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 #: F. Race: WHITE. Physician (s) : AMENDED. SPECIMEN: A: INTERPECTORAL NODE B: LEFT BREAST AND AXILLARY CONTENTS. FINAL DIAGNOSIS: A. LYMPH NODE, LEFT INTERPECTORAL, EXCISION: - METASTATIC DUCTAL CARCINOMA WITH EXTRACAPSULAR EXTENSION. SIZE OF DEPOSIT: 0.6 CM. EXTENT OF EXTRANODAL TUMOR: 4 MM (See comment;. ONE LYMPH NODE EXAMINED. B. BREAST AND AXILLARY CONTENTS, LEFT, MASTECTOMY WITH REGIONAL LYMPH NODE. DISSECTION: INVASIVE DUCTAL CARCINOMA, WELL DIFFERENTIATED (NOTTINGHAM SCORE 5). TUBULE FORMATION 20% = 2. NUCLEAR PLEOMORPHISM = 2. MITOSES 9 per 10 HPF AT 40X FIELD AREA 0.2376 SQ. MM = 1. - INVOLVING THE DERMIS, EPIDERMIS, AND NIPPLE; WITH ULCERATION. - SIZE = 7.0 CM (GROSS DIMENSION). - DEEP (SKELETAL MUSCLE) MARGIN IS INVOLVED BY TUMOR. - LYMPH VASCULAR AND PERINEURAL INVASION IS IDENTIFIED. - SEVEN OF ELEVEN EXAMINED LYMPH NODES WITH METASTATIC CARCINOMA;. EXTRACAPSULAR EXTENSION IS PRESENT, EXTENT OF EXTRANODAL TUMOR : AT LEAST 6 MM (See comment;. MAXIMUM DIMENSION OF LARGEST DEPOSIT: 1.8 CM. - AJCC CLASSIFICATON pT4b (ulceration) N2aMX. COMMENT: The report is amended on. to add the extent of extracapsular. extension of tumor in response to a request from the tumor board. The. measurement is the distance from the estimated location of the obliterated. lymph node capsule to the outer extent of the tumor deposit on the. microscopic slide. FOR OFFICIAL USE ONLY - PERSONAL DATA. Specimen #: FINAL DIAGNOSIS (continued) : I. CLINICAL DIAGNOSIS AND HISTORY: -year-old white female with left breast cancer. PRE-OPERATIVE DIAGNOSIS: Left breast cancer. POST-OPERATIVE DIAGNOSIS: Operative Findings Left breast cancer. Post-Operative Diagnosis: Left breast cancer. GROSS DESCRIPTION: A. Received fresh, labeled with the patient's name,. designated " INTERPECTORAL NODE" consists of an apparent lymph node,. measuring 1.3 x 0.9 x 0.6 cm. The node is bisected revealing firm, yellow. and tan tissue. One half of the specimen is submitted for the CBCP. protocol. The remaining half is submitted for permanent section. B. Received fresh, labeled with the patient's name,. designated "LEFT BREAST AND AXILLARY CONTENTS" consists of a 508.0 gram. modified radical mastectomy specimen. The breast measures 17.5 x 14. 5 x. 3.8 cm, attached axillary contents measure 13.0 x 5.2 x 1.5 cm, and. overlying nipple-bearing skin measures 13.0 x 9.5 cm. INK CODE: Blue=superior superficial, green=inferior superficial, and. black=deep. The axillary contents are examined and disected from the breast and has. multiple palpable lymph nodes, many of which are suspcious for metastasis. A large portion of the skin is covered with gauze dressing, which is. removed, revealing areas of retraction and ulceration (largest 2.2 x 1.6. cm) superior to the nipple/areolar complex, overlying a large palpable. tumor. The breast is sectioned from the posterior aspect revealing a 7.0 x 5.1 x. 3.5 cm tumor, which anteriorly erodes through the skin and posteriorly. involves a 3.0 x 2.5 cm segment of skeletal muscle. The tumor is. centrally-located and extends into the upper mid and upper inner portions. of the breast. It has a firm, tan, gritty cut surface. The remaining. Specimen # : GROSS DESCRIPTION (continued) : breast tissue is predominantly fatty and unremarkable Multiple sections. are submitted for the CBCP protocol with matching paraffin sections as. follows: B1: Lymph node, lower portion of axillary tail, 1.8 x 1.7 x 1.3 cm. B2: Grossly normal lymph node, mid upper portion of tail. B3: Grossly normal skin (medial tip). B4: Skin with underlying tumor. B5: Skeletal muscle with tumor. B6: Tumor, medial aspect. B7: Tumor, lateral aspect. B8: Grossly normal fibrous tumor, inferior to tumor. B9: LIQ, 3.5 cm from tumor. B10: LOQ, 4.0 cm from tumor. B11: UOQ, 3.5 cm from tumor. B12: UIQ, 2.0 cm from tumor. B13: : Nipple. B14-B17: One lymph node, bisected, in each cassette. B18: Five potential lymph node candidates. 18CFSS.

expanded version (tokens=1499) : 
 Histological classification: Invasive ductal carcinoma, well differentiated (Nottingham score 5) involving the dermis, epidermis, and nipple; Metastatic ductal carcinoma with extracapsular extension in lymph node.

Subtype: Luminal A.

Necrosis: No mention of necrosis in the report.

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes in the report.

Histological grade: Well differentiated (Nottingham score 5).

Nuclear grade: Nuclear pleomorphism grade 2.

Lymphovascular invasion: Lymphovascular invasion is identified.

Calcification: No mention of calcification in the report.

Receptor status: The report does not explicitly state the hormone receptor status or HER2 status. However, as the subtype is mentioned as LumA, it indicates that the tumor is hormone receptor positive and HER2 negative.

IHC and ancillary testing: No mention of any IHC or ancillary testing 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=1652) : 
 The report indicates a LumA subtype well-differentiated invasive ductal carcinoma of 7 cm size in the left breast with extensive lymphovascular invasion and metastasis in 7 out of 11 examined axillary lymph nodes. The tumor has pleomorphic nuclei, with no necrosis, calcification, or mention of tumor-infiltrating lymphocytes. Hormone receptor status is positive while HER2 status is negative. Surgical margins are involved. There is a history of left breast cancer in a  year-old white female.

