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

 Cancer Protocols and Checklists

  

 Updated July 15, 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 KB) 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 | What is a Work Aid?
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    Download
Breast
DCIS –
Breast Updated
Posted October 2009		 PDF
(215 KB)		 Word
(450 MB)		 2009 Version
(PDF, 123 KB)
Invasive Breast
Posted October 2009		 PDF
(547 KB)		 Word
(1.2 MB)		 2005 Version
(PDF, 90 KB)		 Work Aid
(Word, 184 KB)
Central Nervous System
Brain/Spinal Cord
Posted: June 2008
Effective: February 2009		 PDF
(78 KB)		 Word
(151 KB)		 2008 Version
(PDF, 187 KB)
Gastrointestinal
Ampulla of Vater
Posted: October 2009		 PDF
(374 KB)		 Word
(928 KB)		 2005 Version
(PDF, 123 KB)
Anus
Posted: October 2009		 PDF
(406 KB)		 Word
(1 MB)		 2005 Version
(PDF, 128 KB)
Appendix
Posted: October 2009		 PDF
(108 KB)		 Word
(284 KB)		 2006 Version
(PDF, 64 KB)
Appendix NET New
Posted: February 2010		 PDF
(108 KB)		 Word
(284 KB)		  
Colon and Rectum
Posted: October 2009		 PDF
(621 KB)		 Word
(2.2 MB)		 2008 Version
(PDF, 775 KB)		 Work Aid
(Word, 152 KB)
Colon NET New
Posted: February 2010		 PDF
(291 KB)		 Word
(110 KB)		  
Distal Extrahepatic Bile Ducts
Posted: October 2009		 PDF
(170 KB)		 Word
(358 KB)		 2005 Version(PDF, 109 KB)
Esophagus
Posted: October 2009		 PDF
(203 KB)		 Word
(547 KB)		 2005 Version
(PDF, 120 KB)		 Work Aid
(Word, 156 KB)
Gallbladder
Posted: October 2009		 PDF
(379 KB)		 Word
(992 KB)		 2005 Version(PDF, 75 KB)
GIST New
Posted: February 2010		 PDF
(251 KB)		 Word
(650 KB)		  
Hepatocellular Carcinoma
Posted: October 2009		 PDF
(324 KB)		 Word
(868 KB)		 2005 Version(PDF, 110 KB)
Intrahepatic Bile Ducts
Posted: October 2009		 PDF
(187 KB)		 Word
(350 KB)
2005 Version
(PDF, 110 KB)
Pancreas (Endocrine)
Posted: October 2009		 PDF
(761 KB)		 Word
(1.8 MB)		 2005 Version(PDF, 85 KB)
Pancreas (Exocrine)
Posted: October 2009		 PDF
(1.8 MB)		 Word
(756 KB)		 2005 Version
(PDF, 156 KB)
Perihilar Bile Ducts
Posted: October 2009		 PDF
(170 KB)		 Word
(357 KB)		  
Small Intestine
Posted: October 2009		 PDF
(592 KB)		 Word
(1.2 MB)		 2005 Version
(PDF, 120 KB)
Small Intestine
NET New
Posted: February 2010		 PDF
(113 KB)		 Word
(290 KB)		  
Stomach
Posted: October 2009		 PDF
(916 KB)		 Word
(2.2 MB)		 2005 Version(PDF, 106 KB)
Stomach NET New
Posted: February 2010		 PDF
(81 KB)		 Word
(101 KB)		  
Genitourinary
Kidney
Posted: October 2009		 PDF
(325 KB)		 Word
(383 KB)		 2005 Version(PDF, 125 KB) Work Aid
(Word, 155 KB)
Penis New
Posted: June 2010		 PDF
(347 KB)		 Word
(3.9 MB)		  
Prostate Gland
Posted: October 2009		 PDF
(187 KB)		 Word
(265 KB)		 2007 Version
(PDF, 111 KB)		 Work Aid
(Word, 144 KB)
Testis
Posted: October 2009		 PDF
(236 KB)		 Word
(654 KB)		 2005 Version
(PDF, 128 KB)
Ureter, Renal Pelvis
Posted: October 2009		 PDF
(130 KB)		 Word
(272 KB)		 2005 Version(PDF, 819 KB)
Urethra New
Posted: March 2010		 PDF
(75 KB)		 Word
(79 KB)		  
Urinary Bladder
Posted: October 2009		 PDF
(126 KB)		 Word
(274 KB)		 2005 Version
(PDF, 819 KB)
Gynecologic
Endometrium
Posted: October 2009		 PDF
(272 KB)		 Word
(304 KB)		 2005 Version
(PDF, 82 KB)		 Work Aid
(Word, 160 KB)
Fallopian Tube
Posted: October 2009		 PDF
(124 KB)		 Word
(819 KB)		 2005 Version(PDF, 128 KB)
Ovary
Posted: October 2009		 PDF
(149 KB)		 Word
(843 KB)		 2005 Version
(PDF, 174 KB)
Trophoblastic Tumors
Posted: October 2009		 PDF
(68 KB)		 Word
(95 KB)		 2005 Version(PDF, 105 KB)
Uterine Cervix
Posted: October 2009		 PDF
(100 KB)		 Word
(104 KB)		 2005 Version(PDF, 147 KB)
Vagina
Posted: October 2009		 PDF
(61 KB)		 Word
(62 KB)		 2005 Version(PDF, 140 KB)
Vulva Updated
Posted: October 2009		 PDF
(70 KB)		 Word
(88 KB)		 2005 Version(PDF, 121 KB)
Head and Neck
Larynx
Posted: October 2009		 PDF
(328 KB)		 Word
(1.1 MB)		 2005 Version(PDF, 233 KB)
Lip and Oral Cavity
Posted: October 2009		 PDF
(548 KB)		 Word
(1.6 MB)		 2005 Version(PDF, 233 KB)
Major Salivary Glands
Posted: October 2009		 PDF
(190 KB)		 Word
(565 KB)		 2005 Version(PDF, 233 KB)
Nasal Cavity and Paranasal Sinuses
Posted: October 2009		 PDF
(197 KB)		 Word
(472 KB)		 2005 Version(PDF, 233 KB)
Pharynx
Posted: October 2009		 PDF
(403 KB)		 Word
(2.1 MB)		 2005 Version(PDF, 233 KB)
Thyroid
Posted: October 2009		 PDF
(266 KB)		 Word
(1.2 MB)		 2006 Version(PDF, 79 KB) Work Aid
(Word, 199 KB)
Hematologic
Bone Marrow
Posted: October 2009		 PDF
(67 KB)		 Word
(67 KB)		 2005 Version(PDF, 111 KB)
Hodgkin Lymphoma
Posted: October 2009		 PDF
(51 KB)		 Word
(73 KB)		 2005 Version
(PDF, 119 KB)
Non-Hodgkin Lymphoma Updated
Posted: October 2009		 PDF
(116 KB)		 Word
(109 KB)		 2005 Version
(PDF, 131 KB)		 Work Aid
(Word, 137 KB)
Ocular Adnexal Lymphoma New
Posted: March 2010		 PDF
(70 KB)		 Word
(80 KB)		  
Ophthalmic
Retinoblastoma
Posted: October 2009		 PDF
(241 KB)		 Word
(164 KB)		 2005 Version
(PDF, 198 KB)
Uveal Melanoma
Posted: October 2009		 PDF
(210 KB)		 Word
(466 KB)		 2005 Version(PDF, 193 KB)
Pediatric
Extragonadal Germ Cell
Under Development 		PDF Word  
Hepatoblastoma
Posted: October 2009		 PDF
(101 KB)		 Word
(142 KB)		 2007 Version(PDF, 103 KB)
Neuroblastoma
Posted: October 2009		 PDF
(104 KB)		 Word
(158 KB)		 2005 Version
(PDF, 898 KB)
PNET/Ewing Sarcoma
Posted: October 2009		 PDF
(207 KB)		 Word
(519 KB)		 2005 Version
(PDF, 450 KB)
Rhabdomyosarcoma
Posted: October 2009		 PDF
(81 KB)		 Word
(88 KB)		 2005 Version
(PDF, 108 KB)
Wilms Tumor
Posted: October 2009		 PDF
(73 KB)		 Word
(73 KB)		 2005 Version(PDF, 971 KB)
Skin
Melanoma
Posted: October 2009		 PDF
(73 KB)		 Word
(73 KB)		 2005 Version(PDF, 118 KB) Work Aid
(Word, 145 KB)
Merkel Cell
Carcinoma New
Posted: March 2010		 PDF
(114 KB)		 Word
(531 KB)		  
Squamous Cell
Carcinoma Updated
Posted: February 2010		 PDF
(75 KB)		 Word
(70 KB)		 2009 Version
(PDF, 73 KB)
Thorax
Heart
Posted: October 2009		 PDF
(33 KB)		 Word
(43 KB)		 2005 Version
(PDF, 87 KB)
Lung
Posted: October 2009		 PDF
(226 KB)		 Word
(8.1 MB)		 2005 Version
(PDF, 139 KB)		 Work Aid
(Word, 170 KB)
Pleural Mesothelioma
Posted: October 2009		 PDF
(49 KB)		 Word
(60 KB)		 2005 Version
(PDF, 102 KB)
Thymoma and Thymic Carcinoma
Posted: October 2009		 PDF
(42 KB)		 Word
(53 KB)		 2005 Version
(PDF, 103 KB)
Other
Adrenal Gland
Posted: October 2009		 PDF
(212 KB)		 Word
(615 KB)		 2005 Version
(PDF, 97 KB)
Bone
Posted: October 2009		 PDF
(107 KB)		 Word
(207 KB)		 2006 Version
(PDF, 143 KB)
Peritoneum
Posted: October 2009		 PDF
(35 KB)		 Word
(45 KB)		 2005 Version
(PDF, 96 KB)
Soft Tissue
Posted: October 2009		 PDF
(95 KB)		 Word
(152 KB)		 2006 Version
(PDF, 143 KB)
 
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