Pathology Report

See the current version of the SEER Program Coding Manual under Reporting Guidelines for the complete coding instructions on the related pathology data items.

  • Section IV: Description of this Neoplasm
  • Section V: Stage of Disease at Diagnosis
  • Section VI: Stage Related Data Items

In addition to cytology reports, there are also pathology reports, which comes from two main sources

  • Biopsy
  • Surgical Resection
    • Procedure that is used to remove the cancer
Data Items Found Within Pathology Reports
Data Item Comments Text Field Source of coding instructions
Date of Diagnosis The pathology report is usually the date that the cancer is microscopically (histologically) confirmed; however, the date of diagnosis may be prior to the pathology report (e.g., diagnosed on imaging) #2570: Text-Dx-Proc-Path SEER Program Coding Manual, under Reporting Guidelines, Section IV: Description of this Neoplasm
Primary Site Lung has multiple subsites. Review the pathology report to see if you can determine the subsite
Note: If the pathology report(s) don’t provide the subsite, review operative report or imaging to see if the subsite is documented
#2580: Text-Primary Site Title
AND
#2570: Text-Dx-Proc-Path
SEER Program Coding Manual, under Reporting Guidelines, Appendix C, Lung Primary Site Coding Guidelines &
Solid Tumor Rules, under Reporting Guidelines, Lung module
Histology This is the ICD-O-3 Morphology code assigned #2590: Text-Histology Title
AND
#2570: Text-Dx-Proc-Path
Solid Tumor Rules, under Reporting Guidelines, Lung module
Behavior This reflects whether the tumor is benign, borderline, in situ, or invasive #2590: Text-Histology Title
AND
#2570: Text-Dx-Proc-Path
Solid Tumor Rules, under Reporting Guidelines, Lung module
Laterality Lung is a paired site, so the laterality needs to be determined #2570: Text-Dx-Proc-Path SEER Program Coding Manual, under Reporting Guidelines, Section IV: Description of this Neoplasm
Regional Nodes Positive Records the number regional lymph nodes found to contain metastasis #2570: Text-Dx-Proc-Path SEER Program Coding Manual, under Reporting Guidelines, Section VII: First Course of Therapy
Regional Nodes Examined Records the number of regional lymph nodes that were removed and examined #2570: Text-Dx-Proc-Path SEER Program Coding Manual, under Reporting Guidelines, Section VII: First Course of Therapy
Grade See Grade manual #2570: Text-Dx-Proc-Path SEER*RSA, Lung schema
OR Schemas | SSDI Data | (naaccr.org)External Website Policy, Lung schema

Updated: April 8, 2026


Suggested Citation

SEER Training Modules: Pathology Report. U.S. National Institutes of Health, National Cancer Institute. Cited 12 April 2026. Available from: https://training.seer.cancer.gov.