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

 Cancer Protocols and Checklists

  

 Updated February 25, 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
Related Links
Cancer Checklist


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 K) Word (450 MB) Previous Version
2009 (PDF, 123 K)
Invasive Breast
Posted October 2009		 PDF (547 K) Word (1.2 MB) Previous Version
2005 (PDF, 90 K)
Central Nervous System
Brain/Spinal Cord
Posted: June 2008
Effective: February 2009 		PDF (78 K) Word (151 K) Previous Version
2008 (PDF, 187 K)
Gastrointestinal
Ampulla of Vater
Posted: October 2009		 PDF (374 K) Word (928 K) Previous Version
2005 (PDF, 123 K)
Anus
Posted: October 2009		 PDF (406 K) Word (1 MB) Previous Version
2005 (PDF, 128 K)
Appendix
Posted: October 2009		 PDF (108 K) Word (284 K) Previous Version
2006 (PDF, 64 K)
Appendix NET New
Posted: February 2010		 PDF (108 K) Word (284 K) Previous Version
N/A
Colon and Rectum
Posted: October 2009		 PDF (621 K) Word (2.2 MB) Previous Version
2008 (PDF, 775 K)
Colon NET New
Posted: February 2010		 PDF (291 K) Word (110 K) Previous Version
N/A
Distal Extrahepatic Bile Ducts
Posted: October 2009		 PDF (170 K) Word (358 K) Previous Version
2005 (PDF, 109 K)
Esophagus
Posted: October 2009		 PDF (203 K) Word (547 K) Previous Version
2005 (PDF, 120 K)
Gallbladder
Posted: October 2009		 PDF (379 K) Word (992 K) Previous Version
2005 (PDF, 75 K)
GIST New
Posted: February 2010		 PDF (234 K) Word (633 K) Previous Version
N/A
Hepatocellular Carcinoma
Posted: October 2009		 PDF (324 K) Word (868 K) Previous Version
2005 (PDF, 110 K)
Intrahepatic Bile Ducts
Posted: October 2009		 PDF (187 K) Word (350 K) Previous Version
2005 (PDF, 110 K)
Pancreas (Endocrine)
Posted: October 2009		 PDF (761 K) Word (1.8 MB) Previous Version
2005 (PDF, 85 K)
Pancreas (Exocrine)
Posted: October 2009		 PDF (1.8 MB) Word (756 K) Previous Version
2005 (PDF, 156 K)
Perihilar Bile Ducts
Posted: October 2009		 PDF (170 K) Word (357 K) Previous Version
N/A
Small Intestine
Posted: October 2009		 PDF (592 K) Word (1.2 MB) Previous Version
2005 (PDF, 120 K)
Small Intestine NET New
Posted: February 2010		 PDF (113 K) Word (290 K) Previous Version
N/A
Stomach
Posted: October 2009		 PDF (916 K) Word (2.2 MB) Previous Version
2005 (PDF, 106 K)
Stomach NET New
Posted: February 2010		 PDF (81 K) Word (101 K) Previous Version
N/A
Genitourinary
Kidney
Posted: October 2009		 PDF (325 K) Word (383 K) Previous Version
2005 (PDF, 125 K)
Penis
Under Development		 PDF Word Previous Version
N/A
Prostate Gland
Posted: October 2009		 PDF (187 K) Word (265 K) Previous Version
2007 (PDF, 111 K)
Testis
Posted: October 2009		 PDF (236 K) Word (654 K) Previous Version
2005 (PDF, 128 K)
Ureter, Renal Pelvis
Posted: October 2009		 PDF (130 K) Word (272 K) Previous Version
2005 (PDF, 819 K)
Urethra New
Posted: March 2010		 PDF (75 K) Word (79 K) Previous Version
N/A
Urinary Bladder
Posted: October 2009		 PDF (126 K) Word (274 K) Previous Version
2005 (PDF, 819 K)
Gynecologic
Endometrium
Posted: October 2009		 PDF (272 K) Word (304 K) Previous Version
2005 (PDF, 82 K)
Fallopian Tube
Posted: October 2009		 PDF (124 K) Word (819 K) Previous Version
2005 (PDF, 128 K)
Ovary
Posted: October 2009		 PDF (149 K) Word (843 K) Previous Version
2005 (PDF, 174 K)
Trophoblastic Tumors
Posted: October 2009		 PDF (68 K) Word (95 K) Previous Version
2005 (PDF, 105 K)
Uterine Cervix
Posted: October 2009		 PDF (100 K) Word (104 K) Previous Version
2005 (PDF, 147 K)
Vagina
Posted: October 2009		 PDF (61 K) Word (62 K) Previous Version
2005 (PDF, 140 K)
Vulva
Posted: October 2009		 PDF (70 K) Word (88 K) Previous Version
2005 (PDF, 121 K)
Head and Neck
Larynx
Posted: October 2009		 PDF (328 K) Word (1.1 MB) Previous Version
2005 (PDF, 233 K)
Lip and Oral Cavity
Posted: October 2009		 PDF (548 K) Word (1.6 MB) Previous Version
2005 (PDF, 233 K)
Major Salivary Glands
Posted: October 2009		 PDF (190 K) Word (565 K) Previous Version
2005 (PDF, 233 K)
Nasal Cavity and Paranasal Sinuses
Posted: October 2009		 PDF (197 K) Word (472 K) Previous Version
2005 (PDF, 233 K)
Pharynx
Posted: October 2009		 PDF (403 K) Word (2.1 MB) Previous Version
2005 (PDF, 233 K)
Thyroid
Posted: October 2009		 PDF (266 K) Word (1.2 MB) Previous Version
2006 (PDF, 79 K)
Hematologic
Bone Marrow
Posted: October 2009		 PDF (67 K) Word (67 K) Previous Version
2005 (PDF, 111 K)
Hodgkin Lymphoma
Posted: October 2009		 PDF (51 K) Word (73 K) Previous Version
2005 (PDF, 119 K)
Non-Hodgkin Lymphoma
Posted: October 2009		 PDF (116 K) Word (109 K) Previous Version
2005 (PDF, 131 K)
Ocular Adnexal Lymphoma New
Posted: March 2010		 PDF (70 K) Word (80 K) Previous Version
N/A
Ophthalmic
Retinoblastoma
Posted: October 2009		 PDF (241 K) Word (164 K) Previous Version
2005 (PDF, 198 K)
Uveal Melanoma
Posted: October 2009		 PDF (210 K) Word (466 K) Previous Version
2005 (PDF, 193 K)
Pediatric
Extragonadal Germ Cell
Under Development		 PDF Word Previous Version
N/A
Hepatoblastoma
Posted: October 2009		 PDF (101 K) Word (142 K) Previous Version
2007 (PDF, 103 K)
Neuroblastoma
Posted: October 2009		 PDF (104 K) Word (158 K) Previous Version
2005 (PDF, 898 K)
PNET/Ewing Sarcoma
Posted: October 2009		 PDF (207 K) Word (519 K) Previous Version
2005 (PDF, 450 K)
Rhabdomyosarcoma
Posted: October 2009		 PDF (81 K) Word (88 K) Previous Version
2005 (PDF, 108 K)
Wilms Tumor
Posted: October 2009		 PDF (73 K) Word (73 K) Previous Version
2005 (PDF, 971 K)
Skin
Melanoma
Posted: October 2009		 PDF (73 K) Word (73 K) Previous Version
2005 (PDF, 118 K)
Merkel Cell
Carcinoma New
Posted: March 2010		 PDF (114 K) Word (531 K) Previous Version
N/A
Squamous Cell
Carcinoma Updated
Posted: February 2010		 PDF (75 K) Word (70 K) Previous Version
2009(PDF, 73 K)
Thorax
Heart
Posted: October 2009		 PDF (33 K) Word (43 K) Previous Version
2005 (PDF, 87 K)
Lung
Posted: October 2009		 PDF (226 K) Word (8.1 MB) Previous Version
2005 (PDF, 139 K)
Pleural Mesothelioma
Posted: October 2009		 PDF (49 K) Word (60 K) Previous Version
2005 (PDF, 102 K)
Thymoma and Thymic Carcinoma
Posted: October 2009		 PDF (42 K) Word (53 K) Previous Version
2005 (PDF, 103 K)
Other
Adrenal Gland
Posted: October 2009		 PDF (212 K) Word (615 K) Previous Version
2005 (PDF, 97 K)
Bone
Posted: October 2009		 PDF (107 K) Word (207 K) Previous Version
2006 (PDF, 143 K)
GIST
Posted: February 2010		 PDF (234 K) Word (633 K) Previous Version
N/A
Peritoneum
Posted: October 2009		 PDF (35 K) Word (45 K) Previous Version
2005 (PDF, 96 K)
Soft Tissue
Posted: October 2009		 PDF (95 K) Word (152 K) Previous Version
2006 (PDF, 143 K)
 
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