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) : AMENDED. SPECIMEN: A: SENTINEL NODE #1 B: ADDITIONAL LYMPH NODE. C: SENTINEL LYMPH NODE #2 D: LEFT BREAST LUMPECTOMY. E: FIBROUS TISSUE AT SUP-LAT MARGIN. FINAL DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, EXCISION: - TWO BENIGN LYMPH NODES, NO MALIGNANCY IDENTIFIED. B. LYMPH NODE, "ADDITIONAL, " EXCISION: - NO LYMPH NODE IDENTIFIED. FIBROADIPOSE TISSUE ONLY. C. LYMPH NODE, SENTINEL #2, EXCISION: - ONE BENIGN LYMPH NODE, NO MALIGNANCY IDENTIFIED. D. BREAST, LEFT, LUMPECTOMY: TUMOR FEATURES. TYPE: INFILTRATATING DUCTAL CARCINOMA WITH NEUROENDOCRINE. NOTTINGHAM GRADE: POORLY DIFFERENTIATED (G3). NOTTINGHAM SCORE: 8/9. (Tubules= 20x 3, Nuclei= 3, Mitoses= 2; mitotic count 8 per 10 HPF at. power-0.50 field diameter). TUMOR NECROSIS: ABSENT. TUMOR SIZE (GREATEST DIMENSION) : 3.0 CM (measured grossly). MICROCALCIFICATIONS: ABSENT. VENOUS / LYMPHATIC INVASION: NOT IDENTIFIED. MARGINS : -DISTANCE OF INVASIVE TUMOR FROM NEAREST MARGIN IS 0.5 CM, FROM. INFERIOR MARGIN. INTRADUCTAL COMPONENT: DUCTAL CARCINOMA IN SITU, SOLID TYPE, LOW. NUCLEAR GRADE. MULTICENTRICITY: NOT IDENTIFIED. LYMPH NODES : THREE NEGATIVE FOR TUMOR (see specimens A and C). ESTROGEN RECEPTORS : NEGATIVE. (see specimen. PROGESTERONE RECEPTORS: NEGATIVE. (see specimen. HER 2 NEU by IHC: POSITIVE. (see specimen. Specimen # : FINAL DIAGNOSIS (continued) : PATHOLOGIC STAGE: pT2 NO Mx. ADDITIONAL PATHOLOGIC CHANGES: BENIGN INTRADUCTAL PAPILLOMA. E. SOFT TISSUE, "FIBROUSE TISSUE AT SUPERIOR-LATERAL MARGIN, " EXCISION : - BENIGN BREAST TISSUE, NO MALIGNANCY IDENTIIFIED. CLINICAL DIAGNOSIS AND HISTORY: -year-old female with diagnosis of left breast cancer. GROSS DESCRIPTION: A. Received fresh, labeled with the patient's name,. designated "SENTINEL NODE #1" is a 3.0 x 1.5 x 0.5 cm irregular portion. of. soft tissue. Sectioning reveals a 1.0 x 1.0 x 0.5 cm pink-tan - lymph node. The lymph node is bisected. One half of the lymph node is submitted in. OCT for CBCP protocol, and the remainder is submitted for permanent. 2C2. B. Received in formalin, labeled with the patient's name,. designated "ADDITIONAL LYMPH NODE" is a single, tan-brown. fragment of soft tissue measuring 1.0 cm in greatest dimension. The. specimen is submitted in its entirety in one cassette. 1C1. Recaivad in formalin, labeled with the patient's name,. designated "SENTINEL LYMPH NODE #2" is a lobulated fragment of. yellow, adipose tissue measuring 1.5 x 2.0 x 0.3 cm. The specimen is. bisected to reveal one lymph node measuring 0.7 cm in greatest dimension. The specimen is submitted entirely in one cassette. 1C2. D. Received fresh, labeled with the patient's name,. designated "LEFT BREAST LUMPECTOMY" is a globoid portion of soft tissue. oriented with the short stitch superior and long stitch lateral. The. specimen measures 9.0 cm medial to lateral, 7.5 cm anterior to posterior,. and 4.0 cm superior to inferior. The lightly pigmented superficial skin. ellipse measures 6.5 x 1.0 cm and is otherwise unremarkable. The specimen. .S inked as follows: superior = gold, inferior = green, medial = red,. lateral = yellow, anterior = orange, and posterior = black. Serial. Specimen # : GROSS DESCRIPTION (continued) : sections reveal a firm, very well circumscribed, centrally located,. pink-white mass measuring 3.0 x 2.6 x 2.2 cm. The mass approaches the. margins as follows: superior and inferior 0.7 cm, posterior 0.8 cm, and. medial 1.4 cm. The remainder of the cut surface is composed of lobulated,. yellow-tan, adipose tissue admixed with a moderate amount of tan-white,. fibrous tissue. No additional lesions are identified. Representative. sections are submitted as follows: Cassette Summary: D1-D2: Mass. D3: Adjacent normal. D4-D5: Additional mass. D6-D7: Adjacent to mass. D8: Additional mass, same section as D4. D9: Skin. D10: Additional firm, fibrous tissue. 10CF. The specimen was placed in formalin at. The specimen will be in. formalin for a total of approximately 28 hours. E. Received in formalin, labeled with the patient's name,. designated "FIBROUS TISSUE AT SUPERIOR-LATERAI MARGIN" is a. fragment of yellow-white, fibrous tissue and adipose tissue measuring 3. 7. x. 2.0 x 0.8 cm. Representative sections are submitted entirely in three. cassettes. 3C3.

expanded version (tokens=1728) : 
 Histological Classification and Subtype: The Left Breast Lumpectomy reveals an infiltrating ductal carcinoma subtype HER2 with a neuroendocrine expression. 

Necrosis: There is no evidence of tumor necrosis present. 

Tumor Size and Margin: The size of the tumor in its greatest dimension is 3.0 cm (measured grossly). The distance of invasive tumor from the nearest margin is 0.5cm from the inferior margin.

Lymphovascular invasion: Venous or lymphatic invasion is not identified. 

Calcification: There is no microcalcifications present. 

Receptor Status: The estrogen receptor and progesterone receptors are both negative. The HER2 by IHC is positive. 

Histological Grade and Nuclear Grade: The Nottingham grade is poorly differentiated (G3) with a score of 8/9 (tubules= 20x 3, nuclei= 3, mitoses= 2; mitotic count 8 per 10 HPF at power-0.50 field diameter). The intraductal component showed ductal carcinoma in situ, solid type, low nuclear grade. 

Ancillary Testing: Multicentricity is not identified. Three lymph nodes were negative for the tumor (see specimens A and C). There is additional benign intraductal papilloma. 

Pathologic Stage: The pathologic stage is pT2 NO Mx. 

Additional Pathologic Changes: There is a

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=1883) : 
 Report Summary: The Left Breast Lumpectomy reveals an infiltrating ductal carcinoma subtype HER2 with a neuroendocrine expression. Necrosis and lymphovascular invasion are not identified. Estrogen receptor and progesterone receptors are negative, while the HER2 by IHC is positive. The Nottingham grade is poorly differentiated (G3) with a score of 8/9. Pathologic stage is pT2 NO Mx with additional benign intraductal papilloma present. Three lymph nodes were negative for tumor.

