Cancer Protocols

Updated October 14, 2014

The College of American Pathologists (CAP) has produced the new Template for Reporting Results of Biomarker Testing of Specimens from Patients with Melanoma. This template was developed to respond to pathologist user feedback about timing of reporting and structural consistency of ancillary studies data elements found in the CAP Cancer Protocols and to provide educational materials to help pathologists better understand emerging biomarkers. The development of this template has been a collaborative effort between CAP, AMP, ASCO, CDC, AJCC and many other participating organizations.

The Cancer Biomarker Reporting Committee (CBRC) welcomes your feedback on this new biomarker reporting template. Thank you in advance for taking the time to review and submit your response.

The information, data, and draft recommendations and summaries provided by the College of American Pathologists are presented for informational and public feedback purposes only. These draft materials should not be stored, adapted, or redistributed in any manner and will be removed November 14, 2014.

The CAP produces Cancer Protocols as a resource to pathologists to aid in effectively reporting surgical pathology findings necessary to provide quality patient care. The protocols consist of cancer case summaries accompanied by background documentation. The background documentation includes detailed outlines, explanatory notes, and references.

The Cancer Biomarker Reporting Templates are produced to establish reporting guidance for commonly ordered biomarkers, create stand-alone reporting templates, and improve consistency and completeness of results reporting to assist tumor registrars and others involved in data collection, exchange, and surveillance. These reporting templates are intended to encompass all important data elements for routinely assessed tumor markers and are designed to be incorporated into electronic reporting systems. Completion of the template is the responsibility of the laboratory performing the biomarker testing and/or providing the interpretation.

Use of the Cancer Biomarker Reporting Templates is entirely optional and is currently not a requirement for laboratory accreditation.

Protocols Download
Breast
DCIS – Breast
Posted: December 18, 2013
PDF
(601 KB)
Word
(461 KB)
2012 Version
(PDF, 357 KB)
Invasive Breast
Posted: December 18, 2013
PDF
(2 MB)
Word
(1 MB)
2012 Version
(PDF, 1.2 MB)
Work Aid
(Word, 137 KB)
  • Breast Biomarker Reporting
    Posted: December 18, 2013
PDF
(422 KB)
Word
(241 KB)

Central Nervous System
Brain/Spinal Cord
Posted: January 30, 2013
PDF
(217 KB)
Word
(187 KB)
2012 Version
(PDF, 217 KB)

Endocrine
Adrenal Gland 
Posted: October 1, 2013
PDF
(858 KB)
Word
(647 KB)
2012 Version
(PDF, 815 KB)
Appendix NET
Posted: October 1, 2013
PDF
(372 KB)
Word
(262 KB)
2012 Version
(PDF, 513 KB)
Colon NET
Posted: October 1, 2013
PDF
(382 KB)
Word
(266 KB)
2012 Version
(PDF, 512 KB)
Pancreas (Endocrine) 
Posted: October 1, 2013
PDF
(2 MB)
Word
(1.9 MB)
2012 Version
(PDF, 1.4 MB)
Small Intestine NET
Posted: October 1, 2013
PDF
(395 KB)
Word
(270 KB)
2012 Version
(PDF, 522 KB)
Stomach NET
Posted: October 1, 2013
PDF
(175 KB)
Word
(71 KB)
2012 Version
(PDF, 81 KB)
Thyroid
Posted: August 12, 2014
PDF
(545 KB)
Word
(743 KB)
2012 Version
(PDF, 2.4 KB)

Gastrointestinal
Ampulla of Vater 
Posted: October 1, 2013
PDF
(739 KB)
Word
(974 KB)
2012 Version
(PDF, 722 KB)
Anus 
Posted: October 1, 2013
PDF
(778 KB)
Word
(1.1 MB)
2012 Version
(PDF, 766 KB)
Appendix 
Posted: October 1, 2013
PDF
(173 KB)
Word
(77 KB)
2012 Version
(PDF, 170 KB)
Colon and Rectum 
Posted: October 1, 2013
PDF
(2.5 MB)
Word
(2.2 MB)
2012 Version
(PDF, 1.8 MB)
Work Aid
(Word, 125 KB)
  • Colon and Rectum
    Biomarker Reporting

    Posted: October 1, 2013
PDF
(1.6 MB)
Word
(73 kB)
Distal Extrahepatic Bile Ducts
Posted: October 1, 2013
PDF
(457 KB)
Word
(338 KB)
2012 Version
(PDF, 250 KB)
Esophagus
Posted: October 1, 2013
PDF
(4.5 MB)
Word
4.1 MB)
2012 Version
(PDF, 7 MB)
Work Aid
(Word, 122 KB)
Gallbladder 
Posted: October 1, 2013
PDF
(967 KB)
Word
(853 MB)
2012 Version
(PDF, 749 KB)
GIST
Posted: October 1, 2013
PDF
(1.6 KB)
Word
(604 KB)
2012 Version
(PDF, 1.6 KB)
Hepatocellular Carcinoma
Posted: June 15, 2012
PDF
(654 KB)
Word
(509 KB)
2011 Version
(PDF, 652 KB)
Intrahepatic Bile Ducts 
Posted: October 1, 2013
PDF
664 KB)
Word
(509 KB)
2012 Version 
(PDF, 834 KB)
Pancreas (Exocrine) 
Posted: October 1, 2013
PDF
(1.5 MB)
Word
(1.9 MB)
2012 Version
(PDF, 1.4 MB)
Perihilar Bile Ducts 
Posted: October 1, 2013
PDF
(468 KB)
Word
(345 KB)
2012 Version
(PDF, 448 KB)
Small Intestine
Posted: October 1, 2013
PDF
(1.3 MB)
Word
(1.2 MB)
2012 Version
(PDF, 1 MB)
Stomach 
Posted: June 11, 2013
PDF
1.4 KB)
Word
(2.3 MB)
2013 Version
(PDF, 718 KB)
  • Gastric HER2 Biomarker Reporting
    Posted: June 11, 2014
PDF
(0.97 MB)
Word
(57.5 kB)

Genitourinary
Kidney
Posted: October 1, 2013
PDF
(1.5 MB)
Word
(408 KB)
2012 Version
(PDF, 1.4 MB)
Work Aid
(Word, 123 KB)
Penis 
Posted: October 1, 2013
PDF
(5.1 MB)
Word
(4.1 MB)
2011 Version
(PDF, 227 KB)
Prostate Gland
Posted: June 15, 2012
PDF
(542 KB)
Word
(284 KB)
2011 Version
(PDF, 542 KB)
Work Aid
(Word, 112 KB)
Testis
Posted: October 1, 2013
PDF
(760 KB)
Word
(693 KB)
2012 Version
(PDF, 729 KB)
Ureter, Renal
Pelvis

Posted: October 1, 2013
PDF
(722 KB)
Word
(306 KB)
2012 Version
(PDF, 708 KB)
Urethra
Posted: October 1, 2013
PDF
(183 KB)
Word
(100 KB)
2012 Version
(PDF, 179 KB)
Urinary Bladder
Posted: October 1, 2013
PDF
(215 KB)
Word
(115 KB)
2012 Version
(PDF, 216 KB)

Gynecologic
Endometrium
Posted: December 18, 2013
PDF
(688 KB)
Word
(323 KB)
2012 Version
(PDF, 679 KB)
Work Aid
(Word, 126 KB)
Fallopian Tube 
Posted: October 1, 2013
PDF
(1.8 MB)
Word
(856 KB)
2012 Version
(PDF, 1.7 MB)
Ovary
Posted: October 1, 2013
PDF
(1.9 MB)
Word
(878 KB)
2012 Version
(PDF, 1.8 MB)
Trophoblastic Tumors
Posted: October 1, 2013
PDF
(188 KB)
Word
(65 KB)
2012 Version
(PDF, 181 KB)
Uterine Cervix
Posted: December 18, 2013
PDF
(209 KB)
Word
(127 KB)
2012 Version
(PDF, 202 KB)
Uterine Sarcoma
Posted: December 18, 2013
PDF
(213 KB)
Word
(246 KB)
Vagina
Posted: December 18, 2013
PDF
(161 KB)
Word
(83 KB)
2011 Version
(PDF, 152 KB)
Vulva
Posted: June 15, 2012
PDF
(172 KB)
Word
(98 KB)
2011 Version
(PDF, 77 KB)

Head and Neck
Larynx 
Posted: October 1, 2013
PDF
(1.1 MB)
Word
(1.2 MB)
2012 Version
(PDF, 1.2 MB)
Lip and Oral Cavity
Posted: October 1, 2013
PDF
(2.5 MB)
Word
(1.7 MB)
2012 Version
(PDF, 2.3 MB)
Major Salivary Glands
Posted: October 1, 2013
PDF
(818 KB)
Word
(610 KB)
2012 Version
(PDF, 771 KB)
Nasal Cavity and Paranasal Sinuses 
Posted: October 1, 2013
PDF
(528 KB)
Word
(511 KB)
2012 Version
(PDF, 488 KB)
Pharynx
Posted: October 1, 2013
PDF
(2.1 MB)
Word
(2.2 MB)
2012 Version
(PDF, 2 MB)

Hematologic
Bone Marrow
Posted: June 15, 2012
PDF
(185 KB)
Word
(92 KB)
2011 Version
(PDF, 129 KB)
Hodgkin Lymphoma
Posted: October 1, 2013
PDF
(165 KB)
Word
(90 KB)
2012 Version
(PDF, 165 KB)
Non-Hodgkin Lymphoma
Posted: October 1, 2013
PDF
(264 KB)
Word
(132 KB)
2010 Version
(PDF, 264 KB)
Work Aid
(Word, 102 KB)
Ocular Adnexal Lymphoma
Posted: June 15, 2012
PDF
(181 KB)
Word
(94 KB)
2010 Version
(PDF, 134 KB)

Ophthalmic
Retinoblastoma
Posted: October 1, 2013
PDF
(475 KB)
Word
(259 KB)
2012 Version
(PDF, 475 KB)
Uveal Melanoma
Posted: October 1, 2013
PDF
(508 KB)
Word
(283 KB)
2012 Version
(PDF, 508 KB)

Pediatric
Extragonadal Germ Cell
Posted June 15, 2012
PDF
(278 KB)
Word
(217 KB)
2011 Version
(134 KB)
Hepatoblastoma
Posted: October 1, 2013
PDF
(212 KB)
Word
(82 KB)
2012 Version
(PDF, 212 KB)
Neuroblastoma
Posted: June 15, 2012
PDF
(238 KB)
Word
(165 KB)
2012 Version
(PDF, 238 KB)
PNET/Ewing Sarcoma
Posted: June 15, 2012
PDF
(401 KB)
Word
(519 KB)
2011 Version
(PDF, 410 KB)
Rhabdomyosarcoma
Posted: June 15, 2012
PDF
(203 KB)
Word
(104 KB)
2011 Version
(PDF, 203 KB)
Wilms Tumor
Posted: June 15, 2012
PDF
(182 KB)
Word
(97 KB)
2011 Version
(PDF, 98 KB)

Skin
Melanoma
Posted: October 1, 2013
PDF
(653 KB)
Word
(707 KB)
2012 Version
(622 KB)
Work Aid
(Word, 115 KB)
Merkel Cell Carcinoma
Posted: June 15, 2012
PDF
(545 KB)
Word
(543 KB)
2011 Version
(107 KB)
Squamous Cell Carcinoma 
Posted: October 1, 2013
PDF
(168 KB)
Word
(84 KB)
2012 Version
(159 KB)

Thorax
Heart
Posted: June 15, 2012
PDF
(114 KB)
Word
(59 KB)
2012 Version
(PDF, 114 KB)
Lung
Posted: October 1, 2013
PDF
(1.4 MB)
Word
(363 KB)
2012 Version
(1.3 MB)
Work Aid
(Word, 137 KB)
  • Lung Biomarker
    Reporting

    Posted: October 1, 2013
PDF
(1.3 MB)
Word
(66 KB)
Pleural Mesothelioma
Posted: June 15, 2012
PDF
(135 KB)
Word
(78 KB)
2011 Version
(44 KB)
Thymoma and Thymic Carcinoma
Posted: June 15, 2012
PDF
(133 KB)
Word
(72 KB)
2011 Version
(PDF, 133 KB)

Other
Bone
Posted: October 1, 2013
PDF
(289 KB)
Word
(238 KB)
2012 Version
(266 KB)
Peritoneum
Posted: October 1, 2013
PDF
(115 KB)
Word
(63 KB)
2011 Version
(PDF, 113 KB)
Soft Tissue
Posted: October 1, 2013
PDF
(243 KB)
Word
(183 KB)
2012 version
(233 KB)

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