ACOS – Commission on Cancer Update


American College of Surgeons Commission on Cancer  (ACOS-CoC) Liaison Report – May 2006

If you have discovered through routine chart audits that your cancer program’s percentage of staging accuracy is low in large due to physician misunderstanding or lack of knowledge of the AJCC staging guidelines, the American Joint Committee on Cancer (AJCC) has made available a new staging tool.  Staging Moments Program is an online staging tool including TNM Slide Library that includes brief, case-based presentations intended for departmental weekly conferences (e.g., morbidity and mortality or tumor board).  The program includes slide sets that are site-specific cases, the staging system for the organ site, and the final stage for the case.

Sites are now available on breast, colon, and pancreas through the program’s website at  Additional sites to be added in the future include melanoma, lung, cervix, ovary, and prostate. You are encouraged to take advantage of this new program in order to enhance the quality of your AJCC staging.  For further information on the addition of new slide sets and other educational resources available, logon to

The ACoS-CoC Report was prepared by ACOA/ACoS-CoC liaison, Jeannie O’Leary.  Her role as liaison is to enhance our relationship and collaboration by providing a forum for the exchange of ideas, initiatives, critical issues, and actions that impact cancer care, data collection, and research.  We have the opportunity to bring matters of importance for ACOA to the CoC, as well as communicate CoC activities to the ACOA.  If you have input on particular issues regarding credentialing and ACoS standards, please contact Jeannie O’Leary