![]() ![]() ![]() ![]() On June 22, 2022, the College of American Pathologists released updates to 12 CAP Cancer Protocols. This protocol is required for accreditation. Protocol for Cutaneous Squamous Cell Carcinoma of the Head and Neck.The CAP released the updated cancer protocols ahead of the release of the 9th version staging system to allow organizations and laboratory information system (LIS) vendors sufficient time to make changes in their systems reflecting these updates. While these updates include American Joint Committee on Cancer (AJCC) 9th version content, pathologists may continue to use the previous AJCC 8th version tumor stage classification system for cancer reporting until the updated content is required for use on January 1, 2023. June 2022 CAP Cancer Protocol Update: Clarifications Updated the reporting note under Pathologic Stage Classification in the Lung Resection template.Added Other (specify) and Cannot be determined (explain) answer options to the Margin Status question in the Breast Phyllodes template.The Expert Consultation question was made optional and an explanatory note was added in the Rhabdomyosarcoma and Ewing Sarcoma Biopsy and Resection templates.There are no changes to this release that affect accreditation dates. Protocol for the Examination of Specimens from Patients with Tumors of the Central Nervous System (v4.0.0.0), which includes separate case summaries for Integrated Diagnosis, Histological Assessment, and Biomarker Reporting.Protocol for the Examination of Tumors of the Brain and Spinal Cord (v1.0.0.0), which combines Integrated Diagnosis and Histological Assessment.All changes are outlined in the Summary of Revisions with updates now available on New Cancer Reporting Protocol: On September 21, 2022, the College of American Pathologists released updates to 10 CAP Cancer Protocols. Adrenal Resection contains critical information updated in explanatory notesĪll changes are outlined in the Summary of Revisions.Stomach Resection has changes to Histologic Grade Requirements.Cervix Resection and Excision protocols also include content clarification, updates to LVI visible text, and TNM modifiers (Resection only).Ovary protocol includes content clarification, updates to TNM modifiers, LVI visible text, and contains critical information updated in explanatory notes.Gynecologic Biomarker has been updated to clarify content elements.Breast Invasive Biopsy has been updated to reflect the size of largest invasive focus in the limited biopsy sample.Breast Biomarker and Breast Invasive Resection protocols now include notes for HER2neu Low Expression.Thyroid protocol updated to reflect current WHO guidelines.Highlights of content changes in this release include: On March 22, 2023, the College of American Pathologists released updates to 10 CAP Cancer Protocols. The CAP Biomarker Reporting Protocols are intended to provide reporting guidance for commonly ordered biomarkers and are not required for accreditation purposes. Synoptic reporting using the CAP electronic Cancer Protocols (eCP) also helps laboratories and hospitals comply with requirements for organizations like the American College of Surgeons Commission on Cancer, the CAP Laboratory Accreditation Program, and more. The American Joint Committee on Cancer Staging Manual.The World Health Organization Classification of Tumors (Blue Books).These protocols incorporate the latest standards to help pathologists and laboratories keep abreast of the advances and updates in cancer reporting, including: The CAP Cancer Protocols provide guidelines for collecting the essential data elements for complete reporting of malignant tumors and optimal patient care. Laboratories across the country and around the world rely on the CAP to help them stay current with the latest evidence-based practices and maintain quality and proficiency among the entire pathology team. ![]()
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