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, TO. Patient: : Specimen #: Race: WHITE. Physician (s): SPECIMEN: A: RIGHT OUTER BREAST LUMPECTOMY. B: HIGHEST RIGHT AXILLARY LYMPH NODE. C: RIGHT AXILLARY LYMPH NODE DISSECTION. FINAL DIAGNOSIS: A. BREAST, RIGHT OUTER, LUMPECTOMY: - TUMOR TYPE: INVASIVE LOBULAR CARCINOMA, PLEOMORPHIC TYPE (SEE. COMMENT). NOTTINGHAM GRADE: POORLY DIFFERENTIATED (G3). NOTTINGHAM SCORE: 8/9 (Tubules= 3, Nuclei= 3, Mitoses= 2) . - TUMOR SIZE (GREATEST DIMENSION) : 3.2 CM (MEASURED GROSSLY) . - TUMOR FOCALITY: SINGLE FOCUS OF INVASIVE CARCINOMA. - TUMOR SIDE (QUADRANT) : RIGHT OUTER. - VENOUS/LYMPHATIC INVASION: PRESENT. - MARGINS: POSITIVE. TUMOR EXTENDS TO THE ANTERIOR AND INFERIOR INKED TISSUE EDGES. - LOBULAR CARCINOMA IN SITU: NOT IDENTIFIED. - LYMPH NODES: TWENTY-THREE (23) LYMPH NODES POSITIVE FOR METASTATIC. CARCINOMA (SEE PARTS "B" AND "C"). - ESTROGEN RECEPTORS: POSITIVE (95% NUCLEI STAINING, REFER TO. - PROGESTERONE RECEPTORS: NEGATIVE (0% STAINING. REFER TO. - HER 2 NEU by IHC: NEGATIVE, 1+ (REFER TO. - AJCC PATHOLOGIC STAGE (7TH EDITION) : pT2 N3a. B. AXILLARY LYMPH NODE, RIGHT ("HIGHEST") BIOPSY: - ONE (1) LYMPH NODE POSITIVE FOR METASTATIC CARCINOMA (SEE COMMENT). SIZE OF LARGEST METASTATIC DEPOSIT: 0.9 CM. EXTRACAPSULAR EXTENSION: FOCALLY PRESENT. C. AXILLARY LYMPH NODES, RIGHT, DISSECTION: - TWENTY-TW (22) OF TWENTY-THREE (23) LYMPH NODES POSITIVE FOR. METASTATIC CARCINOMA (SEE COMMENT). SIZE OF LARGEST METASTATIC DEPOSIT: 2.1 CM. EXTRACAPSULAR EXTENSION: PRESENT. Specimen #: FINAL DIAGNOSIS (continued) : Comment : The lymph node metastases seen in parts "B" and "C". demonstrate multiple foci of extracapsular extension and in most cases. represent near complete replacement of the underlying nodal architecture. This case received prospective peer review. CLINICAL DIAGNOSIS AND HISTORY: female with medical diagnosis of breast cancer (invasive. mammary adenocarcinoma, right breast breast; positive right axillary node) . PRE-OPERATIVE DIAGNOSIS: None provided. POST-OPERATIVE DIAGNOSIS: None provided. GROSS DESCRIPTION: A: Received fresh, labeled with the patient's name. and designated, "Right Outer Breast Lumpectomy" and consists of an. irregular portion of soft tissue oriented with a single suture - anterior;. double - lateral; and short - superior. The specimen measures 10.5. cm. superior to inferior; 7.0 cm medial to lateral; and 3.0 cm anterior to. posterior. The specimen is inked as follows: superior = blue; inferior =. green; medial = red; lateral = yellow; anterior = orange; and posterior =. black. Serial sections reveal a poorly-defined, firm tan-white mass. measuring 3.2 x 2.5 x 2.0 cm. The mass approaches the closest margin as. follows: 0.2 cm inferior; 0.5 cm deep and anterior; and 1.0 cm medial. The remainder of the specimen is composed of lobulated, yellow-tan adipose. tissue admixed with a minimal amount of fibrous tissue and is otherwise. unremarkable. Representative sections are sequentially submitted from. superior to inferior as follows A1 - superior margin; A2-A4- adjacent. normal; A5-A7- mass with deep and anterior margins; A8- - mass; A9-A10- mass. with deep margin; All-A13- - mass with deep, anterior and medial margin;. A14-A16- - mass with lateral, inferior and anterior margin; A17-A19- mass. with deep and inferior margins. Matched sections of A4 and A6-A8 - are submitted in OCT and Paraffin per. Specimen #: GROSS DESCRIPTION (continued) : CBCP protocol. Time in formalin: 28 hours. B: Received in formalin, labeled with the patient's name. and designated, "Highest Right Axillary Lymph Node" and consists. of an irregular fragment of tan-yellow adipose tissue measuring 1.5 x 1.0. x 0.5 cm. Blunt dissection reveals an ovoid fragment of tan, soft tissue. representing possible lymph node measuring 1.5 cm in greatest dimension. Sectioning of the possible lymph node reveals a tan-white, firm cut. surface. C: Received in formalin, labeled with the patient's name. ind designated, "Right Axillary Lymph Node Dissection" and. consists of an irregular fragment of tan-yellow, lobular adipose tissue. measuring 10.0 x 6.0 x 3.0 cm. The specimen is blunt dissected to reveal. 22 roughly ovoid fragments of tan-white, firm tissue representing possible. lymph nodes ranging from 0.4 to 4.3 cm in greatest dimension. Sectioning. of the possible lymph nodes reveals a tan-white, firm cut surface with. focal areas of hemorrhage. Sections are submitted as follows: C1- five. possible lymph nodes; C2- representative sections of four possible lymph. nodes; C3- - representative sections of four possible lymph node; C4-. representative sections of three possible lymph nodes; C5 - representative. sections of two possible lymph nodes; C6- representative sections of two. possible lymph nodes; C7- - representative section of one possible lymph. node; C8- - one whole possible lymph node, bisected.

expanded version (tokens=1811) : 
 Histological classification: The patient has invasive lobular carcinoma, pleomorphic type. There are no indications of lobular carcinoma in situ within the tissue examined. 

Subtype: The patient has LumA subtype based on the estrogen receptor (ER) positivity of 95% nuclei staining. 

Necrosis: The report doesn't indicate any necrosis. 

Tumor Infiltrating Lymphocytes (TILs): There is no mention of TILs within the report. 

Histological grade and nuclear grade: The Nottingham Histologic Grade of the tumor is poorly differentiated (G3), with a score of 8/9 (Tubules= 3, Nuclei= 3, Mitoses= 2). 

Lymphovascular invasion: There is evidence of venous/lymphatic invasion present. 

Calcification: No calcifications are mentioned within the report. 

Receptor status: The patient's tumor is ER-positive (95% nuclei staining) but progesterone receptor-negative (0% staining). HER2/neu is negative with a score of 1+ by IHC. 

Ancillary testing: Other ancillary testing includes the examination of twenty-three lymph nodes in the right axillary area. Twenty-two of those lymph nodes are positive for metastatic adenocarcinoma. The lymph node metastases demonstrate extracapsular extension in many cases, replacing the nodal architecture. 

Further clinical information regarding the patient's diagnosis or

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=1966) : 
 The pathology report reveals the patient has invasive lobular carcinoma, pleomorphic type, with a tumor size of 3.2 cm and evidence of venous/lymphatic invasion. The tumor is poorly differentiated and ER-positive (95% nuclei staining) but PR-negative (0% staining) and HER2/neu-negative by IHC with a score of 1+. Lymph node examination shows twenty-two of twenty-three lymph nodes are positive for metastatic adenocarcinoma with extracapsular extension in many cases.

