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CAP Home > CAP Reference Resources and Publications > Cancer > Cancer Protocols and Checklists

 Cancer Protocols and Checklists

 

 Updated January 19, 2010

The revised CAP Protocols contain elements from the 7th edition of the AJCC Cancer Staging Manual which are effective on January 1, 2010.

The CAP Cancer Protocols are designed as a guideline for definitive cancer reporting and therefore not intended for most specimens obtained from an incisional biopsy procedure. However, certain Protocols do contain either a separate Checklist for biopsy specimens or have certain biopsy procedures included with the resection Checklist. These biopsy Checklists (PDF, 15 K) may or may not be optional. The list is a summation of which Protocols contain Checklists and whether they are mandatory or optional elements.

Copyright, Disclaimer and Authorized Use Licensing Model

Important Notes

Pathologists can and should begin using the new version as soon as possible after January 1, 2010. Vendors should undertake implementation of the new checklists in their products as soon as possible.

The CAP recognizes that full implementation by some institutions and laboratory informatics software vendors may require a period of months. CAP plans to recognize a 7 month period of overlap in which either the previous version or the new version may be used. For cancer reports issued on or after August 1, 2010, the new version must be used and reliance on the previous version will no longer be considered acceptable.

For CAP Laboratory Accreditation Program (LAP) accredited laboratories inspected in 2011, only reports from the last quarter of 2010 will be audited by the inspector for compliance with the protocols. This approach will ensure that laboratories inspected in 2011 are evaluated for use of the new version of the CAP protocols.



Copyright and Disclaimer

The checklists are protected by copyright and cannot be used in an information system without a license. Please read the copyright, disclaimer and authorized use licensing model for terms and conditions.



Protocols (by Body Site)
(Posting/Effective Date)
PDF
Download
Word
Download
Previous
Version
Breast
DCIS – Breast
Posted October 2009
PDF (215 KB) Word (450 MB) Previous Version
2009 (PDF, 123 KB)
Invasive Breast
Posted October 2009
PDF (547 KB) Word (1.2 MB) Previous Version
2005 (PDF, 90 KB)
Central Nervous System
Brain/Spinal Cord
Posted: June 2008
Effective: February 2009
PDF (78 KB) Word (151 KB) Previous Version
2008 (PDF, 187 KB)
Gastrointestinal
Ampulla of Vater
Posted: October 2009
PDF (374 KB) Word (928 KB) Previous Version
2005 (PDF, 123 KB)
Anus
Posted: October 2009
PDF (406 KB) Word (1 MB) Previous Version
2005 (PDF, 128 KB)
Appendix
Posted: October 2009
PDF (64 KB) Word (116 KB) Previous Version
2006 (PDF, 64 KB)
Appendix NET
Under Development
PDF Word Previous Version
N/A
Colon and Rectum
Posted: October 2009
PDF (621 KB) Word (2.2 MB) Previous Version
2008 (PDF, 775 KB)
Colon NET
Under Development
PDF Word Previous Version
N/A
Distal Extrahepatic Bile Ducts
Posted: October 2009
PDF (170 KB) Word (358 KB) Previous Version
2005 (PDF, 109 KB)
Esophagus
Posted: October 2009
PDF (203 KB) Word (547 KB) Previous Version
2005 (PDF, 120 KB)
Gallbladder
Posted: October 2009
PDF (379 KB) Word (992 KB) Previous Version
2005 (PDF, 75 KB)
Hepatocellular Carcinoma
Posted: October 2009
PDF (324 KB) Word (868 KB) Previous Version
2005 (PDF, 110 KB)
Intrahepatic Bile Ducts
Posted: October 2009
PDF (187 KB) Word (350 KB) Previous Version
2005 (PDF, 110 KB)
Pancreas (Endocrine)
Posted: October 2009
PDF (761 KB) Word (1.8 MB) Previous Version
2005 (PDF, 85 KB)
Pancreas (Exocrine)
Posted: October 2009
PDF (1.8 MB) Word (756 KB) Previous Version
2005 (PDF, 156 KB)
Perihilar Bile Ducts
Posted: October 2009
PDF (170 KB) Word (357 KB) Previous Version
N/A
Small Intestine
Posted: October 2009
PDF (592 KB) Word (1.2 MB) Previous Version
2005 (PDF, 120 KB)
Small Intestine NET
Under Development
PDF Word Previous Version
N/A
Stomach
Posted: October 2009
PDF (916 KB) Word (2.2 MB) Previous Version
2005 (PDF, 106 KB)
Stomach NET
Under Development
PDF Word Previous Version
N/A
Genitourinary
Kidney
Posted: October 2009
PDF (325 KB) Word (383 KB) Previous Version
2005 (PDF, 125 KB)
Penis
Under Development
PDF Word Previous Version
N/A
Prostate Gland
Posted: October 2009
PDF (187 KB) Word (265 KB) Previous Version
2007 (PDF, 111 KB)
Testis
Posted: October 2009
PDF (236 KB) Word (654 KB) Previous Version
2005 (PDF, 128 KB)
Ureter, Renal Pelvis
Posted: October 2009
PDF (130 KB) Word (272 KB) Previous Version
2005 (PDF, 819 KB)
Urethra
Under Development
PDF Word Previous Version
N/A
Urinary Bladder
Posted: October 2009
PDF (126 KB) Word (274 KB) Previous Version
2005 (PDF, 819 KB)
Gynecologic
Endometrium
Posted: October 2009
PDF (272 KB) Word (304 KB) Previous Version
2005 (PDF, 82 KB)
Fallopian Tube
Posted: October 2009
PDF (124 KB) Word (819 KB) Previous Version
2005 (PDF, 128 KB)
Ovary
Posted: October 2009
PDF (149 KB) Word (843 KB) Previous Version
2005 (PDF, 174 KB)
Trophoblastic Tumors
Posted: October 2009
PDF (68 KB) Word (95 KB) Previous Version
2005 (PDF, 105 KB)
Uterine Cervix
Posted: October 2009
PDF (100 KB) Word (104 KB) Previous Version
2005 (PDF, 147 KB)
Vagina
Posted: October 2009
PDF (61 KB) Word (62 KB) Previous Version
2005 (PDF, 140 KB)
Vulva
Posted: October 2009
PDF (70 KB) Word (88 KB) Previous Version
2005 (PDF, 121 KB)
Head and Neck
Larynx
Posted: October 2009
PDF (328 KB) Word (1.1 MB) Previous Version
2005 (PDF, 233 KB)
Lip and Oral Cavity
Posted: October 2009
PDF (548 KB) Word (1.6 MB) Previous Version
2005 (PDF, 233 KB)
Major Salivary Glands
Posted: October 2009
PDF (190 KB) Word (565 KB) Previous Version
2005 (PDF, 233 KB)
Nasal Cavity and Paranasal Sinuses
Posted: October 2009
PDF (197 KB) Word (472 KB) Previous Version
2005 (PDF, 233 KB)
Pharynx
Posted: October 2009
PDF (403 KB) Word (2.1 MB) Previous Version
2005 (PDF, 233 KB)
Thyroid
Posted: October 2009
PDF (266 KB) Word (1.2 MB) Previous Version
2006 (PDF, 79 KB)
Hematologic
Bone Marrow
Posted: October 2009
PDF (67 KB) Word (67 KB) Previous Version
2005 (PDF, 111 KB)
Hodgkin Lymphoma
Posted: October 2009
PDF (51 KB) Word (73 KB) Previous Version
2005 (PDF, 119 KB)
Non-Hodgkin Lymphoma
Posted: October 2009
PDF (116 KB) Word (109 KB) Previous Version
2005 (PDF, 131 KB)
Ocular Adnexal Lymphoma
Under Development
PDF Word Previous Version
N/A
Ophthalmic
Retinoblastoma
Posted: October 2009
PDF (241 KB) Word (164 KB) Previous Version
2005 (PDF, 198 KB)
Uveal Melanoma
Posted: October 2009
PDF (210 KB) Word (466 KB) Previous Version
2005 (PDF, 193 KB)
Pediatric
Extragonadal Germ Cell
Under Development
PDF Word Previous Version
N/A
Hepatoblastoma
Posted: October 2009
PDF (101 KB) Word (142 KB) Previous Version
2007 (PDF, 103 KB)
Neuroblastoma
Posted: October 2009
PDF (104 KB) Word (158 KB) Previous Version
2005 (PDF, 898 KB)
PNET/Ewing Sarcoma
Posted: October 2009
PDF (207 KB) Word (519 KB) Previous Version
2005 (PDF, 450 KB)
Rhabdomyosarcoma
Posted: October 2009
PDF (81 KB) Word (88 KB) Previous Version
2005 (PDF, 108 KB)
Wilms Tumor
Posted: October 2009
PDF (73 KB) Word (73 KB) Previous Version
2005 (PDF, 971 KB)
Skin
Melanoma
Posted: October 2009
PDF (73 KB) Word (73 KB) Previous Version
2005 (PDF, 118 KB)
Merkel Cell
Under Development
PDF Word Previous Version
N/A
Squamous Cell Carcinoma
Posted: October 2009
PDF (73 KB) Word (73 KB) Previous Version
2005(PDF, 115 KB)
Thorax
Heart
Posted: October 2009
PDF (33 KB) Word (43 KB) Previous Version
2005 (PDF, 87 KB)
Lung
Posted: October 2009
PDF (226 KB) Word (8.1 MB) Previous Version
2005 (PDF, 139 KB)
Pleural Mesothelioma
Posted: October 2009
PDF (49 KB) Word (60 KB) Previous Version
2005 (PDF, 102 KB)
Thymoma and Thymic Carcinoma
Posted: October 2009
PDF (42 KB) Word (53 KB) Previous Version
2005 (PDF, 103 KB)
Other
Adrenal Gland
Posted: October 2009
PDF (212 KB) Word (615 KB) Previous Version
2005 (PDF, 97 KB)
Bone
Posted: October 2009
PDF (107 KB) Word (207 KB) Previous Version
2006 (PDF, 143 KB)
GIST
Under Development
PDF Word Previous Version
N/A
Peritoneum
Posted: October 2009
PDF (35 KB) Word (45 KB) Previous Version
2005 (PDF, 96 KB)
Soft Tissue
Posted: October 2009
PDF (95 KB) Word (152 KB) Previous Version
2006 (PDF, 143 KB)
 
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