American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

AJCC Moving from Editions to Versions in 2021

The American Joint Committee on Cancer (AJCC) is making an important change to how it updates and releases Cancer Staging content beginning in 2021. The AJCC will be shifting from a Cancer Staging Manual to a Cancer Staging System and moving away from Editions, to Versions which better align with software development and how users are increasingly consuming AJCC content. Version 9 of the Cervix Uteri Cancer Staging System will go into effect January 1, 2021.

For over forty years and eight editions the AJCC has published its AJCC TNM Cancer Staging System in printed books. Since then, the way information is produced, consumed, and disseminated has changed dramatically. The workflow of AJCC users has changed and increasingly the expectation is that AJCC content is in the software products they use every day. In 2017, the AJCC made its content available for software developers as XML code for the first time. Over the subsequent years, the AJCC has made a concerted effort to better align content curation with modern software development practices.

  1. Cervix Uteri will be the first cancer to be updated in this model of Versions.
  2. Version 9 of the Cervix Uteri Cancer Staging System will be released in the coming months
  3. Version 9 of Cervix Uteri will go into effect for those cancers diagnosed starting January 1, 2021
  4. The Version 9 content shall replace the 8th Edition Cervix Uteri content from the Staging Manual
  5. Version 9 Cervix Uteri tables will be available to licensed software developers by August 1, 2020
  6. Physicians, Registrars and other users of the AJCC content will be able to purchase an electronic version of the new Cervix content (including tables, notes, and illustrations) in the coming months. Final details will be provided before September 2020.
  7. Other disease sites will be updated to Version 9 of the Cancer Staging System in the coming years
  8. Updated Version 9 disease sites will go into effect on January 1 following their release.

For questions or clarifications please contact the AJCC at ajcc@facs.org