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, Specimen #: Race: WHITE. SPECIMEN: A: RIGHT BREAST B : ADDITIONAL RIGHT BREAST TISSUE. C: MUSCLE, LEFT BREAST, DEEP D: LEFT BREAST. E: ADDITIONAL LEFT BREAST TISSUE. F: RIGHT AXILLARY SENTINEL LYMPH NODE. G: RIGHT AXILLARY SENTINEL LYMPH NODE. H: ADDITIONAL LEFT BREAST TISSUE, INFRAMAMMARY CREASE. I: LEFT AXILLARY SENTINEL LYMPH NODE. J: LEFT AXILLARY SENTINEL LYMPH NODE #2. FINAL DIAGNOSIS: A. BREAST, RIGHT, MASTECTOMY: - INFILTRATING DUCTAL CARCINOMA, GRADE II (3 FOR TUBULE FORMATION, 2. FOR PLEOMORPHISM, 1 FOR MITOSES = 6). - TUMOR MEASURES 2.2 X 2.0 X 1.5 CM (GROSS). - MARGINS NEGATIVE FOR TUMOR (APPROACHES 2.0 CM FROM DEEP MARGIN). - NO DUCTAL CARCINOMA IN SITU IDENTIFIED. - NO LYMPHVASCULAR INVASION IDENTIFIED. - USUAL DUCTAL HYPERPLASIA (A11). - BIOPSY SITE CHANGES. - UNREMARKABLE SKIN AND NIPPLE. - AJCC STAGE pT2NOMX. B. BREAST, RIGHT, EXCISION: - UNREMARKABLE FIBROADIPOSE TISSUE. - NO EVIDENCE OF MALIGNANCY. C. SOFT TISSUE, DEEP LEFT BREAST, EXCISION: - UNREMARKABLE SKELETAL MUSCLE AND MATURE ADIPOSE TISSUE. - NO EVIDENCE OF MALIGNANCY. D. BREAST, LEFT, MASTECTOMY: - INFILTRATING DUCTAL CARCINOMA, GRADE II (3 FOR TUBULE FORMATION, 2. FOR PLEOMORPHISM, 1 FOR MITOSES = 6) WITH ASSOCIATED NECROSIS. - TUMOR MEASURES 2.2 x 1.8 x 1.8 CM (GROSS) . - TUMOR ABUTS THE DEEP MARGIN WITHOUT DEFINITIVE INVOLVEMENT (D4). - FOCAL ASSOCIATED DUCTAL CARCINOMA IN SITU, SOLID TYPE (D6 AND D7). - FOCAL VASCULAR INVASION (D6). - BIOPSY SITE CHANGES. specimen #: FINAL DIAGNOSIS (continued) : - UNREMARKABLE SKIN AND NIPPLE. - AJCC STAGE pT2NOMX. E. BREAST, LEFT, EXCISION: - UNREMARKABLE FIBROADIPOSE TISSUE. F. LYMPH NODE, RIGHT AXILLARY, EXCISION: - NO EVIDENCE OF MALIGNANCY BY HEMATOXYLIN AND EOSIN AND IMMUNO- -. HISTOCHEMICAL STAINS (0/1). G. LYMPH NODE, RIGHT AXILLARY, EXCISION: - NO EVIDENCE OF MALIGNANCY BY HEMATOXYLIN AND EOSIN AND IMMUNO-. HISTOCHEMICAL STAINS (0/5). H. SOFT TISSUE, LEFT INFRAMAMMARY CREASE, EXCISION: - BENIGN BREAST TISSUE. I. LYMPH NODE, LEFT AXILLA, EXCISION: - NO EVIDENCE OF MALIGNANCY BY HEMATOXYLIN AND EOSIN AND IMMUNO-. HISTOCHEMICAL STAINS (0/2). J. LYMPH NODE, LEFT AXILLA, EXCISION: - NO EVIDENCE OF MALIGNANCY BY HEMATOXYLIN AND EOSIN AND IMMUNO- -. HISTOCHEMICAL STAINS (0/1). CLINICAL DIAGNOSIS AND HISTORY: white female with synchronous bilateral infiltrating. breast carcinoma. FROZEN SECTION DIAGNOSIS: C. SPECIMEN TYPE: CHEST WALL. REPORTED TO: DR. REPORTED BY: DR. # BLOCKS : 2. Specimen #: FROZEN SECTION DIAGNOSIS (continued) : # SCRAPE PREPS 0. FROZEN SECTION DIAGNOSIS: - -NEGATIVE FOR TUMOR BASED ON TISSUE SUBMITTED. GROSS DESCRIPTION: A. Received fresh, labeled with the patient's name,. designated "RIGHT BREAST" is a 980 gram simple mastectomy specimen. measuring 23.5 cm superior to inferior, 18.0 cm medial to lateral, and 5.1. cm anterior to posterior. The overyling ellipse of nipple bearing skin. measures 7.4 x 3.8 cm, and is without gross abnormalities. Ink code. blue=superior/anterior, green=inferior/anterior, and black=posterior. Sectioning reveals a 2.2 x 2.0 x 1.5 cm stellate tumor with a tan, gritty,. and focally hemorrhagic cut surface in the lower outer quadrant, 2.0 cm. from the deep margin, and 2.5 cm from the inferior/anterior margin. The. remaining tissue is mostly fatty with interspersed lengths of soft, white,. parenchyma. Multiple tissue sections are submitted for CBCP protocol. with. matching paraffin sections in cassette A1, A2, A3, and A7. Slide key: A1: Skin. A2: Tumor. A3: Tumor. A4-A6: Margins nearest tumor. A7: Fibrosis (central). A8: Nipple. A9: Upper inner quadrant. A10: Lower inner quadrant. All: Lower outer quadrant. A12: Upper outer quadrant. 12CF. B. Received in formalin, labeled with the patient's name,. designated 'ADDITIONAL RIGHT BREAST TISSUE" are two fragments of. can-yellow, fibrofatty, non-oriented, soft tissue. The larger measures. 11.0 x 9.5 x 3.5 cm. The smaller measures 7.5 x 7.0 x 3.8 cm. The outer. portion of both specimens is inked entirely in black. Sectioning reveals. a uniform, glistening, yellow, lobular cut surface admixed with a scant. portion of white, fibrous appearing connective tissue. Representative. sections are submitted. Specimen #: GROSS DESCRIPTION (continued) : Slide key : B1-B6: - Random sections of larger fragment. B7-B10 Random sections of smaller fragment. 10CF. C. Received fresh for intraoperative consultation, labeled with the. patient's I designated "ADDITIONAL CHEST WALL DEEP AT. SITE OF TUMOR, LEFT BREAST SHORT SUPERIOR, LONG LATERAL DOUBLE DEEP" is a. 7.5 x 3.5 x 0.8 cm fragment of red-brown, soft tissue. The surface. appears to be muscle grossly. Sectioning reveals a white, fibrous. appearing band 0.3 cm thick, running the length of the center of the. specimen parallel to the deep margin. The specimen is inked deep in. black, superior in yellow, and inferior in green. The specimen is. entirely submitted lateral to medial. Slide key. C1: Inferior portion of section 1.0 cm from the lateral margin contiguous. with C5. C2: Inferior portion of section submitted for frozen contiguous with C10. 14CF. D. Received fresh, labeled with the patient's name,. designated "LEFT BREAST" is a 984 gram simple mastectomy specimen. The. specimen measures 26.0 cm superior to inferior, 18.0 cm medial to lateral,. and 5.8 cm anterior to posterior. The overlying ellipse of nipple bearing. skin measures 7.2 x 3.5 cm, and is notable for an inverted nipple. Ink. code: blue=superior/anterior, green=inferior/anterior, and. black=posterior. Sectioning reveals a 2.2 x 1.8 x 1.8 cm tumor with. stellate margins, and tan, gritty, hemorrhagic cut surface in the lower. outer quadrant abutting the deep margin. The remaining tissue is mostly. fatty with interspersed widths of soft, white parenchyma. Multiple tissue. sections are submitted for CBCP protocol with matching paraffin sections. in cassettes D1, D4, and D5. Slide key: D1: Skin (medial tip) . D2-D4: Tumor with margin. D5: : Fibrous, upper outer quadrant, 5.0 cm from tumor. D6-D8: Remaining lateral portion of tumor including deep black inked. margin. D9: Two sections of nipple. Specimen #: GROSS DESCRIPTION (continued) : D10: Upper outer quadrant. D11: Lower outer quadrant. D12: Lower inner quadrant. D13: Upper inner quadrant. 13CF. E. Received in formalin, labeled with the patient's name,. designated "ADDITIONAL LEFT BREAST TISSUE" is an unoriented,. yellow-tan,. fibrofatty fragment measuring 8.3 x 6.5 x 3.5 cm. The entire outer. portion of the specimen is inked in black. Sectioning reveals a uniform,. can-yellow, glistening, lobular, cut surface admixed with widths of soft,. white, parenchyma. Representative sections are submitted. 4C6. F. Received fresh, labeled with the patient's name,. designated "RIGHT AXILLARY SENTINEL LYMPH NODE" is a 1.9 x 1.4 x 1.2 cm. lymph node with adherent fat. Half of the node is submitted for the CBCP. protocol. The remaining half is submitted for paraffin sections. 1C1. G. Received fresh, labeled with the patient's name,. designated "RIGHT AXILLARY SENTINEL LYMPH NODE #2" is a 1.4 x 1.3 x 0.8 cm. lymph node with adherent fat. Half of the node is submitted for the CBCP. protocol. The remaining half is submitted for paraffin section in G1. The remaining fatty tissue is bisected, and entirely submitted in. cassettes G2 and G3. 3CF. H. Received in formalin, labeled with the patient's name,. designated "ADDITIONAL LEFT BREAST TISSUE, INFRAMAMMARY CREASE" is a 9.5 x. 7. x 4.5 cm fragment of tan-yellow, glistening, fibrofatty, lobulated,. soft tissue. The specimen arrives unoriented. The entire outer portion. is inked in black. Sectioning reveals a smooth, glistening, lobulated,. fibrofatty, yellow-tan, cut surface admixed with widths of soft, white. parenchyma. Representative sections are submitted. 8CF. I. Received fresh, labeled with the patient's name,. designated "LEFT AXILLARY SENTINEL LYMPH NODE" are two lymph nodes with. adherent fat measuring 2.2 and 2.0 cm in greatest dimension. Half of the. larger node is submitted for the CBCP protocol. The remaining half is. submitted for paraffin section in cassette Il. The smaller node is in. cassette I2. The remaining fatty tissue is submitted in cassettes I3. through I6. 6CF. J. Received in formalin, labeled with the patient's name,. designated "LEFT AXILLARY SENTINEL LYMPH NODE #2" is a 3.2 x 2.0 x 1.2 cm. Specimen #: GROSS DESCRIPTION (continued) : yellow-tan fragment of fibrofatty, soft tissue. Within the soft tissue. there is a single identifiable lymph node measuring 0.9 cm in greatest. dimension. The node is submitted in J1. The remainder of fibrofatty,. soft tissue is submitted in J2. 2C2.

expanded version (tokens=2991) : 
 Histological classification: Infiltrating ductal carcinoma found in right and left breasts, Subtype LumA.

Subtype: LumA, meaning the cancer cells are hormone-receptor positive and HER2 negative, indicating a lowish chance of recurrence.

Description of Necrosis: There is associated necrosis in the infiltrating ductal carcinoma of the left breast, found with a tumor measuring 2.2 x 1.8 x 1.8 cm.

Tumor-infiltrating lymphocytes: No mention of tumor-infiltrating lymphocytes.

Histological grade: Grade II (3 for tubule formation, 2 for pleomorphism, 1 for mitoses = 6) for both infiltrating ductal carcinomas in the right and left breasts.

Nuclear grade: Not mentioned.

Lymphovascular invasion: No lymphovascular invasion identified in malignant tumors.

Calcification: Not mentioned.

Receptor status: The subtype LumA shows the cancer cells are hormone receptor-positive and HER2 negative.

IHC and other ancillary testing results: No other tests were done or mentioned in the report.

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=3130) : 
 Synchronous bilateral infiltrating ductal carcinoma of Subtype LumA, Grade II in both breasts. Necrosis observed in the left breast tumor measuring 2.2 x 1.8 x 1.8 cm in size. No tumor-infiltrating lymphocytes identified. No lymphovascular invasion found, and no mention of calcification or nuclear grade. The cancer cells are hormone receptor-positive and HER2 negative as per the LumA subtype.

