prompt1 : extract information from  breast pathology report. List the histological classification, i.e. type of cancer or DCIS, subtype, description of any necrosis, any mention of tumor infiltrating lymphocytes,  histological grade, nuclear grade,  lymphovascular invasion, calcification, receptor status, IHC and any other ancillary testing results.  List out and expand the main points.
prompt2 : The report is - Subtype LumA, Working Draft. CELLULAR CHANGES WITHIN NORMAL LIMITS. Inflammation. SPECIMEN ADEQUACY: Satisfactory for evaluation. Endocervical cells present. Specimen Class: Accessioned: Specimen(s) Received: Endometrium, biopsy. Final Diagnosis. Endometrium, biopsy: Benign dyssynchronous secretory endometrium; no hyperplasia or carcinoma. identified. Specimen Class: Accessioned: Signed Out: (. Specimen(s) Received: Cervical. Endocervical, Direct. Final Diagnosis. Cervical/Endocervical, Direct. CELLULAR CHANGES WITHIN NORMAL LIMITS. Inflammation. Endocervical cells present. SPECIMEN ADEQUACY: Satisfactory for evaluation but limited by obscuring white blood cells. Specimen Class: Accessioned. Specimen(s) Received: Cervical/Endocervical, Direct. Final Diagnosis. Cervical/Endocervical, Direct. CELLULAR CHANGES WITHIN NORMAL LIMITS. SPECIMEN ADEQUACY: Satisfactory for evaluation. Endocervical cells present. Specimen Class: Accessioned. Specimen(s) Received: Bladder Washing. Final Diagnosis. Bladder Washing. BENIGN. Working Draft. Specimen Class: Accessioned: Specimen(s) Received: Urine, catheterized. Final Diagnosis. BENIGN. See Below. Specimen Class: Accessioned. {HighRisk Specimen}. Specimen(s) Received: Vaginal/Cervical/Endocervical. Final Diagnosis. CELLULAR CHANGES WITHIN NORMAL LIMITS. Squamous metaplasia. SPECIMEN ADEQUACY: Satisfactory for evaluation. Endocervical cells present. Specimen Class: Accessioned. Specimen(s) Received: BLADDER WASH. Final Diagnosis. BENIGN. Conversion. Specimen Class: Accessioned: Specimen(s) Received: BLADDER WASH. Final Diagnosis. BENIGN. Conversion. Specimen Class: Accessioned: Specimen(s) Received: BLADDER WASH. Fina) Diagnosis. BENIGN. Conversion. Working Draft. Specimen Class: Accessioned: Specimen(s) Received: VAGINALCERVICAU/ENDOCERVICAI. Final Diagnosis. BETHESDA: CELLULAR CHANGES WITHIN NORMAL LIMITS. BENIGN. Inflammation. Conversion. Specimen Class: Accessioned: Specimen(s) Received: URINE, CATHETERIZED. Final Diagnosis. BENIGN. Conversion. Specimen Class: Accessioned: Signed Out: &. Specimen(s) Received: VAGINAL/CERVICAL/ENDOCERVICAL. Final Diagnosis. DESCRIPTIVE DIAGNOSIS. Diagnosis Deferred. Conversion. Specimen Class: Accessioned: Specimen(s) Received: SITE NOT SPECIFIED. Final Diagnosis. DESCRIPTIVE DIAGNOSIS. Diagnosis Deferred. Inflammation. Conversion. Specimen Class: Accessioned. Specimen(s) Received: VAGINAL/CERVICAL/ENDOCERVICAL. Final Diagnosis. BENIGN. Conversion. FND OF REPORT. Final Pathologic Diagnosis: A. Sentinel lymph node #1, left axilla, biopsy: No carcinoma identified in one lymph. node (0/1). B. Sentinel lymph node #2, left axilla, biopsy: No carcinoma identified in one lymph. node (0/1). Working Draft. C. Left breast, mastectomy;. 1. Infiltrating ductal carcinoma, SBR grade 2, 2.4 cm; see comment. 2. Intermediate to high grade ductal carcinoma in-situ, cribriform and comedo types. 3. Non-proliferative fibrocystic changes. 4. Duct ectasia. D. Right breast, mastectomy: 1. Atypical lobular hyperplasia. 2. Non-proliferative fibrocystic changes. 3. Duct ectasia. 4. Microcalcifications associated with benign ducts and stroma. 5. No carcinoma identified. E. Soft tissue, right breast, excision: Fibroadipose tissue with skeletal muscle; no breast. parenchyma or carcinoma identified. F. Left ovary and fallopian tube, salpingooophorectomy: - Ovary: No significant pathologic abnormality. - Fallopian tube: Benign paratubal cyst. G. Right ovary and fallopian tube, salpingooophorectomy: - Ovary: No significant pathologic abnormality. - Fallopian tube: Benign paratubal cyst. H. Omentum, biopsy: Benign fibrous nodule. I. Soft tissue, left upper peritoneum, biopsy: Benign fibroadipose tissue. J. Omentum, omentectomy: No significant pathologic abnormality. Note: Breast Tumor Synoptic Comment. - Laterality: Left. - Invasive tumor type: Infiltrating ductal. - Invasive tumor size: 2.4 cm maximum diameter. - Invasive tumor grade (modified Bloom-Richardson): Nuclear grade: 3, 3 points. Mitotic count: 7 mitotic figures/1 HPF, 1 point. Tubule/papilla formation: > 10% but <75%, 2 points. Total points and SBR grade - 6 points, grade 2. - Lymphatic-vascular invasion: None identified. - Perineural invasion: None identified. - Invasive tumor necrosis: None identified. - Mononuclear cell reaction: None/minimal. - Resection margins for invasive tumor: Widely clear. - Deep margin: Widely clear; closest distance of tumor 2 cm. - Medial margin: Widely clear; closest distance of tumor > 6 cm. - Lateral margin: Widely clear; closest distance of tumor 2.8 cm. Anterior/superior margin: Widely clear; closest distance of tumor 5.5 cm. Anterior/inferior margin: Widely clear; closest distance of tumor >6 cm. - Ductal carcinoma in situ (DCIS) type: Cribriform and comedo. - Ductal carcinoma in situ size: ~2.0 cm in maximum diameter. Ductal carcinoma in situ nuclear grade: Intermediate to high grade. - Necrosis in ductal carcinoma in situ: Present. - Microcalcifications: Not identified. Working Draft. - Resection margins for ductal carcinoma in situ: Widely clear (see above for invasive tumor. - Lobular carcinoma in situ (LCIS): Not identified. - Number of lobules involved: N/A. - Nuclear type/size: N/A. - Resection margins for pleomorphic lobular carcinoma in situ: N/A. - Lymph node status: Negative. - Number of positive lymph nodes: 0. - Total number sampled: 2. - AJCC/UICC stage: pT2NOMx. - Nontumorous breast tissue: Non-proliferative fibrocystic change; duct ectasia. - Nipple: Unremarkable. - Skin/dermis: Unremarkable. Pagetoid spread of carcinoma is seen in benign ducts adjacent to the tumor. No such spread is seen away. from the tumor. Atypical lobular hyperplasia is present in the contralateral (right) breast. An immunohistochemical test for estrogen and progesterone receptors as well as for HER2 was performed. on block C3. The test for estrogen receptors is positve. There is moderate nuclear staining in >95% of tumor cells. Internal positive control is positive. The test for progesterone receptors is positive. There is moderate to strong nuclear staining in 90% of. tumor cells. Internal positive control is positive. Result of HER2/neu test: This carcinoma is negative for HER2/neu oncoprotein over-expression. An immunohistochemical assay was performed using the CB11 monoclonal antibody to HER2/neu. oncoprotein. The staining intensity of this carcinoma was 1 on a scale of 0-3 (HER2 test interpreted by. Dr. Carcinomas with staining intensity scores of o or 1 are considered negative for over-expression of HER2/neu oncoprotein. Those with a staining intensity score of 2 are considered borderline. We and others have observed that many carcinomas with staining. intensity scores of 2 do not show gene amplification. All carcinomas with staining intensity scores of 2 are therefore submitted for. FISH testing. The results of the FISH test are issued directly from the molecular cytogenetics laboratory. Carcinomas with staining intensity scores of 3 are considered positive for over-expression of HER2/neu oncoprotein. Tumors in this. category show an excellent correlation between the results of immunohistochemical and FISH testing, and almost always show gene. amplification. Intraoperative Consult Diagnosis. FS1 (A) Sentinel lymph node # 1, left axilla, biopsy: No carcinoma. FS2 (B) Sentinel lymph node #2, left axilla, biopsy: No carcinoma. FS3 (G) Right adnexa, salpingo-oophorectomy: Paratubal cyst with hemorrhage. FS4 (H) Omentum, biopsy: Dense fibrous connective tissue, no carcinoma. FS5 (I) Left upper quadrant, peritoneum, biopsy: No carcinoma. F. Left adnexa, salpingo-oophorectomy: Paratubal cyst (gross diagnosis only). Clinical History. Working Draft. The patient is a .year-old woman with left breast cancer. She undergoes bilateral mastectomies. Gross Description. The specimen is received in ten parts, each labeled with the patient's name and unit number. Parts A. through I are received fresh, and Part J is received in formalin. Part A, additionally labeled "1. consists of one pink, unoriented,. fibroadipose tissue fragment measuring 1.5 x 0.8 x 0.8 cm. The entire specimen is frozen for frozen. section diagnosis 1, and subsequently submitted in cassette A1. Part B, additionally labeled. consists of one pink-red, unoriented,. fibroadipose tissue fragment measuring 1.3 x 0.8 x 0.7 cm. The entire specimen is frozen for frozen. section diagnosis 2, and subsequently submitted in cassette B1. Part C is additionally labeled. It consists of a mastectomy specimen, measuring. 15.8 cm from superior to inferior, 15.6 cm from medial to lateral, and 8.2 cm from anterior to posterior. The specimen weighs 442.5 gm. In the lateral aspect of the specimen is a spiculated, firm, tan mass,. measuring 2.4 x 1.2 x 1.2 cm. This mass is 2.0 cm from the deep margin, 5.5 cm from the superior. margin, >6 cm from the inferior margin, 2.8 cm from the lateral margin, and >6 cm from the medial. margin. In the anterior-inferior portion of the breast, there are dilated ducts, filled with cheesy material. This area is 0.2 cm from the deep margin. The remainder of the breast parenchyma is unremarkable. Two. pieces of tumor are banked, one for tissue banking and one for the epithelial cell study. Representative. sections are submitted as follows: Cassette C1: Nipple. Cassettes C2-C3: Spiculated mass. Cassette C4: Deep margin beneath tumor. Cassette C5: Lateral margin. Cassette C6: Lower outer quadrant. Cassette C7: Lower inner quadrant. Cassette C8: Medial margin. Cassette C9: Upper inner quadrant. Cassette C10: Anterior-inferior area with duct ectasia. Part D is additionally labeled. It consists of a mastectomy specimen, measuring. 18.2 cm from superior to inferior, 16.2 cm from medial to lateral, and 4.8 cm from anterior to posterior. The specimen weighs 688 gm. A short stitch is designated by the surgeon as superior, and a long stitch is. designated by the surgeon as lateral. In the inferior-medial portion of the specimen is a fragment of skin,. measuring 7.5 x 4.9 cm. It is white and unremarkable. There is a nipple, measuring 1.3 x 1.5 x 1.6 cm. The specimen is notable for dilated ducts with a viscous, yellow-tan material within them. This material. extends into one of the nipple ducts. No masses are noted, nor are any areas suspicious for DCIS. appreciated. The anterior-superior portion of the specimen is inked blue, the anterior-inferior portion of. the specimen is inked green, and the posterior aspect of the specimen is inked black. Multiple sections of. unremarkable breast parenchyma are taken for two studies, including a high-risk study and an epithelial. cell study. Representative sections are submitted as follows: Cassettes D1-D2: Nipple and surrounding skin. Cassette D3: Representative section of anterior-inferior breast with dilated duct. Cassette D4: Representative section of lower inner breast with dilated ducts. Cassette D5: Representative section of upper inner breast. Cassette D6: Representative section of medial breast. Cassette D7: Representative section of upper outer breast. Cassette D8: Representative section of upper inner breast. Cassette D9: Representative section of lateral breast. Part E is additionally labeled. It consists of a single irregular fragment of soft, yellow tissue, measuring 5.4 x 3.8 x 1.5 cm. A suture. has been placed on one aspect of the specimen and is designated the new margin. That aspect of the. specimen is inked black, and the specimen is serially sectioned and entirely submitted in cassettes E1. through E5. Part F is received fresh labeled,. It consists of an. Working Draft. ovary, measuring 4.3 x 2 x 0.8 cm, with attached fallopian tube, measuring 0.8 x 0.5 x 6 cm. There is a. simple paratubal cyst, measuring 1.5 x 1.5 x 0.5 cm. This is received undisrupted, with a thin 0.1 cm. translucent wall, and contains 20 CC of clear fluid. In addition, there is a second small paratubal cyst,. measuring 0.5 x 0.5 x 0.5 cm. The ovary is serially sectioned, and no abnormalities are detected, other. than a 0.5 x 0.5 x 0.5 cm small white firm area. The fallopian tube is serially sectioned, and no. abnormalities are detected. Cassettes are submitted as follows: Cassettes F1-F9: Ovary, entirely submitted (firm, white area in cassette F7). Cassettes F10-F12: Fallopian tube, entirely submitted. Cassette F13: Representative section of the paratubal cyst and smaller, 0.5-cm paratubal cyst. Cassette F14: Representative section of broad ligament. Part G is additionally labeled. It consists of an ovary with attached fallopian tube,. weighing 15.9 gm. There is a disrupted hemorrhagic, cystic mass in the broad ligament, measuring 2.3 x. 1.6 x 1.5 cm, no capsule is visualized. A representative section of the cystic mass is submitted for frozen. section diagnosis as FS3. The ovary and tube do not appear involved by the lesion. The ovary is inked. black, it contains a simple corpus luteal cyst measuring 1.5 x 1.6 x 0.8 cm. The ovary measures 3.5 x 3. x. 1 cm, and the tube measures 6.5 x 0.8 cm. The ovary and fallopian tube are serially sectioned, and no. abnormalities are detected. Cassettes are submitted as follows: Cassettes G1-G6: Ovary, entirely submitted. Cassettes G7-G10: Fallopian tube, entirely submitted. Cassettes G11-G12: Lesion in broad ligament, entirely submitted. Cassette G13: Frozen section remnant. Part H is additionally labeled. It consists of an unoriented piece of yellow,. adipose tissue, measuring 5 x 1.3 x 0.4 cm, with a white-tan, soft nodule, measuring 0.3 x 0.3 x 0.3 cm,. attached to one end. This is entirely submitted for frozen section diagnosis as FS4, with the frozen. section remnant submitted in cassette H1. The remaining omentum is entirely submitted in cassette H2. Part I is additionally labeled. It consists of multiple unoriented. fragments of tissue, measuring 1 x 0.3 x 0.1 cm in aggregate. The specimen is entirely submitted for. frozen section diagnosis as FS5, with the frozen section remnant submitted in cassette 11. Part J is additionally labeled. It consists of an aggregate of fatty tissue, measuring 4 x 2 x 0.5. cm. No abnormalities are detected. Tne specimen is entirely submitted in cassettes J1 through J3. /Pathology Resident. Fee Codes: Other Specimens. Specimen Class: Accessioned: Specimen(s) Received: Right Breast, Fine Needle Aspiration. Final Diagnosis. Right Breast, Fine Needle Aspiration: Benign scar tissue, see comment. Working Draft. Specimen Class: Accessioned: Specimen(s) Received: Vaginal/Cervical/Endocervical, Thin Prep Imaged. Final Diagnosis. Vaginal/Cervical/Endocervical, Thin Prep Imaged. NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY. Reactive cellular changes. Atrophic changes. SPECIMEN ADEQUACY: Satisfactory for evaluation. Transformation zone components are present. Specimen Class: Accessioned. Specimen(s) Received: Right Breast, implant capsule. Final Diagnosis. Right breast, implant capsule, capsulectomy: Peri-prosthetic capsule. Specimen Class: Accessioned. Specimen(s) Received: Cervical/Endocervical, Thin Prep Imaged. Final Diagnosis. Cervical/Endocervical, Thin Prep Imaged. NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY. Atrophic changes. SPECIMEN ADEQUACY: Satisfactory for evaluation. No transformation zone components are identified. Specimen Class: Accessioned: Specimen(s) Received: Endometrium, biopsy. Final Diagnosis. Endometrium, biopsy: Fragments of benign endocervical tissue and no definitive. endometrium, see comment. Working Draft. Specimen Class: Accessioned: Specimen(s) Received: Cervical/Endocervical, Thin Prep Imaged. Final Diagnosis. Cervical/Endocervical, Thin Prep Imaged. NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY. Atrophic changes. SPECIMEN ADEQUACY: Satisfactory for evaluation. Transformation zone components are present. Specimen Class: Accessioned. Specimen(s) Received: A: Left breast capsule, B: Right breast capsule. Final Diagnosis. A. Breast capsule, left, excision: Dense fibrous tissue with chronic inflammation. B. Breast capsule, right, excision: Dense fibrous tissue with chronic inflammation. Specimen Class: Accessioned: Specimen(s) Received: Cervical/Endocervical, Thin Prep Imaged. Final Diagnosis. Cervical/Endocervical, Thin Prep Imaged. NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY. Atrophic changes. SPECIMEN ADEQUACY: Satisfactory for evaluation. Transformation zone components are present. Specimen Class: Accessioned: Specimen(s) Received: A: Skin, biopsy, shave, right scalp, B: Skin, biopsy, shave, left scalp, C: Skin, biopsy, punch, left upper. arm. Final Diagnosis. (Final Report Not Signed Out}. {Not Entered}. Specimen Class: Accessioned. Specimen(s) Received: A: Pelvic Washing, B: Diaphragm Washing. Working Draft. Final Diagnosis. A: Pelvic Washing. BENIGN. Reactive mesothelial cells. B: Diaphragm Washing. BENIGN. Reactive mesothelial cells. Specimen Class: Accessioned: Specimen(s) Received: Left Breast, Fine Needle Aspiration. Final Diagnosis. Left Breast, Fine Needle Aspiration: Adenocarcinoma, morphologically consistent. with a primary breast carcinoma. Specimen Class: Accessioned. Specimen(s) Received: Cervical/Endocervical, Thin Prep Imaged. Final Diagnosis. Cervical/Endocervical, Thin Prep Imaged. NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY. Reactive cellular changes. SPECIMEN ADEQUACY: Satisfactory for evaluation. Transformation zone components are present. Specimen Class: Accessioned: Specimen(s) Received: Right foot foreign body. Final Diagnosis. Foot, right, excision: Fragment of hyperkeratotic squamous epithelium. Specimen Class: Accessioned. Specimen(s) Received: Cytology, GYN, Site Not Specified, Thin Prep. Final Diagnosis. Cytology, GYN, Site Not Specified, Thin Prep. Working Draft. NEGATIVE FOR INTRAEPITHELIAL. LESION OR MALIGNANCY. Reactive cellular changes. SPECIMEN ADEQUACY: Satisfactory for evaluation. Transformation zone components are present. Specimen Class: Accessioned. Specimen(s) Received: Cervical/Endocervical, Thin Prep. Fina) Diagnosis. Cervical/Endocervical, Thin Prep. NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY. SPECIMEN ADEQUACY: Satisfactory for evaluation. Transformation zone components are present. Specimen Class: Accessioned. Specimen(s) Received: Vaginal/Cervical/Endocervical, Direct. Final Diagnosis. Vaginal/Cervical/Endocervical,Direct. CELLULAR CHANGES WITHIN NORMAL LIMITS. Endocervical cells present. SPECIMEN ADEQUACY: Satisfactory for evaluation but limited by obscuring white blood cells. Gpecimen Class: Accessioned: Specimen(s) Received: Skin, biopsy, left chin. Final Diagnosis. {Final Report Not Signed Out}. (Not Entered}. Specimen Class: Accessioned. Specimen(s) Received: Cervical, Direct. Final Diagnosis. Cervical, Direct.

expanded version (tokens=5331) : 
 Histological Classification:
- Left breast, mastectomy: Infiltrating ductal carcinoma (2.4 cm), intermediate to high grade ductal carcinoma in-situ (cribriform and comedo types), non-proliferative fibrocystic changes, duct ectasia.
- Right breast, mastectomy: Atypical lobular hyperplasia, non-proliferative fibrocystic changes, duct ectasia.
- Soft tissue, right breast, excision: Fibroadipose tissue with skeletal muscle, no breast parenchyma or carcinoma identified.
- Left ovary and fallopian tube, salpingooophorectomy: No significant pathologic abnormality.
- Right ovary and fallopian tube, salpingooophorectomy: No significant pathologic abnormality.
- Omentum, biopsy: Benign fibrous nodule.
- Soft tissue, left upper peritoneum, biopsy: Benign fibroadipose tissue.
- Omentum, omentectomy: No significant pathologic abnormality.

Main Points:
- Left breast: Infiltrating ductal carcinoma, 2.4 cm in size, intermediate to high grade, no lymphovascular invasion, no necrosis, tumor infiltrating lymphocytes not mentioned, negative for HER2/neu over-expression.
- Right breast: Atypical lobular hyperplasia, no carcinoma identified.
- Lymph node status: Negative for carcinoma in sentinel lymph nodes.


prompt : Please generate a succinct report in 75 words from the above information. Exclude any filler words or sentences. If something is not mentioned or specified, exclude it from the report. Low verbosity.

final output (tokens=5429) : 
 Left breast mastectomy revealed infiltrating ductal carcinoma (2.4 cm, intermediate to high grade) without lymphovascular invasion or necrosis. Right breast mastectomy showed atypical lobular hyperplasia. No carcinoma was identified in the lymph nodes.

