Cancer Protocol Templates

 


The June 2017 revised cancer protocols should be used for reporting the AJCC 8th edition content beginning January 1, 2018.

CAP Cancer Protocol Templates provide guidelines for collecting the essential data elements for complete reporting of malignant tumors and optimal patient care.

The Cancer Biomarker Reporting Templates are intended to provide reporting guidance for commonly ordered biomarkers and are not currently required for accreditation purposes.

Current and previous cancer protocols and cancer biomarker reporting templates can be downloaded using the links in the table below.

Terms of Use

Protocols

Breast
DCIS – Breast PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
December 2013
2012 (v3.1.0.0)
Previous Version
Invasive Breast PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
January 2016
2013 (v3.2.0.0)
Previous Version
Central Nervous System
Brain/Spinal Cord PDF (v3.1.0.1)
Word (v3.1.0.1)
December 2014
2013 (v3.1.0.0)
Previous Version
Endocrine
Adrenal Gland PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
October 2013
2012 (v3.1.0.1)
Previous Version
Appendix NET PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.1)
Word (v3.2.0.1)
October 2013
2012 (v3.1.0.1)
Previous Version
Colon NET PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.1)
Word (v3.2.0.1)
October 2013
2012 (v3.2.0.0)
Previous Version
Duodenum and Ampulla NET PDF (v1.0.0.0)
Word (v1.0.0.0)
8th Edition AJCC
June 2017
See Small Intestine NET Protocol
Previous Version
Jejunum and Ileum NET PDF (v1.0.0.0)
Word (v1.0.0.0)
8th Edition AJCC
June 2017
See Small Intestine NET Protocol
Previous Version
Pancreas (Endocrine) PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.1)
Word (v3.3.0.1)
August 2013
2016 (v3.3.0.0)
Previous Version
Small Intestine NET
(Retired)
See Duodenum and Ampulla NET
See Jejunum and Ileum NET
Retired June 2017
2013 (v3.3.0.0)
Previous Version
Stomach NET PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
October 2013
2012 (v3.3.0.0)
Previous Version
Thyroid PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
January 2016
2014 (v3.1.0.0)
Previous Version
Gastrointestinal
Ampulla of Vater PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
January 2016
2013 (v3.1.0.2)
Previous Version
Anus PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.1)
Word (v3.2.0.1)
October 2013
2012 (v3.2.0.0)
Previous Version
Appendix PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.4.0.0)
Word (v3.4.0.0)
January 2016
2013 (v3.3.0.0)
Previous Version
Colon and Rectum PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.4.0.0)
Word (v3.4.0.0)
January 2016
2013 (v3.3.0.0)
Previous Version
Distal Extrahepatic
Bile Ducts
PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.6.0.0)
Word (v3.6.0.0)
August 2016
2016 (v3.5.0.0)
Previous Version
Esophagus PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
January 2016
2013 (v3.1.1.2)
Previous Version
Gallbladder PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.2)
Word (v3.1.0.2)
October 2013
2012 (v3.1.0.1)
Previous Version
GIST PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.0)
Word (v3.1.0.0)
December 2014
2013 (v3.0.2.2)
Previous Version
Hepatocellular Carcinoma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.0)
Word (v3.1.0.0)
February 2011
2009 (v3.0.0.0)
Previous Version
Intrahepatic Bile Ducts PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.2)
Word (v3.1.0.2)
October 2013
2012 (v3.1.0.2)
Previous Version
Pancreas (Exocrine) PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.4.0.0)
Word (v3.4.0.0)
August 2016
2016 (v3.3.0.0)
Previous Version
Perihilar Bile Ducts PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.2)
Word (v3.1.0.2)
October 2013
2012 (v3.1.0.1)
Previous Version
Small Intestine PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
October 2013
2012 (v3.1.0.2)
Previous Version
Stomach PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
June 2014
2013 (v3.2.0.1)
Previous Version
Genitourinary
Kidney PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
February 2017
2013 (v3.2.0.0)
Previous Version
Penis PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.1.0)
Word (v3.3.1.0)
February 2017
2013 (v3.2.0.0)
Previous Version
Prostate Gland PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
February 2017
2012 (v3.2.0.0)
Previous Version
Testis PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.4.1.0)
Word (v3.4.1.0)
February 2017
2013 (v3.3.0.0)
Previous Version
Ureter, Renal Pelvis PDF (v2.0.0.0)
Word (v2.0.0.0)
8th Edition AJCC
June 2017
PDF (v1.0.0.0)
Word (v1.0.0.0)
February 2017
2013 (v3.4.0.0)
Previous Version
Urethra PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
February 2017
2012 (v3.2.1.0)
Previous Version
Urinary Bladder PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
February 2017
2012 (v3.2.1.0)
Previous Version
Gynecologic
Endometrium PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
January 2016
2013 (v3.2.0.1)
Previous Version
Ovary, Fallopian Tube, Peritoneum PDF (v1.0.0.0)
Word (v1.0.0.0)
8th Edition AJCC
June 2017
2016 Ovary, Fallopian Tube (v1.0.0.0)
2015 Peritoneum (v3.2.0.1)
January 2016
2015 Ovary (v3.2.0.1)
2015 Fallopian Tube (v3.1.0.2)
Previous Versions
Trophoblastic Tumors PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.0)
Word (v3.1.0.0)
January 2016
2013 (v3.0.0.3)
Previous Version
Uterine Cervix PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
January 2016
2013 (v3.2.1.0)
Previous Version
Uterine Sarcoma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.0)
Word (v3.1.0.0)
January 2016
2013 (v3.0.0.0)
Previous Version
Vagina PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
January 2016
2013 (v3.1.0.3)
Previous Version
Vulva PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
2016 (v3.2.0.0)
Word (v3.2.0.0)
January 2016
2012 (v3.1.0.1)
Previous Version
Head and Neck
Larynx PDF (v4.0.0.0)
Word v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word(v3.3.0.0)
October 2013
2012 (v3.2.0.0)
Previous Version
Lip and Oral Cavity PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
August 2016
2013 (v3.2.0.0)
Previous Version
Major Salivary Glands PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word (v3.2.0.0)
October 2013
2012 (v3.1.0.2)
Previous Version
Nasal Cavity and Paranasal Sinuses PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word(v3.2.0.0)
October 2013
2012 (v3.1.0.1)
Previous Version
Pharynx PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
October 2013
2012 (v3.2.0.0)
Previous Version
Hematologic
Bone Marrow PDF (v3.1.1.1)
Word (v3.1.1.1)
June 2012
2011 (v3.0.1.0)
Previous Version
Hodgkin Lymphoma PDF (v3.1.0.0)
Word (v3.1.0.0)
October 2013
2012 (v3.0.0.0)
Previous Version
Non-Hodgkin Lymphoma PDF (v3.2.0.0)
Word (v3.2.0.0)
December 2014
2012 (v3.1.0.0)
Previous Version
Ocular Adnexal Lymphoma PDF (v3.0.0.0)
Word (v3.0.0.0)
March 2010
2010 (v3.0.0.0)
Previous Version
Plasma Cell Neoplasms PDF (v1.0.0.0)
Word (v1.0.0.0)
January 2015
Ophthalmic
Retinoblastoma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.2.0.0)
Word
January 2016
2013 (v3.1.0.0)
Previous Version
Uveal Melanoma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.3.0.0)
Word (v3.3.0.0)
January 2016
2013 (v3.2.0.0)
Previous Version
Pediatric
Ewing Sarcoma PDF (v3.2.0.0)
Word (v3.2.0.0)
August 2016
2012 (v3.1.0.2)
Previous Version
 
Extragonadal Germ Cell PDF (v3.1.0.0)
Word (v3.1.0.0)
August 2016
2011 (v3.0.0.1)
Previous Version
 
Hepatoblastoma PDF (v3.2.0.0)
Word (v3.2.0.0)
August 2016
2013 (v3.1.1.1)
Previous Version
 
Neuroblastoma PDF (v3.0.0.1)
Word (v3.0.0.1)
August 2016
2012 (v3.0.0.1)
Previous Version
 
Rhabdomyosarcoma PDF (v3.1.0.0)
Word (v3.1.0.0)
August 2016
2011 (v3.1.0.0)
Previous Version
 
Wilms Tumor PDF (v3.2.0.0)
Word (v3.2.0.0)
August 2016
2012 (v3.1.0.2)
Previous Version
 
Skin
Melanoma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.4.0.0)
Word (v3.4.0.0)
January 2016
2015 (v3.3.0.1)
Previous Version
Merkel Cell Carcinoma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.0.1.1)
Word (v3.0.1.1)
June 2012
2011 (v3.0.1.0)
Previous Version
Squamous Cell Carcinoma
(Retired)
PDF (v3.1.0.2)
Word (v3.1.0.2)
October 2013
Retired June 2017
Thorax
Heart
(Retired)
PDF (v3.0.0.0)
Word (v3.0.0.0)
October 2009
Retired June 2017
Lung PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.4.0.0)
Word (v3.4.0.0)
January 2016
2013 (v3.3.0.0)
Previous Version
Pleural Mesothelioma PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.0)
Word (v3.1.0.0)
February 2011
2011 (v3.1.0.0)
Previous Version
Thymus PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.0.0)
Word (v3.1.0.0)
February 2011
2011 (v3.0.0.0)
Previous Version
Other
Bone PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.1.1)
Word (v3.1.1.1)
October 2013
2011 (v3.1.0.0)
Previous Version
Peritoneum See Ovary, Fallopian Tube, Peritoneum
June 2017
2015 (v3.2.0.1)
2012 (v3.1.0.0)
Previous Versions
Soft Tissue PDF (v4.0.0.0)
Word (v4.0.0.0)
8th Edition AJCC
June 2017
PDF (v3.1.2.0)
Word (v3.1.2.0)
October 2013
2012 (3.1.1.0)
Previous Version

Biomarker Templates

Biomarker Templates are not currently required for accreditation purposes.

Head & Neck
Head & Neck Reporting PDF (v1.0.0.0)
Word (v1.0.0.0)
February 2017
Breast
Breast Biomarker Reporting PDF (v1.1.0.0)
Word (v1.1.0.0)
December 2014
2013 (v1.0.0.0)
Previous Version
CNS
Central Nervous System Biomarker Reporting PDF (v1.1.0.0)
Word (v1.1.0.0)
December 2014
Endocrine
Thyroid Biomarker Reporting PDF (v1.0.0.1)
Word (v1.0.0.1)
June 2016
2015 (v1.0.0.0)
Previous Version
Gastrointestinal
Colon and Rectum Biomarker Reporting PDF (v1.2.0.0)
Word (v1.2.0.0)
December 2014
2013 (v1.0.0.0)
Previous Version
GIST Biomarker Reporting PDF (v1.0.0.1)
Word (v1.0.0.1)
March 2015
2014 (v1.0.0.0)
Previous Version
Gastric HER2 Biomarker Reporting PDF (v1.0.0.1)
Word (v1.0.0.1)
June 2017
2014 (v1.0.0.0)
Previous Version
Gynecologic
Endometrium Biomarker Reporting PDF (v1.1.0.0)
Word (v1.1.0.0)
June 2016
2015 (v1.0.0.0)
Previous Version
Hematologic
Chronic Lymphocytic Leukemia Biomarker Reporting PDF (v1.0.0.2)
Word (v1.0.0.2)
July 2015
2015 (v1.0.0.1)
2014 (v1.0.0.0)
Previous Versions
Chronic Myelogenous Leukemia Biomarker Reporting PDF (v1.0.0.2)
Word (v1.0.0.2)
July 2015
2015 (v1.0.0.1)
2014 (v1.0.0.0)
Previous Versions
Diffuse Large B-Cell Lymphoma Biomarker Reporting PDF (v1.0.0.2)
Word (v1.0.0.2)
July 2015
2015 (v1.0.0.1)
2014 (v1.0.0.0)
Previous Versions
Myeloproliferative Neoplasms Biomarker Reporting PDF (v1.0.0.2)
Word (v1.0.0.2)
July 2015
2015 (v1.0.0.1)
2014 (v1.0.0.0)
Previous Versions
Skin
Melanoma Biomarker Reporting PDF (v1.0.0.1)
Word (v1.0.01)
July 2015
2015 (v1.0.0.0)
Previous Version
Thorax
Lung Biomarker Reporting PDF (v1.3.0.0)
Word (v1.3.0.0)
June 2016
2015 (v1.2.0.0)
Previous Version

CAP Cancer Protocol Usage Limitations and Copyright

© 2017 College of American Pathologists (CAP). All rights reserved.

The College of American Pathologists (CAP) does not permit reproduction of any substantial portion of these protocols without its written authorization. The CAP hereby authorizes use of these protocols by physicians and other health care providers in reporting on surgical specimens, in teaching, and in carrying out medical research for nonprofit purposes. This authorization does not extend to reproduction or other use of any substantial portion of these protocols for commercial purposes without the written consent of the CAP.

The CAP also authorizes physicians and other health care practitioners to make modified versions of the Protocols solely for their individual use in reporting on surgical specimens for individual patients, teaching, and carrying out medical research for non-profit purposes.

The CAP further authorizes the following uses by physicians and other health care practitioners, in reporting on surgical specimens for individual patients, in teaching, and in carrying out medical research for non-profit purposes: (1) Dictation from the original or modified protocols for the purposes of creating a text-based patient record on paper, or in a word processing document; (2) Copying from the original or modified protocols into a text-based patient record on paper, or in a word processing document; (3) The use of a computerized system for items (1) and (2), provided that the protocol data is stored intact as a single text-based document, and is not stored as multiple discrete data fields.

Other than uses (1), (2), and (3) above, the CAP does not authorize any use of the Protocols in electronic medical records systems, pathology informatics systems, cancer registry computer systems, computerized databases, mappings between coding works, or any computerized system without a written license from the CAP.

Any public dissemination of the original or modified protocols is prohibited without a written license from the CAP.

Used with permission of the American Joint Committee on Cancer (AJCC), Chicago, Illinois. The original and primary source for this information is the AJCC Cancer Staging Manual, Eighth Edition (2016) published by Springer Science+Business Media.

The CAP developed these protocols as an educational tool to assist pathologists in the useful reporting of relevant information. It did not issue the protocols for use in litigation, reimbursement, or other contexts. Nevertheless, the CAP recognizes that the protocols might be used by hospitals, attorneys, payers, and others. Indeed, effective January 1, 2004, the Commission on Cancer of the American College of Surgeons mandated the use of the required data elements of the protocols as part of its Cancer Program Standards for Approved Cancer Programs. Therefore, it becomes even more important for pathologists to familiarize themselves with these documents. At the same time, the CAP cautions that use of the protocols other than for their intended educational purpose may involve additional considerations that are beyond the scope of this document.

The inclusion of a product name or service in a CAP publication should not be construed as an endorsement of such product or service, nor is failure to include the name of a product or service to be construed as disapproval.

Back to the top

 


Revised Cancer Protocols and Electronic Cancer Checklists now available

The revised protocols now incorporate changes to tumor stage classification from the AJCC 8th edition Cancer Staging Manual and updated WHO classifications.

 


Request a summary of the required elements for each protocol.