Authorisation for surgical oncology in children and adolescents under the age of eighteen with a C rating may only be granted if the applicant or holder is also authorised for the systemic drug treatment of cancer in children and adolescents under the age of eighteen.
However, by way of derogation from the provisions of the first paragraph, in the event of a shortfall identified in the regional health plan, authorisation may exceptionally be granted to an applicant who is not authorised for the systemic drug treatment of cancer and who provides oncology surgery on his site, possibly for a single tumour site, if this is necessary for the treatment of cancer in children.