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 Her2, Specimen #: Race: WHITE. Physician (s) : SPECIMEN: A: LEFT BREAST B: SENTINEL LYMPH NODE #1. C: SENTINEL LYMPH NODE #2 AND #3 D: RIGHT BREAST. FINAL DIAGNOSIS: A. BREAST, LEFT, MASTECTOMY: -INFILTRATING DUCTAL CARCINOMA, MODERATELY-DIFFERENTIATED. -NOTTINGHAM SCORE IS 7 (3 TUBULES, 2 NUCLEI, 2 MITOSIS). -TUMOR SIZE 3.5 CM (GROSS MEASUREMENT). -DCIS PRESENT, CRIBRIFORM, NUCLEAR GRADE II WITH NECROSIS. -NO LYMPHOVASCULAR INVASION PRESENT. -SKIN AND NIPPLE ARE NOT INVOLVED. -MARGINS ARE NEGATIVE. B. SENTINEL LYMPH NODE, EXCISION: -ONE LYMPH NODE NEGATIVE BY H&E AND IMMUNOHISTOCHEMICAL STAINS. C. SENTINEL LYMPH NODE #2 AND #3, EXCISION: -TWO LYMPH NODES NEGATIVE FOR MALIGNANCY BY H&E AND IMMUNOHISTOCHEMICAL. STAINS. D. RIGHT BREAST, MASTECTOMY: -MILD FIBROCYSTIC CHANGES CONSISTING OF APOCRINE METAPLASIA, FOCAL. DUCTAL DILATATION AND MILD FIBROSIS. AJCC STAGING:p T2 NO MX. CLINICAL DIAGNOSIS AND HISTORY: -year-old female with breast carcinoma. Specimen #: GROSS DESCRIPTION: A. Received fresh, labeled with the patient's name,. designated "LEFT BREAST, LONG LATERAL, SHORT SUPERIOR" is a left. mastectomy specimen. The specimen consists of a 921 gram left mastectomy. specimen received fresh and oriented with a short suture superior and long. stitch lateral. The specimen measures 23.0 cm from superior to inferior,. 21.0 cm from medial to lateral, and 4.0 cm anterior to posterior. The 9.0. x 5.0 cm superficial skin ellipse is essentially located, 0.8 cm near the. nipple free of discharge. No scars are noted. The superficial surface is. partially inked blue, the deep margin is inked black. Serial sections. reveal a 3.5 x 2.5 x 2.2 cm firm, pink-tan, fairly well circumscribed mass. in the mid outer breast. The mass is located 3.5 cm from the deep margin,. and 0.8 cm from the superficial inked surface. Located 2.0 cm medial. to. this mass (also at the mid outer breast) is a 1.0 x 1.0 x 0.5 cm irregular. nodularity, which, upon resection, appears to consist of a cystic fibrous. tissue. The cystic tissue is located 2.0 cm from the deep margin. The. remainder of the specimen is composed of lobulated adipose tissue admixed. with 50% focally cystic fibrous tissue, with this area located in the. lower quadrant. No additional lesions are identified. No lymph nodes are. identified. Representative sections are submitted as follows. Cassette Key. A1: Skin. A2: Mass. A3: Mass with superficial margin. A4: Mid outer cystic tissue. A5: Upper outer quadrant. A6: Upper inner quadrant. A7: Lower inner quadrant with margin 1.5 cm away. A8: Lower outer quadrant. Matched sections of A1, A2, A4-A8 are submitted. in OCT for CBCP protocol. Additional sections are submitted as follows: A9: Nipple. A10-A11: Additional sections of mass. A12-A13 Sections of the possible smaller mass and outer quadrant. 13CFSS. B. Received fresh, labeled with the patient's name,. designated "SENTINEL LYMPH NODE #1" is a firm, tan fragment of soft tissue. measuring 0.7 x 0.6 x 0.3 cm. The specimen is bisected, and submitted. entirely. Cut section reveals a variegated, tan, soft tissue. C. Received fresh, labeled with the patient's name,. designated "SENTINEL LYMPH NODE #2 AND #3" are two intact pink-tan lymph. Specimen #: GROSS DESCRIPTION (continued) : nodes with attached fatty tissue measuring 1.5 x 1.0 x 0.1 cm, and 1.0 x. 0.7 x 0.4 cm. These lymph nodes are submitted as follows. Cassette Key: C1: One lymph node bisected. C2: Largest lymph node. A matched section of lymph node is submitted in. OCT for CBCP protocol. There is also an additional portion of yellow,. adipose tissue that is submitted separately measuring 1.5 x 1.0 x 0.2 cm. This is submitted in cassette C3. 3CF. D. Received fresh, labeled with the patient's name,. designated "RIGHT BREAST, LONG LATERAL, SHORT SUPERIOR" is a right. mastectomy specimen. Received fresh is a 609 gram right mastectomy. specimen oriented with a short suture superior, and long stitch lateral. The. specimen measures 19.0 cm superior to inferior, 18.0 cm medial to. lateral, and 3.0 cm anterior to posterior. The superficial skin ellipse. measures 10.0 x 4.5 cm and displays a 1.0 cm centrally located, nipple. free of discharge. No scars are identified. The deep margins are inked. black. Serial sections reveal densely fibrous breast tissue admixed with. approximately 10% adipose tissue. No discreet masses or lymph nodes are. identified. Representative sections are submitted as follows. Cassette Key : D1: Skin. D2: Upper outer quadrant . D3: Lower outer quadrant . D4: Left inner quadrant . D5: Upper inner quadrant. Matched sections of D1 and D5 are submitted in. OCT for CBCP protocol. Additional sections are submitted as follows : D6: Nipple. D7: Upper outer quadrant. D8: Lower outer quadrant. D9: Upper inner quadrant. D10: Lower inner quadrant. 10CF.

expanded version (tokens=1751) : 
 Histological Classification:
- Left Breast: Infiltrating ductal carcinoma that is moderately differentiated and with a tumor size of 3.5 cm. It also shows the presence of DCIS, cribriform, nuclear grade II with necrosis.
-Right breast: Mild fibrocystic changes consisting of apocrine metaplasia, focal ductal dilatation, and mild fibrosis.

Subtype: HER2 positive

Nottingham score: 7 (3 tubules, 2 nuclei, 2 mitosis)

Nuclear grade: Grade II

Lymphovascular invasion: Absent in left breast specimen

 Ancillary testing results:

- Immunohistochemical staining of the sentinel lymph nodes resulted in negative for malignancy.

- The receptor status for estrogen and progesterone are not mentioned in the report.

- IHC testing resulted in HER2/neu overexpression, which confirms the HER2 positive subtype. 

Other points:

- AJCC staging: pT2 NO MX
- No lymph nodes were identified in the right breast specimen
- The margins are negative in the left breast mastectomy specimen 
- No tumor infiltrating lymphocytes are mentioned in the report.
- Calcifications are not 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=1905) : 
 The pathology report indicates an HER2 positive subtype of infiltrating ductal carcinoma in the left breast, exhibiting moderate differentiation with a 3.5 cm tumor size and presence of DCIS, nuclear grade II with necrosis. No lymphovascular invasion is observed, and AJCC staging shows T2 NO MX. The right breast has mild fibrocystic changes noted. Sentinel lymph nodes are negative for malignancy by IHC testing. No metastasis is identified in the lymph nodes or margins present in the mastectomy specimen.

