ABSTRACT

The incidence of skin cancers is increasing worldwide, and this trend is expected to continue. To address this epidemic, action needs to cover multiple fields, operating on primary prevention, through the reduction of sun exposure in general and high-risk populations, and secondary prevention, aiming to early detect skin cancers. Dermatologists are the best-trained specialists to provide early detection and recommend appropriate therapeutic approach, therefore offering high quality of care. Whenever possible, the dermatologist with competence in dermato-oncology should manage the integrated care of skin cancer patient’s overall continuum, starting from prevention and diagnosis but also integrating systemic treatment, and follow-up. Clinical decisions may be the result of a multidisciplinary team, involving dermatologists/dermato-oncologists and other professionals with good experience and familiarity of skin cancers including surgeons, pathologists, medical oncologists and radiation oncologists. This scenario is mainly required in the management of advanced or rare skin tumours, as multidisciplinary figures provide expertise in the clinical care of most difficult cases.