Canada and France do not have a lot of sunshine but skin cancer is still the most
common tumor. The majority of the population is white. The pattern of care for skin cancers
is similar to the delivery of care for other cancers. No extra resources are allocated to
skin cancer. The general practitioners are the first care providers for skin cancers. Excision
or biopsy of the skin lesion establishes the diagnosis. If residual disease is present, further
treatments are provided by general practitioners, dermatologists, general or plastic surgeons
and radiation oncologists. If adjuvant or definitive treatments are required, patients
are referred to cancer services to consider radiotherapy, chemotherapy, targeted therapy or
immunotherapy. Both Canada and France have waiting lists for referrals.
Keywords: Pattern of care, rare tumors, registry, skin tumor, treatment.
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