url":"/clinics/country=spain/illness=pancreatic-neuroendocrine-tumors/"}],"entities":[{"name":"Spain","alias":"spain","type":"country","id":34},{"name":"Pancreatic neuroendocrine tumors","alias":"pancreatic-neuroendocrine-tumors","type":"illness","id":2353}],"clinics":{"clinics":[{"text":"<p>Dr. Jaume Capdevila, a specialist with _doctor_721_years_ and 1,100+ procedures, trained in endocrine oncology at Uppsala University. He practices at the JCI-accredited Teknon center with advanced PET-CT Gallium 68 imaging. Diagnostics start from around $219 for blood analysis, with PET-CT costing $5,800–$7,600. CyberKnife radiosurgery for this condition typically runs $11,800–$21,200, while surgery costs $27,200–$38,100.</p><doctor id=\"721\"></doctor>","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":20500,"price_to":22800,"currency":"USD","id":9559},"operation":{"id":110,"name":"CyberKnife","alias":"cyberknife"}}],"reviews":[],"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"<p><strong>Centro Médico Teknon</strong> is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.</p>\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.</p> <ul> <li>Performed 6,000+ surgeries and 93,000+ consultations in 2022 alone.</li> <li>Equipped with Gamma Knife ICON, CyberKnife, Da Vinci Xi, and 3-Tesla MRI.</li> <li>Treats both adults and children, with 108 private rooms and 15 luxury suites.</li> <li>ISO 9001, ISO 14001, and ISO 50001 certified for quality and environmental management.</li> </ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":11180,"price_to":19010,"currency":"USD","id":63816},"operation":{"id":110,"name":"CyberKnife","alias":"cyberknife"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Hospital Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"<p>Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.</p> <ul> <li>Performed 6,000+ surgeries and 93,000+ consultations in 2022 alone.</li> <li>Equipped with Gamma Knife ICON, CyberKnife, Da Vinci Xi, and 3-Tesla MRI.</li> <li>Treats both adults and children, with 108 private rooms and 15 luxury suites.</li> <li>ISO 9001, ISO 14001, and ISO 50001 certified for quality and environmental management.</li> </ul>","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"<p>GenesisCare Clinics is a global network of 300 clinics. Its Madrid location focuses on high-tech radiotherapy and chemotherapy.</p> <ul> <li>Treats 15,000 patients each year.</li> <li>Uses CyberKnife, tomotherapy, and brachytherapy machines.</li> <li>Employs 62 doctors across 21 departments.</li> </ul>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":9000,"price_to":20000,"currency":"USD","id":31190},"operation":{"id":110,"name":"CyberKnife","alias":"cyberknife"}}],"reviews":[],"clinic":{"id":953,"alias":"genesiscare-clinic","name":"GenesisCare Clinics","short_description":"<p>GenesisCare Clinics is a global network of 300 clinics. 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He leads a pioneering Liquid Biopsy Program in Spain for advanced cancer diagnostics and coordinates oncology research at CEU San Pablo University.</p><doctor id=\"3342\"></doctor>","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Neuroendocrine tumors treated with Lutathera radionuclide therapy","why_its_ranked":"Delivers Lutathera peptide receptor radionuclide therapy in a dedicated metabolic therapy room, with on-site PET-CT and SPECT-CT. Oncology lead trained at MD Anderson."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1635,"alias":"hospital-universitario-hm-sanchinarro","name":"Hospital Universitario HM Sanchinarro","short_description":"<p>Hospital HM Sanchinarro is a private multi-specialty hospital in Madrid treating 400,000 patients annually. It has 400 doctors across 20 departments and holds EFQM and ISO 9001 certification. 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The center specializes in oncology and proton therapy.</p> <ul> <li>Treats around 450 patients with proton therapy each year.</li> <li>Accredited by Joint Commission International and ESMO.</li> <li>Uses the Proteus One® system with a 220-degree rotating gantry.</li> <li>The system scans each tumor to deliver the most suitable dosage.</li> <li>All treatment equipment is housed in one multifunctional room.</li> </ul>","images":[{"base_url":"clinic/63e2902aacac5","title":"Proton therapy treatment room at Proton Therapy Centre Quironsalud, Madrid"},{"base_url":"clinic/63e2902bd79d4","title":"Modern exterior of Proton Therapy Centre Quironsalud clinic in Spain"},{"base_url":"clinic/63e29118b65cb","title":"Children's consultation room at Proton Therapy Centre Quironsalud with teddy bear decor"},{"base_url":"clinic/63e291196291b","title":"Modern waiting area at Proton Therapy Centre Quironsalud with kids' play corner"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"C. de Virgilio, 3, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":20,"year_foundation":2019},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"}]}},{"doctor":{"id":18549,"alias":"pedro-nespral-torres","name":"Pedro Nespral Torres","clinic_id":8570,"photo":"doctor/6aaa0190a2cb3","first_year_working":0,"created_at":"2026-09-16T02:40:13.643+00:00","short_description":"<p>Dr. Pedro Nespral Torres is a nuclear medicine physician at Publio Cordón Memorial Hospital in Madrid. 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He provides patients with a pioneering liquid biopsy program in Spain. This blood test identifies molecular characteristics of malignant tumors. Dr. Cubillo Gracián is an Associate Professor at the University CEU San Pablo.</p> <ul> <li>Directs the postgraduate research Master’s in clinical and applied oncology.</li> <li>Leads the Digestive, Sarcomas, and Head and Neck Unit.</li> <li>Completed specialized oncology training at the MD Anderson Cancer Center.</li> <li>Treats colon cancer, glioblastoma, and pancreatic neuroendocrine tumors.</li> </ul>","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1635,"alias":"hospital-universitario-hm-sanchinarro","name":"Hospital Universitario HM Sanchinarro","short_description":"<p>Hospital HM Sanchinarro is a private multi-specialty hospital in Madrid treating 400,000 patients annually. 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Its core specialties are neurosurgery, oncology, urology, and surgery.</p> <ul> <li>Serves as a university hospital with academic affiliations.</li> <li>Serves adult patients only (ages 18 and older).</li> <li>Attracts patients from Europe, the Commonwealth, and Arab League states.</li> </ul>","images":[{"base_url":"clinic/6410927c12526","title":"Hospital Universitario HM Sanchinarro modern clinic building in Madrid, Spain"},{"base_url":"clinic/619396e5dd139","title":"Spacious waiting area with natural light at Hospital Universitario HM Sanchinarro Madrid"},{"base_url":"clinic/619397a41ca76","title":"Robotic surgery with da Vinci system at Hospital Universitario HM Sanchinarro, Madrid"},{"base_url":"clinic/619397f2d7d06","title":"Robotic surgery in operating room at Hospital Universitario HM Sanchinarro Madrid"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Calle Oña 10, 28050 Madrid, Spain"},"rating":{"rating":0,"google":2.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":400,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Certification according to DIN EN ISO 9001 by TÜV NORD CERT","country_code":"DE"}]}},{"doctor":{"id":721,"alias":"jaume-capdevila","name":"Jaume Capdevila","clinic_id":78,"photo":"doctor/5acf60b118b4e","first_year_working":2000,"created_at":"2017-04-19T09:07:48.000+00:00","short_description":"<p>Dr. Jaume Capdevila is a medical oncologist at Teknon Medical Center in Barcelona. He specializes in treating cancers of the digestive and endocrine systems. Dr. Capdevila is a co-founder of the Spanish Task Force Group for Orphan and Infrequent Tumors.</p> <ul> <li>Specializes in pancreatic, liver, and thyroid cancer treatments.</li> <li>Performs complex procedures including liver resections and pancreatic tumor enucleation.</li> <li>Holds membership in the European Society of Medical Oncology (ESMO).</li> <li>Sits on the European Organization for Research and Treatment of Cancer (EORTC).</li> </ul>","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}],"statistics":{"review_count":1,"review_score":5,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5c46a4c48.jpeg","name":"European Organization for Research and Treatment of Cancer"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5c48ae351.jpeg","name":"European Society of Medical Oncology"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5c52d5dab.jpeg","name":"European Neuroendocrine Tumor Society"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5c55b189a.jpeg","name":"American Society of Clinical Oncology"}]},"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"<p><strong>Centro Médico Teknon</strong> is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.</p>\n","images":[{"base_url":"clinic/5c87be3904761","title":"Centro Médico Teknon clinic exterior with grand staircase in Barcelona, Spain"},{"base_url":"clinic/5ab24c738630b","title":"Centro Médico Teknon clinic facade with landscaped garden in Barcelona, Spain"},{"base_url":"clinic/5ac3164cd87d2","title":"Medical team in front of Centro Médico Teknon clinic building in Barcelona, Spain"},{"base_url":"clinic/5ac3156221add","title":"Centro Médico Teknon clinic entrance in Barcelona, Spain"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"European Foundation for Quality Management","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Patient choice in Neurology","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Patient choice in Neurosurgery","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Patient choice for Epilepsy treatment","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}]}}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"<p>Pancreatic neuroendocrine tumors treatment cost in Spain is approximately 40–60% lower than in the US or UK. Advanced therapeutic options like CyberKnife radiosurgery range from _op_110_price_from_ to _op_110_price_to_, while highly specialized Actinium-225 therapy runs from _op_1653_price_from_ to _op_1653_price_to_. Total expenses depend on the tumor stage, necessary surgical intervention, and hospital choice. Barcelona and Madrid are the primary hubs for this specialized oncology care.</p>\n\n<p><strong>Typical Pancreatic Neuroendocrine Tumors Treatment Costs in Spain</strong></p>\n<ul>\n<li><strong>CyberKnife</strong>: _op_110_price_from_ – _op_110_price_to_</li>\n<li><strong>Actinium-225 therapy</strong>: _op_1653_price_from_ – _op_1653_price_to_</li>\n<li><strong>NanoKnife</strong>: _op_268_price_from_ – _op_268_price_to_</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> For complex digestive neoplasms, multidisciplinary care at JCI-accredited centers like Centro Médico Teknon provides high surgical expertise. Patients requiring advanced radiotherapy benefit from GenesisCare Clinics, which utilizes latest-generation CyberKnife technology across its specialized network. International patients seeking innovative diagnostics may consider Hospital Universitario HM Sanchinarro. Its oncology service, led by Dr. Antonio Cubillo Gracián, pioneered liquid biopsy programs in Spain for precise tumor monitoring.</p>"}},"texts":{"txt_illness_3_clinics":{"text":"<p><a href=\"https://www.facebook.com/groups/oncology.bookimed/\"><img src=\"https://s3.eu-central-1.amazonaws.com/bookimed/_images_without_dir/5e8dd3cd257c2.jpeg\" alt=\"онкология bookimed\" title=\"Oncology Bookimed\" style=\"float:left;margin:0px 10px 10px 0px;\" /></a></p><p> <strong>Join an <a href=\"https://www.facebook.com/groups/oncology.bookimed/\">oncology support group</a> for patients and their families</strong></p><br /><p> Here you will find:</p><ul class=\"list\"><li> updates on trips for medical treatment abroad, opening of borders,</li><li> up-to-date and useful information about the fight against cancer around the world,</li><li> live broadcasts with leading foreign doctors,</li><li> stories and testimonials of those who have undergone cancer treatment abroad,</li><li> answers to questions that concern you,</li><li> support from people who understand you.</li></ul><p> <a href=\"https://www.facebook.com/groups/oncology.bookimed/\">Join the Facebook group</a></p><br /><br />"},"guide_mc":{"text":"<p>Arrival</p>\n<ul>\n<li>Transportation from the airport to the hotel or clinic.</li>\n<li>Check in at the hotel or clinic.</li>\n<li>Completion of necessary medical paperwork.</li>\n</ul>\n\n<p>Diagnostics</p>\n<ul>\n<li>Physical examination to assess overall health.</li>\n<li>Blood and urine tests for abnormal hormone levels.</li>\n<li>Imaging tests like CT, MRI for tumor detection.</li>\n<li>Biopsy to confirm the diagnosis.</li>\n</ul>\n\n<p>Treatment Plan Development</p>\n<ul>\n<li>Discussion about the diagnosis and treatment options.</li>\n<li>Development of a customized treatment plan.</li>\n</ul>\n\n<p>Treatment</p>\n<ul>\n<li>Surgery to remove the tumor.</li>\n<li>Radiation therapy if surgery is not possible.</li>\n<li>Chemotherapy to kill cancer cells.</li>\n<li>Hormone therapy to block hormone effects.</li>\n</ul>\n\n<p>Follow-up</p>\n<ul>\n<li>Regular check-ups to monitor health.</li>\n<li>Imaging tests to monitor tumor recurrence.</li>\n</ul>\n\n<p>Rehabilitation</p>\n<ul>\n<li>Physical therapy for strength recovery.</li>\n<li>Dietary counseling for proper nutrition.</li>\n<li>Psychological support for mental well-being.</li>\n</ul>\n\n<p><i>Note that only a doctor can determine the diagnostic and treatment plan, and each case is individual. Other treatments such as targeted therapy, immunotherapy, or radiofrequency ablation might also be considered based on the patient\"s condition.</i></p>"}}},"faq":[{"id":"6a1f44ed88ba2725dd05cbb2","question":"How are Pancreatic Neuroendocrine Tumors (PanNETs) staged and evaluated for treatment in Spain?","answer":"<p>Spanish oncology centers stage Pancreatic Neuroendocrine Tumors using AJCC TNM classification and WHO biological grading. Specialized multidisciplinary tumor boards at JCI-accredited clinics evaluate resectability, hormone functionality, and the Ki-67 proliferation index. Key diagnostic tools include 68Ga-DOTATATE PET-CT and high-resolution MRI for precise tumor mapping.</p> <ul> <li><strong>Diagnostic imaging:</strong> 68Ga-DOTATATE PET-CT detects somatostatin receptor expression to guide targeted therapy decisions.</li> <li><strong>Biological grading:</strong> Pathologists use the Ki-67 index to categorize tumors from slow-growing G1 to aggressive G3.</li> <li><strong>Tissue confirmation:</strong> Endoscopic ultrasound with fine-needle biopsy provides high-accuracy samples for definitive histopathology and staging.</li> <li><strong>Advanced therapeutics:</strong> Selection between CyberKnife, NanoKnife, or Actinium-225 therapy depends on tumor location and spread.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain’s top-tier oncology centers often prioritize organ-sparing enucleation for tumors under 2 cm rather than radical resection. Data shows centers like Centro Médico Teknon or Hospital Universitario HM Sanchinarro process thousands of complex oncology cases yearly. This high volume allows their multidisciplinary boards to successfully pivot between surveillance for low-grade tumors and aggressive interventions like PRRT without compromising safety.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the importance of the multidisciplinary tumor board review, noting it provides a clearer roadmap than single-doctor consultations. Many highlight that PET-CT scan results were the ultimate factor in determining if they qualified for specialized nuclear medicine treatments.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1f4543dcb28cecba019403","question":"Is surgery always required for a pancreatic neuroendocrine tumor?","answer":"<p>Surgery is not always required for pancreatic neuroendocrine tumors. Doctors often recommend active surveillance for small, non-functional tumors under 2 centimeters. Decisions depend on tumor size, growth rate, hormonal activity, and overall health. Advanced metastatic disease sometimes requires systemic therapies instead of primary surgery.</p> <ul> <li><strong>Active surveillance:</strong> Regular MRI or CT scans monitor slow-growing, asymptomatic tumors safely.</li> <li><strong>Hormonal activity:</strong> Functional tumors causing symptoms like low blood sugar typically require surgical intervention.</li> <li><strong>Tumor size:</strong> Tumors exceeding 2 centimeters carry higher spread risks and usually necessitate removal.</li> <li><strong>Nuclear medicine:</strong> Advanced options like Actinium-225 or PRRT target cancer cells without open surgery.</li> <li><strong>Radiosurgery tools:</strong> Facilities often utilize CyberKnife or NanoKnife for precise, non-invasive tumor destruction.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While surgery remains the standard for localized cases, Spain's high-volume centers prioritize multidisciplinary decision-making. At Hospital Ruber Internacional, specialists use 3-Tesla MRI and Da Vinci Xi systems to determine if a patient truly needs an operation. Choosing a facility with both surgical and advanced radiotherapy capabilities ensures you aren't funneled into surgery if non-invasive monitoring is safer.</p> <p><strong>Patient Consensus:</strong> Patients note that for tiny, indolent tumors, regular follow-up scans are often less stressful and safer than major pancreatic surgery. Many emphasize that getting a second opinion from a neuroendocrine specialist is vital before deciding on an invasive procedure.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1f459f1748b105690c3d85","question":"What systemic therapies are available if the tumor cannot be surgically removed?","answer":"<p>Systemic therapies for unresectable pancreatic neuroendocrine tumors in Spain focus on controlling tumor growth and managing hormone secretion. Treatment options include somatostatin analogs, targeted therapies like sunitinib, and peptide receptor radionuclide therapy. Spanish oncology centers utilize precise diagnostics to select medication based on tumor grade.</p> <ul> <li><strong>Somatostatin analogs:</strong> Drugs like octreotide or lanreotide stabilize tumors and control hormone-induced symptoms.</li> <li><strong>Targeted therapy:</strong> Small molecule inhibitors like sunitinib block proteins that promote cancer cell survival.</li> <li><strong>Radionuclide therapy:</strong> PRRT delivers targeted radiation directly to cells expressing specific somatostatin receptors.</li> <li><strong>Cytotoxic chemotherapy:</strong> Agents like capecitabine and temozolomide target aggressive or fast-growing tumor cells.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Hospital Universitario HM Sanchinarro and Grupo GenesisCare offer highly specialized radiation technologies including CyberKnife and Actinium-225 therapy. Data shows that clinics in Madrid and Barcelona often treat over 10,000 patients annually. This high volume allows specialists like Dr. Antonio Cubillo Gracián to refine complex systemic protocols. Patients benefit from facilities that combine JCI-accredited safety standards with access to international research networks.</p> <p><strong>Patient Consensus:</strong> Patients note that understanding the Ki-67 index and receptor status is vital before starting therapy. Many emphasize that finding a center with specific expertise in neuroendocrine tumors significantly changed their treatment sequence.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1f46011896e8528a027c23","question":"What options exist if pancreatic neuroendocrine tumors have metastasized to the liver?","answer":"<p>Spanish oncology centers treat metastatic pancreatic neuroendocrine tumors using multimodal strategies. Options include radical resection for isolated lesions or cytoreductive surgery to remove 70% to 90% of tumor mass. Advanced centers utilize CyberKnife radiosurgery, PRRT, and liver-directed therapies to control disease and manage symptoms.</p> <ul> <li><strong>Surgical resection:</strong> Surgeons remove the primary tumor and liver lesions if 30% healthy liver remains.</li> <li><strong>Liver-directed therapy:</strong> Techniques like embolization, SIRT, or NanoKnife target lesions while sparing healthy liver tissue.</li> <li><strong>Systemic therapy:</strong> Somatostatin analogs and targeted drugs like everolimus slow growth and reduce hormonal symptoms.</li> <li><strong>Radionuclide therapy:</strong> PRRT with Lutetium-177 or Actinium-225 delivers precise radiation directly to tumor cells.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain offers a unique concentration of highly specialized oncology hubs like Hospital Ruber Internacional and HM Sanchinarro in Madrid. These centers serve over 425,000 patients combined each year. This high volume allows surgeons like Dr. Antonio Cubillo Gracián to offer complex procedures such as Irreversible Electroporation (NanoKnife). This technology treats liver tumors near major blood vessels that are often deemed too risky for traditional surgery.</p> <p><strong>Patient Consensus:</strong> Patients note it is important to seek teams that offer a full menu of treatments. They emphasize that treatment shifts based on symptoms like flushing or pain rather than just scan results.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1f4664b3273e2ed30eedc5","question":"Where are the best hospitals for PanNET treatment in Spain?","answer":"<p>Spain hosts globally recognized centers for Pancreatic Neuroendocrine Tumors (PanNET), led by Hospital Universitari Vall d'Hebron. This facility serves as a European Neuroendocrine Tumor Society (ENETS) Center of Excellence. Other premier institutions include Centro Médico Teknon and Hospital Ruber Internacional for precision oncology.</p> <ul> <li><strong>Center of excellence:</strong> Vall d'Hebron holds rare ENETS certification for specialized neuroendocrine tumor management.</li> <li><strong>Advanced radio-surgery:</strong> Hospital Ruber Internacional utilizes CyberKnife for precise, non-invasive tumor ablation.</li> <li><strong>Surgical precision:</strong> Centro Médico Teknon is JCI-accredited and highly rated for complex pancreatic resections.</li> <li><strong>Specialized oncology:</strong> Dr. Antonio Cubillo Gracián leads oncological research at Hospital Universitario HM Sanchinarro.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many general hospitals treat pancreatic cancer, PanNET patients should prioritize JCI-accredited centers in Madrid or Barcelona. Data shows these cities house facilities like Hospital Ruber Internacional and Centro Médico Teknon. These centers perform thousands of surgeries annually and use advanced CyberKnife technology for neuroendocrine cases.</p> <p><strong>Patient Consensus:</strong> Patients emphasize finding a dedicated neuroendocrine tumor program rather than a general surgery unit. Expert second opinions are highly valued before committing to complex pancreatic resections or nuclear medicine therapies.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1f46b564d1469f8f0ce093","question":"Can international patients access novel PanNET clinical trials in Spain?","answer":"<p>International patients can access novel PanNET clinical trials in Spain through major academic oncology centers. Approval depends on meeting strict inclusion criteria like genetic mutations or tumor grades. Spain hosts over 900 annual oncology trials. These often feature advanced therapies like Actinium-225 or NanoKnife technology.</p> <ul> <li><strong>Site acceptance:</strong> Principal investigators must formally approve non-resident patients for specific trial enrollment.</li> <li><strong>Clinical eligibility:</strong> Patients must provide pathology slides, Ki-67 index, and complete imaging records.</li> <li><strong>Language requirements:</strong> Informed consent forms are legally required in Spanish or regional languages like Catalan.</li> <li><strong>Logistics:</strong> Trial sponsors usually cover medication. Patients typically self-pay for travel and standard scans.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish referral centers like Hospital Universitario HM Sanchinarro handle high patient volumes. Dr. Antonio Cubillo Gracián leads research there while training future oncologists. Our data shows these academic-heavy environments often offer the most reliable pathways into novel protocols. Targeting clinics with dedicated research directors simplifies the transition from standard care to experimental trials.</p> <p><strong>Patient Consensus:</strong> Patients find that having a documented medical dossier ready makes the enrollment process smoother. They note that staying near the clinic is often necessary due to frequent monitoring visits.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1f47071d02d3b59b0ae832","question":"Do Spanish hospitals provide English-language support for medical tourists?","answer":"<p>Major Spanish private hospitals provide extensive English-language support through dedicated international patient departments. Facilities in Madrid and Barcelona employ fluent oncology specialists. While clinical staff often speak English, administrative support varies. Bookimed manages all logistics, translation, and hospital communication to ensure seamless care.</p> <ul> <li><strong>Specialized departments:</strong> International patient wings handle scheduling and billing in English.</li> <li><strong>Language support:</strong> Translators assist during complex oncology consultations and surgical planning.</li> <li><strong>Medical documentation:</strong> Top centers provide discharge summaries and pathology reports in English.</li> <li><strong>Geographic focus:</strong> Madrid and Barcelona hospitals offer the highest bilingual staff ratios.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows that hospital volume directly correlates with language service depth. Large centers like Hospital Universitario HM Sanchinarro and Centro Médico Teknon manage thousands of international cases yearly. These high-volume facilities maintain consistent translation protocols that smaller clinics often lack.</p> <p><strong>Patient Consensus:</strong> Patients note that while surgeons and specialists usually speak fluent English, communication with nursing and administrative staff can be more challenging. They emphasize requesting written English versions of all pathology and scan reports before discharge.</p>","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":true,"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Cyprus","alias":"cyprus","iso_code":"CY"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Japan","alias":"japan","iso_code":"JP"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Madrid","alias":"madrid"},{"name":"Barcelona","alias":"barcelona"}],"operations":[{"name":"Chemotherapy","alias":"chemotherapy"},{"name":"CyberKnife","alias":"cyberknife"},{"name":"Testicular prosthesis","alias":"testicular-prosthesis"},{"name":"Brain tumor removal","alias":"removal-of-the-brain-tumor"},{"name":"Orchiectomy","alias":"orchiectomy"},{"name":"Transurethral resection of the bladder","alias":"transurethral-resection-of-the-bladder"},{"name":"Radioembolization for  liver cancer ","alias":"radioembolization-for-liver-cancer"},{"name":"Gamma Knife for brain tumor","alias":"gamma-knife-for-brain-tumor"},{"name":"CyberKnife for brain tumor","alias":"cyberknife-for-brain-tumor"},{"name":"Craniotomy","alias":"craniotomy"},{"name":"Radiotherapy","alias":"radiotherapy"},{"name":"Tongue cancer surgery","alias":"tongue-cancer-surgery"},{"name":"Throat cancer operation","alias":"throat-cancer-operation"},{"name":"Trachelectomy (cervicectomy)","alias":"trachelectomy-cervicectomy"},{"name":"Radiosurgery of a brain tumor","alias":"radiosurgery-of-a-brain-tumor"},{"name":"Stereotaxic radiosurgery","alias":"stereotaxic-surgery"},{"name":"Stereotaxic surgeries","alias":"stereotaxic-surgeries"},{"name":"Brain tumor surgery","alias":"brain-tumor-surgery"},{"name":"Tomotherapy","alias":"tomotherapy"},{"name":"Transnasal resection of tumor","alias":"transnasal-resection-of-tumor"},{"name":"Removal of meningioma","alias":"removal-of-meningioma"},{"name":"Pituitary tumor surgery","alias":"pituitary-tumor-surgery"},{"name":"Removal of spinal cord tumor","alias":"removal-of-spinal-cord-tumor"},{"name":"High intensity focused ultrasound ablation (HIFU)","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"Radiofrequency ablation","alias":"radiofrequency-ablation"},{"name":"Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS)","alias":"mri-fus"},{"name":"Resveratrol IV Therapy","alias":"resveratrol-iv-therapy"},{"name":"Thyroidectomy","alias":"thyroidectomy"},{"name":"HIFU for prostate cancer treatment","alias":"hifu-for-prostate-cancer-treatment"},{"name":"SIRT therapy","alias":"sirt-therapy"},{"name":"Removal of liver cancer","alias":"removal-of-liver-cancer"},{"name":"Brachytherapy","alias":"brachytherapy"},{"name":"Brachytherapy for uterine cancer","alias":"brachytherapy-for-cervical-cancer"},{"name":"Brachytherapy for prostate cancer","alias":"brachytherapy-for-prostate-cancer"},{"name":"Immunotherapy","alias":"immunotherapy"},{"name":"Hyperthermic Intraperitoneal Chemotherapy (HIPEC)","alias":"hyperthermic-intraperitoneal-chemotherapy"},{"name":"Gamma-knife for spinal tumor","alias":"gamma-knife-for-spinal-tumor"},{"name":"Stomach cancer surgery","alias":"gastrectomy"},{"name":"Gastroectomy","alias":"gastroectomy"},{"name":"Da Vinci  gastroectomy ","alias":"da-vinci-gastroectomy"},{"name":"Hemicolectomy","alias":"hemicolectomy"},{"name":"Removal of colon cancer","alias":"removal-of-colon-cancer"},{"name":"Bone resection","alias":"resection-of-the-bone"},{"name":"Hysterectomy (uterus removal)","alias":"hysterectomy"},{"name":" Hysterectomy with DaVinci robot","alias":"hysterectomy-with-davinci-robot"},{"name":"Hormone therapy for prostate cancer","alias":"hormone-therapy-for-prostate-cancer"},{"name":"Breast cancer surgery","alias":"operation-on-breast-cancer"},{"name":"Lymphadenectomy","alias":"lymphadenectomy"},{"name":" Immunotherapy with Keytruda (Pembolizumab)","alias":"keytruda"},{"name":"Immunotherapy for breast cancer","alias":"immunotherapy-for-breast-cancer"},{"name":"Immunotherapy for lung cancer","alias":"immunotherapy-for-lung-cancer"},{"name":"Immunotherapy for kidney cancer","alias":"immunotherapy-for-kidney-cancer"},{"name":"Immunotherapy for prostate cancer","alias":"immunotherapy-for-prostate-cancer"},{"name":"Sarcoma Immunotherapy","alias":"sarcoma-immunotherapy"},{"name":"Distal Pancreatectomy","alias":"distal-pancreatectomy"},{"name":"Pancreatic cancer surgery ","alias":"pancreatic-cancer-surgery"},{"name":"Skin surgery","alias":"skin-surgery"},{"name":"Lymph node dissection","alias":"lymph-node-dissection"},{"name":"CyberKnife for lung cancer","alias":"cyberknife-for-lung-cancer"},{"name":"CyberKnife for prostate cancer","alias":"cyberknife-for-prostate-cancer"},{"name":"Wedge Resection","alias":"wedge-resection"},{"name":"Lung cancer surgery","alias":"lung-cancer-surgery"},{"name":"Colectomy (large bowel resection)","alias":"colectomy-large-bowel-resection"},{"name":"Complex treatment of thyroid cancer","alias":"complex-treatment-of-thyroid-cancer"},{"name":"Complex treatment of Ewing's sarcoma","alias":"complex-treatment-of-ewing-s-sarcoma"},{"name":"Cryodestruction","alias":"cryodestruction"},{"name":"Cryotherapy for kidney cancer","alias":"cryotherapy-for-kidney-cancer"},{"name":"Laser surgery for laryngeal cancer","alias":"laser-surgery-for-laryngeal-cancer"},{"name":"Laser surgery","alias":"laser-surgery"},{"name":"Lumpectomy ","alias":"lumpectomy"},{"name":"Laparoscopic Hysterectomy","alias":"laparoscopic-hysterectomy"},{"name":"Prostatectomy","alias":"prostatectomy"},{"name":"Laparoscopic mesorectumrctonomy","alias":"laparoscopic-mesorectumrctonomy"},{"name":" Laryngectomy","alias":"laryngectomy"},{"name":"Targeted therapy","alias":"targeted-therapy"},{"name":"Lobectomy","alias":"lobectomy"},{"name":"Radiation therapy for  Brain Tumor","alias":"radiation-therapy-for-brain-cancer"},{"name":"Radiation therapy for brain 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