Summary of Changes: Understanding the Changes from the Sixth to the Seventh Edition of the AJCC Cancer Staging Manual

The AJCC has developed a Summary of Changes document to clearly illustrate the changes contained in the latest edition of the Cancer Staging Manual. This document takes the place of the Comparison Guide that was produced for previous editions of the manual. The Summary of Changes covers all the changes in each chapter and the addition of new chapters in the Seventh Edition Staging Manual. Thus, the Summary of Changes is comprehensive in its scope but tenable at just 27 pages.

The Summary of Changes has been created in an enhanced PDF so that it can be shown like a PowerPoint slide show when the full screen option is selected. This viewing option is ideal for sharing the Summary of Changes at educational events or cancer committee meetings. As a PDF file, the Summary of Changes can also be easily printed to have a hard copy on hand as a useful reference. This way, users can have their choice of using the Summary of Changes in which ever way they feel most comfortable.

Image: Summary of Changes

Download the Summary of Changes below:

Summary of Changes (1420K PDF)

AJCC Advances in Cancer Staging from 2009 ACS Clinical Congress

The recording of this special interactive session which took place at the American College of Surgeons Clinical Congress in Chicago is now available. This session focused on the application of staging strategies to surgical and non-surgical treatments. Sites addressed include colorectal, breast, lung, and melanoma of the skin. CME credit is available at the completion of the program.

ACS Clinical Congress 2009
PS55 - Advances in Cancer Staging: An Interactive Session

IMPORTANT: The PS55 - Advances in Cancer Staging: An Interactive Session, will direct you to the E-Learning Resource Center. If you already have an existing account, click the "Login" button. If you do not have an account or have not purchased Webcast access before, it is important that you first create an account by clicking on the "New Users - Create an Account" button.

Staging Moments

Staging Moments, a facility-level educational series developed by the AJCC, is intended to promote physician discussion on proper and accurate cancer staging. For use in department cancer or tumor board conferences, this series offers succinct, case-based presentations following the common format of: symptom presentation; imaging work-up; and pathology diagnosis. The presentations target difficult and common staging scenarios and clarify the finer points of staging.

Collaborative Staging in Relation to TNM: What Physicians Need to Know

Intended for use by cancer program staff, this presentation clarifies the use of the Collaborative Staging System to capture AJCC TNM stage including what Collaborative Staging is, why we use it, and its general principles.

Presentation will be available later in 2010.

CLP Educational Web Conferences

Cancer Staging - What You Need to Know

Published by the American Joint Committee on Cancer, this patient information brochure presents the concept of cancer staging for patients and families. It explains the TNM system, lists some commonly staged cancers, defines the concept of stage grouping, and discusses the purpose of the cancer registry. The complimentary brochure is available in English and Spanish!

Cancer Staging-What You Need to Know (English) (475K PDF)
Las Estapas Del Cancer: Lo que usted debe saber (Spanish) (480K PDF)

Cancer Staging Poster Series

Based on the AJCC Cancer Staging Manual, 7th edition, the updated poster series includes the TNM classification, stage grouping and anatomic drawings for seven cancer sites including:

breast
cervix
colon and rectum
lung
melanoma
pancreas
prostate

Ideal for display in pathology departments, dictation areas, medical record/chart completion areas, physician offices, cancer registries and at tumor board and cancer conferences. Posters will be available later in 2010.

Pocket Staging Cards - 7th Edition 10 Card Set

The Seventh Edition AJCC Cancer Staging Manual was released in 2009 with revisions being implemented in January, 2010.  In conjunction with the AJCC, the American Cancer Society (ACS), has produced revised Pocket-size staging cards for the Seventh Edition. Each Staging Card Set will be packaged in a pocket-sized folder with Seventh Edition Staging Cards for the top 10 cancer sites - Breast, Colorectal, Lung, Pancreas, Prostate, Urinary, Bladder, Ovary, Kidney, Cervical, and Endometrial.

To order, please contact your local American Cancer Society chapter or call 1-800-227-2345.

Product Code Number (3485.02)

Articles on AJCC TNM Staging System

TNM: Our Language of Cancer, an editorial by Frederick L. Greene, MD, FACS

The Staging of Cancer: A Retrospective and Prospective Appraisal, Frederick L. Greene, MD, et. al.

Phillips, JL, Gress, DM. Comparison of Registrar Collaborative Staging and Physician AJCC Staging Using Date Submitted to the National Cancer Data Base (1670K PDF). Journal of Registry Management Spring 2008.

Brierley, JD, Greene, FL, Sobin, LH, Wittekind, C. The "y" Symbol: an Important Classification Tool for Neoadjuvant Cancer Treatment (50K PDF), Cancer 2006; 106:2526-7.

Greene FL. On the Use and Abuse of X in the TNM Classification (230K PDF). Cancer 2005; 103:647-649.

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Revised July 14, 2010