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 LumB, This report contains corrections, additions or deletions. Any previous versions are stored internally and are available if necessary. Specimen: Spec Type: SURGICAL P. Suba Dr: LEFT BREAST CANCER INVASIVE. DOCTOR (S) 3. PROCEDURE: SENTINEL NODR BX/SIMPLE MASTECTOMY. A. LT SENTINEL NODE #1 - FS. B. LEFT BREAST. C. LEFT AXILLARY NODES. D. ADDITIONAL ANTERIOR MARGIN OF THE INFERIOR PORTION OF LEFT BREAST. A. METASTATIC CARCINOMA. PART A IS RECEIVED DESIGNATED. SENTINEL LYMPH. NODE #1. IT IS RECEIVED IN THE FRESH STATE FOR FROZEN. SECTION AND CONSISTS OF A FRAGMENT OF YELLOWISH-PINK FIBROADIPOSE TISSUE. WITH 2 PALPABLE NODULES, THE SPECIMEN HAVING OVERALL DIMENSIONS 4.3 x. 2.7 x 1.5 CM WITH THE LARGEST NODULE MEASURING 2 x 2 x 1 CM AND THE. SMALLER 1.5 x 1.2 x 0.3 CM. SECTIONING THE LARGER NODULE SHOWS MULTIPLE. GRAY-WHITE NODULES WITHIN A TANNISH-PINK PARENCHYMA MEASURING UP TO 0.6. x 0.4 x 0.4 CM. THE SMALLER NODULE ON SECTIONING REVEALS A. TANNISH-PURPLE PARENCHYMA WITH A 0.8 x 0.5 x 0.5-CM GRAYISH-TAN NODULE. THE SECTIONS SUBMITTED FOR FROZEN SECTION ARE SUBMITTED FOR PERMANENTS. LABELED. SECTIONS OF UNFROZEN TISSUE ARE SUBMITTED WITH A. REPRESENTATIVE SECTION FROM THE LARGEST NODULE AND THE REMAINING SMALLER. NODULE ENTIRELY. REPRESENTATIVE SECTIONS ARE SUBMITTED AS FOLLOWS FSA. SECTION FROM LARGER AND SMALLER NODULES IN 1 CASSETTE: A1-CROSS. SECTION OF LARGEST NODULE, A2 -SMALLER NODULE ENTIRELY, SECTION. PART B RECEIVED LABELED. LEFT BREAST, IS A. SIMPLE MASTECTOMY SPECIMEN MEASURING 23.5 x 22 x 8.0 CM. THE NIPPLE. IS. UNREMARKABLE WITHIN A 13.5 x 9-CM SKIN ELLIPSE. A SUTURE DENOTES 12. THE SUPERFICIAL ASPECT IS MARKED WITH BLUE INK, THE DEEP WITH. Specimen: tatus: Spec Type: SURGICAL P. BLACK. SECTIONING REVEALS YELLOW FATTY TISSUE INTERSPERSED WITH. PINK-TAN GRANULAR FIBROUS TISSUE WHICH IS PRESENT DIFFUSELY THROUGHOUT. THE BREAST. IN THE 6 AND 7 CLOCK AREA, THERE IS A FIRM PINK-TAN LESION. WHICH HAS A CENTRAL CYLDNDRICAL-SHAPEI METAL CLIP. THIS FIRM AREA. MEASURES 4 x 2.5 X 3 CM IN GREATEST DIMENSIONS. IT GROSSLY EXTENDS TO. WITHIN 0.8 CM OF THE DEEP MARGIN AND 0.3 CM OF THE SUPERFICIAL MARGIN. SUPERIOR AND CENTRAL WITHIN THE BREAST, THERE IS A 4.5 x 2-CM AREA OF. FATTY TISSUE WITHOUT FIBROUS BANDS NHICH GROSSLY SEEMS DELINEATED FROM. THE SURROUNDING PARENCHYMAL TISSUE (B2) SECTIONS ARE SUBMITTED AS. FOLLOWS: B1--NIPPLE, 12--CENTRAL FATTY TISSUE, B3--TUMOR AND. SUPERFICIAL MARGIN, B4 THROUGH 7--FULL CROSS-SECTION OF THE LESION TO. INCLUDE THE DEEP AND SUPERFICIAL MARGIN, B8--FIBROUS TISSUE IMMEDIATELY. LATERAL TO THE LESION, 19--TISSUE IMMEDIATELY MEDIAL TO LESION IN LOWER. INNER QUADRANT, B10--UPPER INNER QUADRANT 14 CM FROM LESION, B11--TISSUE. AT 9 O' CLOCK 9 CM FROM LESION, B12--LOWER OUTER QUADRANT 4 CM FROM. LESION, B13--3 O'CLOCK 13 CM FROM LESION, B14--UPPER OUTER QUADRANT 15. CM FROM LESION, 15--ADDITIONAL SECTION OF TUMOR AND SUPERFICIAL MARGIN. SECTIONS OF TUMOR AND BREAST TISSUE ARE SUBMITTED PER PROTOCOL. AFTER X-RAYING THE SPECIMEN, A CLIP IS IDENTIFIED IN THE 6 O' CLOCK AREA. AT THE EDGE OF THE SKIN ELLIPSE. THIS IS 3 CM ANTERIOR AND LATERAL TO. THE PREVIOUSLY DESCRIBED LESION. THIS AREA CONSISTS OF A RED-BROWN CLOT. SURROUNDED BY INDURATED YELLOW-TAN FATTY TISSUE MEASURING 1.7 x 1.0 x 1.5. CM. THIS IS 0.5 CM FROM THE INFERIOR SUPERFICIAL MARGIN AND 3.5 CM FROM. THE DEEP MARGIN. SECTIONS FROM THIS AREA ARE SUBMITTED IN B16 THROUGH. B19. B20--DEEP MARGIN TO LESION B21 -TISSUE TAKEN BETWEEN THIS LESION. AND THE LARGER TUMOR MASS. TISSUE IS ALSO TAKEN FROM THE SECOND AREA PER. PROTOCOL. PART C RECEIVED LABELED. LEFT AXILLARY NODE,. IS YELLOW-RED FATTY TISSUE MEASURING 7.5 x 6 x 1.7 CM. THIS IS EXAMINED. FOR LYMPH NODES. ALSO LOOSE WITHIN THE CONTAINER IS A 1-CM OVOID. RED-TAN STRUCTURE. THIS IS CONSISTENT WITH A GROSSLY UNREMARKABLE LYMPH. NODE. IT IS SECTIONED AND SUBMITTED LABELED C1 WITH A PORTION SUBMITTED. PER PROTOCOL. THREE LARGER NODES ARE IMMEDIATELY IDENTIFIABLE WITHIN. THE FATTY TISSUE. THESE ARE SECTIONED WITH ONE-HALF OF EACH SUBMITTED. WITHIN C2 THROUGH C4, RESPECTIVELY, WITH C3 GROSSLY POSITIVE. SECTIONS. OF THESK NODES ARE ALSO SUBMITTED PER PROTOCOL. ADDITIONAL NODES ARE. SUBMITTED AS FOLLOWS: --FOUR NODES. PART D RECEIVED LABELED. ADDITIONAL ANTERIOR. MARGIN OF THE INFERIOR PORTION OF LEFT BREAST STITCH MARKS 12 O'CLOCK,. IS AN ELLIPTICAL PORTION OF BROWN PIGMENTED SKIN MEASURING 16 x 2.7 x. 0.9 CM. ALONG THE MIDPORTION OF ONE EDGE IS A SUTURE DENOTING 12. D'CLOCK. THIS EDGE IS MARKED WITH BLUE INK. THE 3 O'CLOCK SIDE OF THE. SPECIMEN IS THEN MARKED BLACK AND THE 9 O'CLOCK RED. THE 3 O' CLOCK. ELLIPTICAL END IS AMPUTATED AND BISECTED LONGITUDINALLY AND SUBMITTED AS. Specimen: Spec Type: SURGICAL P. D1. THE 9 O'CLOCK ELLIPTICAL END IS AMPUTATED AND BISECTED. LONGITUDINALLY AND SUBMITTED LABELED D2. BY PALPATION, THERE IS SOME. NODULARITY IN THE CENTRAL PORTION OF THE SPECIMEN AND CROSS-SECTIONS ARE. SUBMITTED IN D3 AND 4. ADDITIONAL SECTIONS FROM THE 3 O' 'CLOCK SIDE ARE. SUBMITTED IN D5 AND ADDITIONAL SECTIONS FROM THE 9 D'CLOCK SIDE ARE. SUBMITTED IN D6. PROCEDURES: PATH FS , A BLK/2, B BLK/15, C BLK/5, D BLK/6, FS-A. PART A LEFT AXILLA, SENTINEL LYMPH NODE #1: METASTATIC BREAST CARCINOMA. IS PRESENT IN ONE OF TWO LYMPH NODES EXAMINED. EXTRANODAL EXTENSION IS. NOT IDENTIFIED. PART B LEFT BREAST, SIMPLE MASTECTOMY. 1. INTRADUCTAL AND INFILTRATING DUCT CARCINOMA. INVASIVE COMPONENT. IS POORLY DIFFERENTIATED SHOWING NUCLEAR GRADE 3/3, MODERATE MITOTIC. INDEX AND TUBULE FORMATION 3 WITH TOTAL NOTTINGHAM SCORE OF 8. HIGH GRADE DCIS OF THE CRIBRIFORM AND SOLID TYPES HAVING AREAS. OF COMEDONECROSIS IS IDENTIFIED SURROUNDING AND WITHIN THE TUMOR. WITH EXTENSION INTO TERMINAL LOBULES COMPRISING APPROKIMATELY 20% OF. THE TUMOR. 2. THE INVASIVE COMPONENT HAS A MAXIMUM GROSS DIMENSION OF 4 CM AND IS. FOCALLY IDENTIFIED APPROXIMATELY 2 MM FROM THE NEAREST INKED. SUPERFICIAL MARGIN (B15). 3. RANDOM SECTIONS OF THE REMAINING QUADRANTS AND NIPPLE SKIN ARE FREE. OF TUMOR. SEE COMMENT. 4. LYMPHOVASCULAR INVASION IS IDENTIFIED. 5. THE BIOPSY SITE. IS PRESENT. 6. DIFFUSE LACTATIONAL CHANGES. PART C LEFT AXILLA, LYMPH NODE DISSECTION: METASTATIC BREAST CARCINOMA. IS IDENTIFIED IN 1 OF 6 LYMPH NODES EXAMINED. EXTRANODAL EXTENSION IS. NOT SEEN. Specimen: Spec Type: SURGICAL P. PART D LEFT BREAST, ADDITIONAL ANTERIOR MARGIN OF THE INFERIOR PORTION,. EXCISION: SKIN AND SUBCUTANEOUS TISSUE WITH NO EVIDENCE OF RESIDUAL. TUMOR AND CLEAR MARGIN. THE SECOND BIOPSY SITE WAS NOT IDENTIFIED ON INITIAL GROSS EXAMINATION. THE SPECIMEN NILL BE X-RAYED TO FIND THE BIOPSY CLIP AND ADDITIONAL. SECTIONS WILL BE SUBMITTED. ADDITIONAL SECTIONS SURROUNDING THE SECOND BIOPSY SITE SHOW DCIS, SOME OF. WHICH EXTENDS INTO TERMINAL LOBULES, RARE MICROSCOPIC FOCI OF. INFILTRATING DUCT CARCINOMA, AND LYMIPHOVASCULAR INVASION. 1.

expanded version (tokens=2792) : 
 Histological classification: Invasive Ductal Carcinoma (IDC) with High Grade Ductal Carcinoma In Situ (DCIS).

Subtype: Luminal B.

Necrosis: Comedonecrosis is identified surrounding and within the tumor.

Tumor infiltrating lymphocytes: Not mentioned.

Histological grade: IDC is poorly differentiated showing nuclear grade 3/3, moderate mitotic index, and tubule formation 3 with a total Nottingham score of 8. High-grade DCIS of the cribriform and solid types is identified surrounding and within the tumor.

Nuclear grade: 3/3.

Lymphovascular invasion: Identified.

Calcification: Not mentioned.

Receptor status: Not mentioned.

IHC and ancillary testing results: Not mentioned.

Other important points: Metastatic carcinoma is present in 1 of 2 lymph nodes examined in the left axilla. The left axillary lymph node is identified as grossly unremarkable. One of six lymph nodes examined in the left axilla during lymph node dissection is identified with metastatic breast carcinoma. The additional anterior margin of the inferior portion of the left breast excision shows no evidence of residual tumor and clear margin. However, rare microscopic foci of infiltrating ductal carcinoma and lymphovascular invasion are identified surrounding and within the second biopsy site. The specimen will be X-rayed to locate the biopsy clip, and additional sections will be submitted.

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=2976) : 
 Invasive Ductal Carcinoma (IDC), with High-Grade Ductal Carcinoma in Situ (DCIS), is found in a sample of the left breast. Metastatic carcinoma is also found in one of two lymph nodes examined in the left axilla. The tumor is identified as Luminal B, poorly differentiated with nuclear grade 3/3 and a total Nottingham score of 8. High-grade DCIS is identified, and lymphovascular invasion is present. No receptor status or calcification mentioned. The left axillary lymph node and the additional anterior margin of the inferior portion of the left breast excision show no remnants of tumor.

