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 Normal, of '. specimen: spec Type: SURGICAL P. D. RIGHT BREAST CANCER - INVASIVE. DOCTOR ($): PROCKDURE: MODIFIND BADICAL. A. RIGHT MODIFIED RADICAL MASTECTOMY. B. MEDIAL SKIN RIGHT BREAST. PART A IS RECEIVED LABELED. RIGHT MODIFIED RADICAL. MASTECTOMY STITCH MARKS 12 O'CLOCK, IS A RIGHT MODIFIED RADICAL. MASTECTOMY SPECIMEN MEASURING 26 x 18.5 x 5.5 CM IN GREATEST DIMENSIONS. THE NIPPLE IS UNREMARKABLE AND IS WITHIN A 19 x 11.7 CM SKIN ELLIPSE. IN. THE 5 TO 6 O'CLOCK AREA AT THE INFERIOR MARGIN THERE IS A 3 CM IN. DIAMETER CYSTIC STRUCTURE. THE SKIN HAS A BROWN DISCOLORED PLAQUE-LIKE. AREA AT 12 O'CLOCK. THERE IS A PALPABLE FIBROUS MASS IN THE BREAST TISSUE. BENEATH THE SUTURE SPANNING A DISTANCE OF 6 x 5 x 3.5 CM. THE SUPERFICIAL. ASPECT IS MARKED WITH BLUE INK, THE DEEP MARGIN WITH BLACK. THE AXILLARY. TAIL IS REMOVED FROM THE SPECIMEN AND WHERE IT IS REMOVED IT IS MARKED. WITH RED INK AND DOES NOT REPRESENT TRUE MARGIN. THERE IS ONE GROSSLY. POSITIVE LYMPH NODE IN THE MIDPORTION OF THE AXILLARY TAIL. THE HIGHEST. NODE GROSSLY IS NEGATIVE. SECTIONS ARE SUBMITTED AS FOLLOWS: A1--NIPPLE, A2--ONE-HALF OF A GROSSLY POSITIVE LYMPH NODE (REMAINDER. SUBMITTED PER PROTOCOL), 13--GROSSLY HIGHEST LYMPH NODE, A4--ONE LYMPH. NODE BISECTED, A5--ONE LYMPH NODE BISECTED, A6--ONE LYMPH NODE. A7--TUMOR. AND DEEP MARGIN, A8 AND A9--TUMOR AND SKIN ADDING TO A8 AN AREA OF COIL. CLIP, A10--TUMOR AT INFERIOR ASPECT ADJACENT TO FIBROUS TISSUE,. All--TISSUE IMMEDIATELY ADJACENT TO TUMOR UPPER INNER QUADRANT,. 12--TISSUE IMMEDIATELY ADJACENT TO TUMOR UPPER OUTER QUADRANT,. A13--ADDITIONAL UPPER OUTER QUADRANT, A14--LOWER OUTER QUADRANT 4.5 CM. FROM GROSS TUMOR, A15--LOWER INNER QUADRANT 3 CM FROM GROSS TUMOR,. A16--CYSTIC STRUCTURE IN 5 O'CLOCK AREA. THE AXILLARY TAIL IS THEN. FURTHER EXAMINED FOR LYMPH NODES, WHICH ARE SUBMITTED AS FOLLOWS : A17--ONE NODE BISECTED, A18--ONE BONE BISECTED, A19--ONE NODE BISECTED,. A20--ONE NODE BISECTED. ASSOCIATED WITH THE PLAQUE-LIKE AREA OF THE SKIN. IS AN UNDERLYING FIRM PINK-GRAY MASS MEASURING 3.5 x 3.3 x 3.1 CM IN. GREATEST DIMENSIONS. GROSSLY THIS EXTENDS TO WITHIN 0.8 CM OF THE DEEP. MARGIN. THE CENTRAL PORTION OF THE BREAST ALSO DEMONSTRATES DENSE. GRAY-TAN FIBROUS TISSUE WITH MULTIPLE CYSTS. ADDITIONAL SECTIONS ARE SUBMITTED AS FOLLONS FOLLONING INITIAL REVIEW OF. SLIDES: A21 AND A22--SKIN MARGIN, 23--SUPERFICIAL MARGIN. Chief of Pathology. Fhone (. (Contiaued). Speciment. Regti. spec Type: SURGICAL P. PART B IS RECEIVED. MEDIAL SKIN RIGHT BREAST. IT CONSISTS. OF AN UNORIENTED, SOMEWHAT TRIANGULAR PORTION OF SKIN WITH UNDERLYING. SUBCUTANEOUS TISSUE, APPROXIMATELY 2 x 1 x 1 CM. THE RESECTION IS INKED. THE SPECIMEN IS SECTIONED AND ENTIRELY SUBMITTED IN CASSETTES B1 AND B2. PROCEDURES: 88305, 88309, A BLK/23, B BLK/2. PART A RIGHT MODIFIED RADICAL MASTECTOMY: IN SITU AND INFILTRATING. DUCTAL CARCINOMA. THE INFILTRATING TUMOR IS MODERATELY DIFFERENTIATED,. NUCLEAR GRADE III/III WITH A MODERATE MITOTIC INDEX. THE SUPERFICIAL. ASPECT OF THE TUMOR EXTENDS INTO THE DERMIS. THE DEEP MARGIN IS FREE OF. TUMOR BY A DISTANCE OF 10 MM FOR A SUPERFICIAL TO DEEP SIZE OF 35 MM. OVER 90% OF THE TUMOR IS INVASIVE. AREAS OF PROBABLE BREAST LYMPHATIC. SPACE INVASION ARK PRESENT BUT DERMAL LYMPHATIC SPACE INVASION IS NOT. IDENTIFIED. BREAST TISSUE AWAY FROM THE PRIMARY TUMOR MASS SHONS. PROLIFERATIVE FIBROCYSTIC DISEASE. SKIN MARGINS CLOSEST TO THE TUMOR ARE. NEGATIVE. METASTATIC CARCINOMA IS PRESENT IN 4 OF 9 LYMPH NODES. PART B MEDIAL SKIN OF RIGHT BREAST, RESECTION: SKIN AND SUBCUTANEOUS FAT. WITH NO EVIDENCE OF MALIGNANCY. 1. (prelim.). (signature on file).

expanded version (tokens=1608) : 
 Histological classification: In situ and infiltrating ductal carcinoma of the breast.

Subtype: Not mentioned.

Necrosis: No mention of necrosis.

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

Histological grade/Nuclear grade: Moderately differentiated infiltrating ductal carcinoma with a nuclear grade III/III and a moderate mitotic index.

Lymphovascular invasion: Identified areas of probable breast lymphatic space invasion but no dermal lymphatic space invasion is identified.

Calcification: No mention of calcification.

Receptor status: Not mentioned.

IHC and any other ancillary testing results: Not mentioned. 

Other findings: Grossly highest lymph node is negative for carcinoma while 4 out of 9 lymph nodes showed metastatic carcinoma. Skin margins closest to the tumor are negative. Additionally, proliferative fibrocystic disease is observed in breast tissue away from the primary tumor mass.

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=1765) : 
 The pathology report reveals moderately differentiated in situ and infiltrating ductal carcinoma of the breast, nuclear grade III/III with a moderate mitotic index. Areas of probable breast lymphatic space invasion are identified but dermal lymphatic space invasion is not identified. Proliferative fibrocystic disease is present in breast tissue away from the primary tumor mass. Skin margins closest to the tumor test negative while metastatic carcinoma is found in 4 out of 9 lymph nodes. Cancer subtype, calcification, and receptor status is not mentioned.

