PALGA believes that the best treatment starts with the best diagnosis. Every patient in the Netherlands is entitled to the best diagnosis. For this reason, PALGA is working hard to optimize the pathology diagnostics and reporting. An essential aspect of this is the implementation of synoptic reporting in pathology, using national protocols. This involves collecting the same data for every patient, in every hospital in the Netherlands, and presenting it in a clear and concise manner. This enables the discussions of each case, in multidisciplinary meetings, to proceed smoothly. 

National protocols 

The following protocols are nationally available:

 Bladder-urethra cancer  Melanoma
 Cervix cancer  Moleculair testing - Colorectal cancer 
 Colonbiopsy-TEM  Renal - renal pelvis - ureter cancer
 Colorectal cancer  Ovarian cancer
 National cervical cancer screening    Placenta
 Endometrial cancer  Squamous cell carcinoma of the skin
 Lung cancer  Pancreas
 Lung-pleura biopsy  Prostate cancer
 Gastric-esophagus cancer  Fine-needle aspiration of the prostate
 Breast cancer  Fine-needle aspiration of the thyroid
 Breast biopsy  Testis cancer


In the Dutch part of this website, you will find the latest protocol updates. The most recent updates are displayed in bold.

The documents in question give details of all major changes, as well as of the controls and the screen layout. Click the links to access the linked PDFs.

Rollout of National Protocols

For information please contact Paul Seegers, PALGA Foundation (Tel. +31 (0)88 – 04 02 700). Or send a message to or

Working Group Protocols
The protocols working group was established to provide users with a platform for dialogue. This initiative is supported by the PALGA Foundation’s Board and by the Dutch Socity of Pathology (NVVP)/Professional Quality Practice Committee (CKBU).