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Cancer Protocol Templates

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

The CAP Biomarker Reporting Protocols are intended to provide reporting guidance for commonly ordered biomarkers and are not required for accreditation purposes.

Latest News

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The WHO Classification of Tumours editorial board recently started writing the Haematolymphoid tumours volume. In an attempt to engage the community further, and in line with International Agency for Research on Cancer’s open science policy, WHO has published for the first time the draft classification for the Haematolymphoid volume with a dedicated email address for comments and suggestions on content to haematolymphoidtumours@iarc.fr. Haematopathologists, haematologists, oncologists, geneticists, molecular pathologists, other cancer specialists, and patient representative are serving as experts. Please submit feedback by October 15, 2021.

  • Skin, Melanoma, Biopsy v4.3.0.1 – Updated August 17, 2021
    • Updated formatting and added instructional note to better differentiate in situ vs. invasive reporting elements *
  • Skin, Melanoma, Resection v4.3.0.1 – Updated August 17, 2021
    • Updated formatting and added instructional note to better differentiate in situ vs. invasive reporting elements *
  • Ovary, Fallopian Tube, Peritoneum v1.3.0.0 – Updated August 11, 2021
    • Corrected staging classifications for pT1a and pT1b

* These are navigational notes for the Cancer Paper Protocols only not for the electronic Cancer Checklist

  • Bone, Resection Protocol v4.1.1.0 – Updated July 28, 2021
    • Fixed incorrect staging classification for pT1 under pT Category for Appendicular Skeleton, Trunk, Skull, and Facial Bones
    • Fixed incorrect staging classification for pT1a under pT Category for Pelvis
  • Pancreas (Exocrine) Protocol v4.2.0.1 – Updated July 28, 2021
    • Fixed incorrect staging classification note for pT1
    • Fixed incorrect staging classification for pT2
  • Vulva Protocol v4.2.0.1 – Updated July 28, 2021
    • Fixed incorrect staging classification note for pN2
  • Lip and Oral Cavity Protocol v4.1.0.1 – Updated July 28, 2021
    • Fixed error in All Carcinomas - pT Category - pT1
    • Fixed error in All Carcinomas - pT Category - pT4a
  • Stomach Resection Protocol v4.2.1.0 – Updated July 27, 2021
    • Added back "pM1: Distant metastasis" Answer
  • Uterine Cervix Resection Protocol v5.0.1.1 – Updated July 16, 2021
    • Added “Other (specify)” as answer options to Para-aortic Lymph Node questions

The College of American Pathologists (CAP) June 2021 release of the updated CAP Cancer Protocols, includes 87 revised and three new cancer protocols.

Highlights of the changes in this release include:

  • New WHO histologic codes for the Bone / Soft Tissue, Gynecologic, and Thorax protocols
  • Removed pTX and pNX staging
  • Added new Distant Metastasis sections
  • Updated modeling standard for margin sections across all protocols
  • Updated modeling standard for lymph node sections across all protocols
  • Protocol format standardization resulting from new authoring process
  • Replaced all symbols (<,>,<=,>=) with actual words less than, greater than, etc.

Along with the above noted changes, we also released three NEW Cancer Reporting Protocols.

  • Prostate Needle Biopsy (Case Level) Protocol
  • Prostate Needle Biopsy (Specimen Level) Protocol
  • Quantitative IHC Reporting Protocol

Notes: None of the new protocols are required for Accreditation and no Cancer Protocols have been retired in this release.

Paperback Option for AJCC Cancer Staging System: Cervix Uteri Protocol Version 9

The American Joint Committee on Cancer (AJCC) received important feedback from the College of American Pathologists and our members as well as cancer registry and clinical communities regarding the AJCC Cancer Staging System: Cervix Uteri Protocol (Version 9), released as an eBook in October 2020. AJCC learned from users that the Version 9 eBook format was not sufficient and they wanted the information in print form as institutional firewalls was blocking the content, in many instances. AJCC is still evaluating all options for disseminating AJCC content and recently announced that a paperback version of AJCC Cancer Staging System: Cervix Uteri Protocol (Version 9) is now available for purchase on Amazon for $9.99. Learn more

The College of American Pathologists October 28, 2020 Uterine Cervix release includes 2 revised cancer protocols. Highlights include:

  • Addition of “Equivocal” to Lymphovascular Invasion
  • Margins Section modifications
  • Addition of a separate Distant Metastasis section
  • Revisions to the Lymph Node Section (driven by new AJCC pN Staging Classification)
  • Updates to AJCC 9th Version pTNM Staging Classification including alternate verbiage in lieu of pTX and pNX as approved by AJCC
  • Updates to include FIGO 2018 Staging Corrigendum (for more information, see https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/ijgo.12969)
  • Updates to Explanatory Notes for Histologic Type, Silva Pattern, Lymphovascular Invasion
  • General formatting changes
  • Public Comments received are available.

The AJCC has set an implementation date of January 1, 2021 for use of the 9th Version of its Uterine Cervix cancer staging system. Users should ensure that they update their cancer reporting systems for the Uterine Cervix Resection protocol prior to the January 1, 2021 implementation date.

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

Cancer Reporting and Biomarker Reporting Protocols

2013-2018 Previous Versions Are Available Upon Request

Breast

Breast DCIS, Resection

Current Version
PDF (v4.4.0.0)
Word (v4.4.0.0)
June 2021

Previous Version
2020
(v4.3.0.2)
2019 (v4.3.0.1)
2019 (v4.3.0.0)
2019 (v4.2.0.0)
Breast DCIS, Biopsy Current Version
PDF (v1.0.1.0)
Word (v1.0.1.0)
June 2021
Previous Version
2020
(v1.0.0.1)
2019 (v1.0.0.0)
Breast Invasive, Resection Current Version
PDF (v4.5.0.0)
Word (v4.5.0.0)
June 2021
Previous Version
2020
(v4.4.0.0)
2019 (v4.3.0.1)
2019 (v4.3.0.0)
2019 (v4.2.0.0)
Breast Invasive, Biopsy Current Version
PDF (v1.1.1.0)
Word (v1.1.1.0)
June 2021
Previous Version
2020
(v1.1.0.0)
2019 (v1.0.0.1)
2019 (v1.0.0.0)
Breast Biomarker Reporting Current Version
PDF (v1.4.1.0)
Word (v1.4.1.0)
June 2021
Previous Version
2020 (v1.4.0.0)
2019 (v1.3.0.0)

Central Nervous System

Central Nervous System Current Version
PDF (v4.0.0.0)
Word (v4.0.0.0)
August 2018
Previous Version
2014 (v3.1.0.2)
2014 (v3.1.0.1)

Endocrine

Adrenal Gland Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020
(v4.1.0.0)
2019 (v4.0.2.0)
Appendix NET Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.0.2)
Colon NET Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.0.2)
Duodenum and Ampulla NET Current Version
PDF (v1.1.0.0)
Word (v1.1.0.0)
June 2021
Previous Version
2020 (v1.0.0.2)
Jejunum and Ileum NET Current Version
PDF (v1.1.0.0)
Word (v1.1.0.0)
June 2021
Previous Version
2020 (v1.0.0.1)
Pancreas (Endocrine) Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.0.2)
Stomach NET Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.0.2)
Thyroid Current Version
PDF (v4.3.0.0)
Word (v4.3.0.0)
June 2021
Previous Version
2020
(v4.2.0.0)
2019 (v4.1.0.0)
Thyroid Biomarker Reporting Current Version
PDF (v1.0.0.1)
Word (v1.0.0.1)
June 2016
Previous Version
2015 (v1.0.0.0)

Gastrointestinal

Ampulla of Vater Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Anus, Excision Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020
(v4.1.0.1)
2020 (v4.1.0.0)
Anus, Resection Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Appendix Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Colon and Rectum, Biopsy Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Colon and Rectum, Resection Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Colon and Rectum Biomarker Reporting Current Version
PDF (v1.3.0.0)
Word (v1.3.0.0)
June 2021
Previous Version
2014 (v1.2.0.1)
Distal Extrahepatic Bile Ducts Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Esophagus Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Gallbladder Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
GIST, Biopsy Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
GIST, Resection Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
GIST Biomarker Reporting Current Version
PDF (v1.0.0.2)
Word (v1.0.0.2)
February 2020
Previous Version
2015 (v1.0.0.1)
2014 (v1.0.0.0)
Hepatocellular Carcinoma Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Intrahepatic Bile Ducts Current Version
PDF (v4.2.0.0)
Word(v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Pancreas (Exocrine) Current Version
PDF (v4.2.0.1)
Word (v4.2.0.1)
July 2021
Previous Version
2021 (v4.2.0.0)
2020 (v4.1.0.0)
Perihilar Bile Ducts Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Small Intestine Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.0)
Stomach Current Version
PDF (v4.2.1.0)
Word (v4.2.1.0)
July 2021
Previous Version
2021 (v4.2.0.0)
2020 (v4.1.0.0)
Gastric HER2 Biomarker Reporting Current Version
PDF (v1.0.0.1)
Word (v1.0.0.1)
June 2017
Previous Version
2014 (v1.0.0.0)

Genitourinary

Kidney, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.2.0)
Kidney, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.2.0)
Penis Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.1.0)
Prostate Needle Biopsy
Case Level *NEW*
Current Version
PDF (1.0.0.0)
Word (1.0.0.0)
June 2021
Prostate Needle Biopsy
Specimen Level *NEW*
Current Version
PDF (1.0.0.0)
Word (1.0.0.0)
June 2021
Prostate, Resection Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020(v4.1.0.1)
2019 (v4.0.4.1)
2019 (v4.0.4.0)
Prostate TURP Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020
(v4.0.5.0)
2019 (v4.0.4.1)
Testis Radical Orchiectomy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.1.2)
Testis Lymphadenectomy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.1.1)
Ureter, Renal Pelvis, Biopsy Current Version
PDF (v2.2.0.0)
Word (v2.2.0.0)
June 2021
Previous Version
2019 (v2.1.0.0)
Ureter, Renal Pelvis, Resection Current Version
PDF (v2.2.0.0)
Word (v2.2.0.0)
June 2021
Previous Version
2019 (v2.1.0.0)
Urethra, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.2.0)
Urethra, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020
(v4.0.3.0)
2019 (v4.0.2.0)
Urinary Bladder, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020
(v4.0.2.0)
2019 (v4.0.1.1)
Urinary Bladder, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020
(v4.0.2.0)
2019 (v4.0.1.1)

Gynecologic

Endometrium Uterus Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020
(v4.1.0.2)
2019 (v4.1.0.1)
Endometrium Biomarker Reporting Current Version
PDF (v1.2.0.1)
Word (v1.2.0.1)
September 2019
Previous Version
2019 (v1.2.0.0)
2016 (v1.1.0.0)
2015 (v1.0.0.0)
Ovary, Fallopian Tube, Peritoneum Current Version
PDF (v1.3.0.0)
Word (v1.3.0.0)
August 2021
Previous Version
2020 (v1.1.1.0)
Trophoblastic Tumors Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.0)
Uterine Cervix, Excision Current Version
PDF (v4.4.1.0)
Word (v4.4.1.0)
June 2021
Previous Version
2020
(v4.4.0.0)
2020 (v4.3.0.0)
2019 (v4.2.0.0)
Uterine Cervix, Resection Current Version
PDF (v5.0.1.1)
Word (v5.0.1.1)
July 2021
Previous Version
2021 (v5.0.1.0)
2020
(v5.0.0.0)
2020 (v4.3.0.0)
Uterine Sarcoma Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2018 (v4.1.0.0)
Vagina, Biopsy Current Version
PDF (v4.3.0.0)
Word (v4.3.0.0)
June 2021
Previous Version
2019 (v4.2.0.0)
Vagina, Resection Current Version
PDF (v4.3.0.0)
Word (v4.3.0.0)
June 2021
Previous Version
2020
(v4.2.0.1)
2019 (v4.2.0.0)
Vulva Current Version
PDF (v4.2.0.1)
Word (v4.2.0.1)
July 2021
Previous Version
2021 (v4.2.0.0)
2020 (v4.1.0.1)

Head and Neck

Larynx Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.1)
Lip and Oral Cavity Current Version
PDF (v4.1.0.1)
Word (v4.1.0.1)
July 2021
Previous Version
2021 (v4.1.0.0)
2017 (v4.0.0.1)
Major Salivary Glands Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.1)
Nasal Cavity and Paranasal Sinuses Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.1)
Pharynx Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.0.2)
Head and Neck Biomarker Reporting Current Version
PDF (v2.0.0.0)
Word (v2.0.0.0)
June 2021
Previous Version
2017
(v1.0.0.0)

Hematologic

Bone Marrow Current Version
PDF (v4.0.0.0)
Word (v4.0.0.0)
February 2019
Previous Version
2018 (v3.1.0.0)
2017 (v3.0.1.2)
2012 (v3.0.1.1)
Hodgkin Lymphoma Current Version
PDF (v3.1.0.1)
Word (v3.1.0.1)
October 2013
Previous Version
2013 (v3.1.0.0)
Non-Hodgkin Lymphoma Current Version
PDF (v3.2.0.1)
Word (v3.2.0.1)
October 2013
Previous Version
2013 (v3.2.0.0)
Plasma Cell Neoplasms Current Version
PDF (v1.0.0.2)
Word (v1.0.0.2)
January 2015
Previous Version
2015 (v1.0.0.1)
2015 (v1.0.0.0)

Ophthalmic

Retinoblastoma Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017
(v4.0.0.0)
Uveal Melanoma Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017
(v4.0.0.0)

Pediatric

Ewing, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.0.0)
Ewing, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019
(v4.0.0.0)
Germ Cell Tumor, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019
(v4.0.0.0)
Germ Cell Tumor, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019
(v4.0.0.0)
Hepatoblastoma, Resection Current Version
PDF (v4.0.1.0)
Word (v4.0.1.0)
June 2021
Previous Version
2019 (v4.0.0.0)
Hepatoblastoma, Biopsy Current Version
PDF (v4.0.1.0)
Word (v4.0.1.0)
June 2021
Previous Version
2019
(v4.0.0.0)
Neuroblastoma, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.0.0)
Neuroblastoma, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019
(v4.0.0.0)
Rhabdomyosarcoma, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.0.0)
Rhabdomyosarcoma, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019
(v4.0.0.0)
Wilms, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2019 (v4.0.0.0)
Wilms, Biopsy Current Version
PDF (v4.0.0.1)
Word (v4.0.0.1)
June 2021
Previous Version
2019
(v4.0.0.0)

Skin

Skin, Melanoma, Biopsy Current Version
PDF (v4.3.0.1)
Word (v4.3.0.1)
August 2021
Previous Version
2021 (v4.3.0.0)
2020 (v4.2.0.0)
2020 (v4.1.1.0)
2019 (v4.1.0.0)
Skin, Melanoma, Excision Current Version
PDF (v4.3.0.1)
Word
 (v4.3.0.1)
August 2021
Previous Version
2021 (v4.3.0.0)
2020
(v4.2.0.0)
2020 (v4.1.0.0)
Melanoma Biomarker Reporting Current Version
PDF (v1.0.0.2)
Word (v1.0.0.2)
July 2015
Previous Version
2015 (v1.0.0.1)
2015 (v1.0.0.0)
Merkel Cell Carcinoma Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.1)

Thorax

Lung, Resection Current Version
PDF (v4.2.0.0)
Word (v4.2.0.0)
June 2021
Previous Version
2020 (v4.1.0.1)
2019 (v4.1.0.0)
Lung Biomarker Reporting Current Version
PDF (v2.0.0.0)
Word (v2.0.0.0)
June 2021
Previous Version
2016 (v1.3.0.2) 
Pleural Mesothelioma Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.1)
Thymus Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2017 (v4.0.0.1)

Bone and Soft Tissue

Bone, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020 (v4.0.1.0)
Bone, Resection Current Version
PDF (v4.1.1.0)
Word (v4.1.1.0)
July 2021
Previous Version
2021 
(v4.1.0.0)
2020
(v4.0.1.0)
Soft Tissue, Biopsy Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020
(v4.0.2.0)
2019 (v4.0.1.1)
Soft Tissue, Resection Current Version
PDF (v4.1.0.0)
Word (v4.1.0.0)
June 2021
Previous Version
2020
(v4.0.2.0)
2019 (v4.0.1.1)

General

DNA Mismatch Repair Biomarker Reporting Current Version
PDF (v1.0.0.2)
Word (v1.0.0.2)
June 2021
Previous Version
2018 (v1.0.0.0)
Generic Template, Biopsy Current Version
PDF (v1.0.1.0)
Word (v1.0.1.0)
June 2021
Previous Version
2019 (v1.0.0.0)
Generic Template, Resection Current Version
PDF (v1.1.0.0)
Word (v1.1.0.0)
June 2021
Previous Version
2019 (v1.0.0.0)
General IHC Quantitative Biomarkers *NEW*PDF (1.0.0.0)
Word (1.0.0.0)
June 2021

CAP Cancer Protocol Usage Limitations and Copyright

© 2021 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.

The Protocols include tumor staging data used with permission of the American Joint Committee on Cancer (AJCC), Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2020).

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.

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