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, R. Specimen #: (Age: Race/: Physician (s) : AMENDED carcinoma, infiltrating ductal NOS. SPECIMEN: LEFT BREAST TISSUE. FINAL DIAGNOSIS: BREAST, LEFT, LUMPECTOMY: - POORLY DIFFERENTIATED ADENOCARCINOMA, CONSISTENT WITH INFILTRATING. DUCTAL CARCINOMA. SEE COMMENT. - NOTTINGHAM GRADE: POORLY DIFFERENTIATED, 9/9 (TUBULES=3, MITOSES=3,. NUCLEI=3) . - TUMOR SIZE 4 CM (GROSS) . - TUMOR NECROSIS: EXTENSIVE, ALL INFILTRATING COMPONENT. - LYMPHOVASCULAR INVASION PRESENT (EXTENSIVE) . - MARGINS POSITIVE (INFERIOR AND ANTERIOR, A10,A6) . - NO INTRADUCTAL COMPONENT IDENTIFIED. ESTROGEN RECEPTOR: NEGATIVE (NO NUCLEAR STAINING, 0%). PROGESTERONE RECEPTOR NEGATIVE (NO NUCLEAR STAINING, 0%). HER2 BY IMMUNOHISTOCHEMISTRY: NEGATIVE (SCORE 0). SEE COMMENT. COMMENT: There is extensive lymphovascular invasion as well as foci of high grade. tumor cells in grossly normal tissue sections away from the tumor. This. report will be amended pending stains to confirm a breast primary origin. Dr. was notified of these results at. ; on. The. clinical history was incorrect, and has been .changea. discussion with Dr. AMENDED COMMENTS: The tumor is CK7+, CK20-, and GCPFD- The pattern is consistent with a. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. specimen #: FINAL DIAGNOSIS (continued) : poorly differentiated infiltrating duct carcinoma, however, a metastatic. process cannot be entirely excluded. CLINICAL DIAGNOSIS AND HISTORY: year. old -- with enlarging complex cystic lesion in the left breast. PRE-OPERATIVE DIAGNOSIS: left breast palpable lesion. GROSS DESCRIPTION: A. Received in formalin labeled with patient's name. BLACK LATERAL, SINGLE BLUE MEDIAL, DOUBLE BLUE DEEP ON PECTORAL FASCIA,. designated "LEFT BREAST TISSUE SINGLE SHORT BLACK SUPERIOR, SINGLE LONG. SINGLE GREEN INFERIOR STITCH". Specimen consists of an ovoid portion of cm. fibrofatty tissue oriented as designated on label. Specimen measures 8. posterior. Specimen is inked as follows: superior blue, inferior green,. superior to inferior, 7 cm medial to lateral, 3.5 cm anterior to. medial red, lateral yellow, anterior orange, posterior black. Serial. sections reveal centrally located 4 x 3.2 x 3.2 cm fleshy pink tan well. circumscribed mass with scattered foci of hemorrhage and necrosis. Mass. abuts anterior margin and located 0.2 cm from posterior margin and 1.5 cm. from superior inferior margin. Surrounding tissue is densely fibrous with. multiple cysts. Cassette summary : A1-A2: mass. A3: adjacent normal. A4: lateral section adjacent to mass. A5: lateral portion of mass near orange margin. A6-A7: contiguous sections adjacent to A2 near orange and black margin. A8-A9: contiguos sections medial to A6-A7. A10: medial sections to A8-A9 nearing green margin. All: most medial glandular section of specimen. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF 1. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT o. Specimen # : GROSS DESCRIPTION (continued) : A12: inferior glandular appearing portion in same section as A8-A9. Matched sections of A1-A3 are submitted in. for. FOR OFFICIAL USR ONLY - PERSONAL DATA - PRIVACY ACT OF.

expanded version (tokens=1257) : 
 Histological classification: Infiltrating ductal carcinoma, subtype Basal.

Necrosis: Extensive tumor necrosis in all infiltrating components.

Tumor infiltrating lymphocytes: Not mentioned.

Histological grade: Poorly differentiated (9/9; tubules=3, mitoses=3, nuclei = 3).

Nuclear grade: Not mentioned except in the histological grade.

Lymphovascular invasion: Present in an extensive form.

Calcification: Not mentioned.

Receptor status: Estrogen receptor and progesterone receptor negative with no nuclear staining (0%). HER2 negative (score 0).

Ancillary testing results: The tumor is CK7 positive, CK20 negative, and GCPFD negative. The report will be amended pending stains to confirm a breast primary origin.

Other points: The tumor size was 4 cm (gross), and the margins were positive (inferior and anterior, A10, A6). No intraductal component identified. The clinical history was incorrect and needed correction. Additionally, there were scattered foci of hemorrhage and necrosis in the mass. Surrounding tissue was densely fibrous with multiple cysts. The report cannot exclude a metastatic process entirely. The sections of the mass were submitted for further testing.

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=1416) : 
 The left breast tissue specimen showed poorly differentiated infiltrating duct basal carcinoma with extensive necrosis and lymphovascular invasion. The margins were positive, and there was no identified intraductal component. Estrogen receptor, progesterone receptor, and HER2 were negative (score 0).  The tumor size was 4 cm (gross), and the histological grade was poorly differentiated (9/9) with no mention of nuclear grading. The report is pending stains to confirm a breast primary origin, as it cannot exclude a metastatic process entirely.

