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 Basal, Specimen #: Race: WHITE. Physician (s) : SPECIMEN: A: RIGHT BREAST B: SENTINEL NODE #1 C: SENTINEL NODE #2. D: SENTINEL NODE #3 E: SENTINEL NODE #4 F: left breast. FINAL DIAGNOSIS: A. RIGHT BREAST, SIMPLE MASTECTOMY. FIBROCYSTIC CHANGES TO INCLUDE FIBROADENOMAS, SCLEROSING ADENOSIS,. USUAL DUCTAL HYPERPLASIA, DUCT ECTASIA, CYSTIC CHANGE WITH APOCRINE. METAPLASIA. MICROCALCIFICATIONS IDENTIFIED IN BENIGN PROCESSES (A3) . SKIN AND NIPPLE WITH NO SIGNIFICANT PATHOLOGIC CHANGES. B. LYMPH NODE, SENTINEL #1, BIOPSY: ONE LYMPH NODE POSITIVE FOR ISOLATED TUMOR CELLS (ITC) BY IMMUNOSTAINS. AND POSITIVE FOR ISOLATED TUMOR CELL NODULE ON H AND E. (0/1). (SEE COMMENT). C. LYMPH NODE, SENTINEL #2, BIOPSY: ONE OF TWO LYMPH NODES POSITIVE FOR ISOLATED TUMOR CELLS (ITC) BY. IMMUNOSTAINS; NEGATIVE BY H AND E. (0/2). D. LYMPH NODE, SENTINEL #3, BIOPSY: ONE LYMPH NODE POSITIVE FOR ISOLATED TUMOR CELLS (ITC) BY IMMUNOSTAINS. NEGATIVE BY H AND E. (0/1). E. LYMPH NODE, SENTINEL #4, BIOPSY: ONE LYMPH NODE POSITIVE FOR ISOLATED TUMOR CELLS (ITC) BY. IMMUNOSTAINS. NEGATIVE BY H AND E. (0/1). F. LEFT BREAST, MASTECTOMY: TUMOR TYPE: INFILTRATING DUCTAL CARCINOMA, NO SPECIAL TYPE (F2-F5;. F12-13) . NOTTINGHAM GRADE: POORLY DIFFERENTIATED. NOTTINGHAM SCORE: 9/9. (Tubules= 3, Nuclei= 3, Mitoses= 3 mitotic count 12 per 10 HPF at. 40x power). TUMOR SIZE (GREATEST DIMENSION) : 2.5 CM (measured grossly). Specimen #: FINAL DIAGNOSIS (continued) : TUMOR NECROSIS: ABSENT. MICROCALCIFICATIONS: PRESENT, IN ASSOCIATION WITH PRIOR BIOPSY (F5). AND IN BENIGN BREAST TISSUE. VENOUS / LYMPHATIC INVASION: PRESENT (F5) . MARGINS : NEGATIVE FOR TUMOR. -DISTANCE OF TUMOR FROM NEAREST MARGIN IS 0.34 CM, FROM DEEP MARGIN. (measured microscopically, F12) . INTRADUCTAL COMPONENT: ABSENT. LYMPH NODES: FIVE NODES NEGATIVE FOR TUMOR (PARTS B-E ABOVE) . NIPPLE INVOLVEMENT: ABSENT. SKIN INVOLVEMENT: ABSENT. MULTICENTRICITY: UNIFOCAL. ESTROGEN RECEPTORS: NEGATIVE (Previously performed on. PROGESTERONE RECEPTORS: NEGATIVE (Previously performed on. HER 2 NEU by IHC: NEGATIVE (Previously performed on. PATHOLOGIC STAGE: pT2 NO (i+) MX. ADDITIONAL PATHOLOGIC CHANGES. -CYSTIC CHANGE WITH APOCRINE METAPLASIA. -MICROCALCIFICATIONS IN BENIGN TISSUE. (SEE COMMENT). COMMENT: and. were notified of this. diagnosis by email on. The lymph nodes show individual tumor cells but only one cluster was. identified on H&E and was measured microscopically at 89.: 9 micrometers. or 0.09mm, under the total size of allowable for micrometastasis. 1. CLINICAL DIAGNOSIS AND HISTORY: .year-old female with left breast cancer. GROSS DESCRIPTION: A. Received fresh, labeled with the patient's name,. designated "RIGHT BREAST, ORIENTED SHORT STITCH SUPERIOR AND LONG STITCH. LATIRRAL" is a 685 gram right breast measuring 21.0 cm superior to. 18.0 cm medial to lateral, and 3.5 cm anterior to posterior. FOR OFFICIAL USE ONLY - PERSONAL DATA -. Specimen #: GROSS DESCRIPTION (continued) : moderately dense, inked black. Serial sections reveal a marked discharge. amount. The deep margin a 1.0 cm is centrally located, everted nipple free 7.0 of x 3.5 cm,. displays The lightly pigmented superficial skin ellipse measures and. adipose blue-gray tissue cysts measuring tan-white, up to fibrous 0.5 cm tissue in greatest with multiple dimension. scattered of. identified in the cm lower bulging, tan-white, well circumscribed nodule is. surface. A 0.8 is yellow-tan, lobulated, and comprises 30% of the The cut admixed. fibroadenoma. No lymph nodes outer are quadrant identified. which is consistent with. a. Time in Formalin =. Time excised is not provided. Cassette Key : A1: Skin. A2: Upper outer quadrant. A3: Lower outer quadrant with nodule. A4: Lower inner quadrant. A5: Upper inner quadrant. A6: Central. A7: Additional upper outer quadrant. A8: Additional lower outer quadrant. A9: Additional lower inner quadrant. A10: Upper inner quadrant. All: Nipple. Matched 11CF sections of A1 through A6 are submitted in. for CBCP protocol. designated B. Received fresh, labeled with the patient's name,. CBCP cassettes lymph node. B1 "SENTINEL through The specimen B2. NODE A is #1" matched sectioned, is a 3.0 section x and 1.5 of entirely x B2 0.8 is cm submitted submitted pink-yellow, in fatty. protocol. 2CF. in. for. designated C. Received in formalin, labeled with the patient's. lymph yellow-tan, node. "SENTINEL soft tissue. NODE Sectioning #2" is a 1.5 reveals x 1.5 a x single 0.5 cm name 0.5 irregular cm pink-tan portion of. The specimen is entirely submitted as follows: Cassette Key: C1: Lymph node. : Adipose tissue. 2CF. Specimen #: GROSS DESCRIPTION (continued) : D. Received in formalin, labeled with the patient's name,. designated "SENTINEL NODE #3" is a 2.0 x 1.2 x 0.4 cm yellow-tan fragment. of adipose tissue. This is submitted entirely in cassette D. 1CI. E. Received in formalin, labeled with the patient's name,. designated "SENTINEL NODE #4" is a fragment of yellow-tan, adipose tissue. which measures 0.8 x 0.8 x 0.4 cm. The specimen is submitted entirely in. one cassette. 1CF. F. Received fresh, labeled with the patient's name,. designated "LEFT BREAST AND ORIENTED WITH A SHORT STITCH SUPERIOR, LONG. STITCH LATERAL" is an 844 gram left breast measuring 22.0 cm superior to. inferior, 19.0 cm medial to lateral, and 4.0 cm anterior to posterior. The lightly pigmented superficial skin ellipse measures 10.0 x 2.5 cm and. displays a 1.3 cm centrally located everted nipple free of discharge. No. scar is identified. The deep margin is inked black, and the superficial. inferior surface is inked blue. Serial sections reveal a well. circumscribed mass in the lower outer/lower mid breast. The. mass. measures. 2.5 x 2.5 x 2.5 cm and comes to within 0.2 cm of the deep margin, and 1. 0. cm of the superficial inferior surface. The cut surface is pink-white,. firm and gray. The remainder of the specimen is composed of a marked. amount of dense, pink-white, fibrous tissue with scattered blue-gray cysts. measuring up to 0.5 cm in greatest dimension. The admixed adipose tissue. is yellow-tan, lobulated, and otherwise unremarkable. No additional. lesions are identified. No lymph nodes are identified. Representative. sections of the specimen are submitted as follows: Cassette Key. F1: Skin. F2: Mass with margin. F3: Margin of F2. F4: Mass. F5: Mass. F6: Adjacent normal. F7: Upper outer quadrant. F8: Upper inner quadrant . F9: Lower inner quadrant . F10: Lower outer quadrant. F11: Central. F12-F13 : Additional mass plus deep margin. F14: Upper outer quadrant. F15: Lower outer quadrant. Specimen #. GROSS DESCRIPTION (continued) : F16: Lower inner quadrant. F17: Upper inner quadrant. F18: Nipple. F19: Possible intraparenchymal lymph node candidates.

expanded version (tokens=2458) : 
 Histological Classification: 
1. Fibrocystic changes with fibroadenomas, sclerosing adenosis, usual ductal hyperplasia, duct ectasia, and cystic change with apocrine metaplasia in the right breast. 
2. Left breast: Infiltrating Ductal Carcinoma, no special type (IDC-NST).

Subtype: Basal.

Description of Necrosis: Absent in both breasts.

Tumor Infiltrating Lymphocytes: There is no mention of Tumor infiltrating lymphocytes.

Histological Grade & Nuclear Grade: The histological grade of the left breast tumor is poorly differentiated, and the Nottingham score is 9/9 with tubules = 3, nuclei = 3, mitoses = 3 mitotic count 12 per 10 HPF at 40x power.

Lymphovascular Invasion: Present in the benign process with microcalcifications and infiltrating ductal carcinoma.

Calcification: Microcalcifications are identified in benign processes and associated with prior biopsy.

Receptor Status: Estrogen receptors, progesterone receptors, and HER2/neu by IHC are negative.

Ancillary Testing: No additional ancillary testing results reported.

Pathologic Stage: pT2 NO (i+) MX.

Additional Pathologic Changes: Cystic change with apocrine metaplasia and microcalcifications in benign tissue.

Overall: The right breast shows benign processes, and the left

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=2622) : 
 The patient had a benign right breast with fibrocystic changes and a left basal subtype infiltrating ductal carcinoma (IDC-NST) tumor measuring 2.5cm with poor differentiation (Nottingham score 9/9). Necrosis was absent, but lymphovascular invasion was present in the benign process with microcalcifications and infiltrating ductal carcinoma. Estrogen receptor, progesterone receptor, and HER2/neu by IHC were negative. Ancillary testing results were not reported. Pathologic stage: pT2 NO (i+) MX.

