Online Education Center

Created in conjunction with the Commission Cancer (CoC),

the Online Education Center includes one hour training modules suitable for physicians and other medical and registry staff on TNM staging for breast, lymphoma, and colorectal cancers.

The fee based sessions are hosted online their entirety with synchronized audio, slides, and a written transcript. Sessions can be reviewed at your own pace, you may start and stop whenever you choose, and you may view them as many times as often as you like. Click on the session's name for a detailed summary.

Breast Cancer Staging: Fundamentals for Physicians

Colorectal Cancer Staging: Fundamentals for Physicians

Breast Cancer Staging: What Registrars Need to Know

Colorectal Cancer Staging: What Registrars Need to Know

Lymphoma Staging: What Registrars Need to Know

Collaborative Staging: Breast Cancer (Free)

Collaborative Staging: Colorectal Cancer (Free)

Collaborative Staging: Lung Cancer (Free)

Collaborative Staging: Prostate Cancer (Free)

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. 

The Staging Moments slide sets include three cases for each site group and the staging schema for that site.  Current sites offered: breast, colorectal, lung, head & neck, and melanoma. 

Download one or all of the slide sets in this series.  Designate an individual to lead the discussion.  For each presentation, the physician audience can use the information provided to correctly stage the case.   Following the staging decision, the leader can present the correct staging answer along with the rationale. 

Breast

Breast Schema (1060K PPT)

Case #1 (510K PPT)

Case #2 (495K PPT)

Case #3 (1340K PPT)

Colon and Rectal

Colorectal Schema (840K PPT)

Case #1 (490K PPT)

Case #2 (760K PPT)

Case #3 (640K PPT)

Head and Neck

Thyroid Schema (530K PPT)

Case #1 (845K PPT)

Case #2 (750K PPT)

Case #3 (900K PPT)

Larynx Schema (675K PPT)

Lung

Lung Schema (800K PPT)

Case #1 (850K PPT)

Case #2 (780K PPT)

Case #3 (605K PPT)

Melanoma

Melanoma Schema (690K PPT)

Case #1 (410K PPT)

Case #2 (1020K PPT)

Case #3 (920K PPT)

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.

Using the Collaborative Staging System for Collecting AJCC TNM Staging (700K PPT)

AJCC TNM Schema Slide Library

The AJCC has developed a slide library consisting of site-specific material covering a variety of tumors. This is an excellent teaching tool to compliment tumor conferences, physician CME events, or resident teaching conferences. 

Each slide set includes the site-specific TNM, stage grouping, and pertinent survival data.

The slide sets can be downloaded for free by clicking on the link below:

TNM Schema Files

Please contact Donna Gress, AJCC Technical Specialist, at 312-202-5410 or dgress@facs.org if you have any questions regarding Staging Moments or the TNM Schema Slide Library

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!

To order, access the ACS Publications and Services Catalog and click on "Cancer"

05CA-0002A - Cancer Staging-What You Need to Know (English)
05CA-0002B - Las Estapas Del Cancer: Lo que usted debe saber (Spanish)

Cancer Staging Poster Series

Based on the AJCC Cancer Staging Manual, 6th edition, this seven poster set

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. Laminated and smudge-proof, the 17 x 22 color posters are suitable for framing.

To order the complimentary poster set, access the ACS Publications and Services Catalog and click on "Cancer"

05CA-0004 AJCC Cancer Staging Poster Series – available only in sets of 7

AJCC Pocket Staging Cards

In conjunction with the AJCC, the American Cancer Society (ACS) has developed pocket staging cards for the major sites included in the AJCC Cancer Staging Manual, Sixth Edition. Individual cards are available for

breast
bladder
cervix
colorectal
corpus uterus
kidney
lung
ovary
pancreas
prostate
stomach
thyroid

In addition to the individual cards, there is a five-card set that includes the breast, cervix, colorectal, prostate and lung sites. There is no fee for individual orders. A nominal fee will be charged for multiple copies. These staging cards are available through the American Cancer Society Divisions or by calling 1-800-ACS-2345.

CA: A Cancer Journal for Clinicians Series

The AJCC has developed a series of articles related to the staging strategies outlined in the Cancer Staging Manual, 6th Edition. Each article describes TNM staging for a particular cancer site or system and includes clinical examples that illustrate the staging process. The articles emphasize the importance of accurate staging in clinical care, cancer research, and cancer surveillance, and include CME opportunities and patient pages. Click on the article name to access the article in PDF format.

2004 Publications

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

An Evidence-Based Staging System for Cutaneous Melanoma, Charles Balch, MD, FACS, et. al.

The Staging of Colorectal Cancer: 2004 and Beyond, Carolyn C. Compton, MD, PhD, et. al.

2005 Publications

TNM Staging of Cancers of the Head and Neck: Striving for Uniformity Among Diversity, Snehal G. Patel, MD, FRCS, et. al.

Staging Non-Hodgkin Lymphoma, James O. Armitage, MD

2006 Publications

Breast Cancer Staging: Working With the Sixth Edition of the AJCC Cancer Staging Manual, Eva Singletary, MD, et. al.

Staging Soft Tissue Sarcoma: Evolution and Change, D. Kotilingham, et. al.

Staging of Primary Malignancies of Bone, Robert Heck Jr., MD, et. al.

Watch for future articles related to pancreatic and biliary cancer staging and prostate cancer staging.

Bibliography of Other AJCC TNM Staging System Articles

2006

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

2005

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

2004

O'Connell JB. Colon Cancer Survival Rates with the New American Joint Committee on Cancer Sixth Edition Staging. Journal of the National Cancer Institute 2004; 96:1420-1425.

2003

Finger P. Do You Speak Ocular Tumor? Ophthalmology 2003; 110:13-14.

Greene FL. TNM Staging for Malignancies of the Digestive Tract: Changes and Beyond. Seminars in Surgical Oncology 2003; 21:23-29.

2002

Greene FL. Updating the Strategies in Cancer Staging. American College of Surgeons Bulletin 2002; 87:13-15.

Greene FL, Stewart A, Norton J. A New TNM Staging Strategy for Node-Positive (Stage III) Colon Cancer. Annals of Surgery 2002; 236:416-421.

Greene FL. Updates to Staging System Reflect Advances in Imaging, Understanding. Journal of the National Cancer Institute 2002; 22:1664-1666.

Greene FL, Sobin L. The TNM System–Our Language for Cancer Care. Journal of Surgical Oncology 2002; 80:119-120.

Wittekind C, Compton C, Greene FL, Sobin L. TNM Residual Tumor Classification Revisited. Cancer 2002; 94:2511-2516.

2001

Balch C, et al. Prognostic Factors Analysis of 17,600 Melanoma Patients: Validation of the American Joint Committee on Cancer Melanoma Staging System. Journal of Clinical Oncology 2001; 19:3622-3634.

Balch C, et al. Final Version of the American Joint Committee on Cancer Staging System for Cutaneous Melanoma. Journal of Clinical Oncology 2001; 19:3635-3648.

2000

Greene FL, Cera SM. Colon Cancer: Do We Need A Staging System? Advances in Surgery 2000; 37:171-78.

Other resources for cancer registrars

 

Revised February 13, 2008