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 - 34. Unit#: : Specimen: Spec Type: SURGICAL P. PREOPERATIVE DIAGNOSIS. RIGHT BREAST CANCER INVASIVE. OPERATION PERFORMED. DOCTOR. PROCEDURE: MASTECTOMY MODIFIED RADICAL. TISSUE REMOVED. A. RT BREAST MASTECTOMY. B. RT AXILLARY NODE DISSECTION. GROSS DESCRIPTION. RECEIVED IN 2 PARTS. A RECEIVED LABELED. RIGHT BREAST STITCH 12 O'CLOCK IS A. 650 GRAM SIMPLE MASTECTOMY SPECIMEN MEASURING 23.5 X 21.5 x 3.7 CM. THE. NIPPLE IS UNREMARKABLE WITHIN A SKIN ELLIPSE MEASURING 23.5 x 12.5 CM. A SUTURE DENOTES 12 O'CLOCK. THE SUPERFICIAL ASPECT IS MARKED WITH BLUE. INK, THE DEEP WITH BLACK. SECTIONING REVEALS A CENTRAL PORTION OF THE. BREAST TO BE A MIXTURE OF TAN FIBROUS TISSUE AND YELLOW FAT. THE. PERIMETER CONSISTS OF BLAND YELLOW FATTY TISSUE. IN THE 10 O'CLOCK AREA. OF THE BREAST IS A FIRM MASS MEASURING 4 CM FROM MEDIAL TO LATERAL BY. 3.5 CM FROM SUPERIOR TO INFERIOR AND 2.1 CM FROM ANTERIOR TO POSTERIOR. THERE IS A SMALL RIM OF FATTY TISSUE DEEP TO THE LESION. GROSSLY THERE. IS AT LEAST 0.5 CM OF TISSUE. THIS DOES NOT INVOLVE THE SKIN GROSSLY. SECTIONS ARE SUBMITTED AS FOLLOWS: A1--NIPPLE, A2 AND 3--LESION IN DEEP. MARGIN, A4--FAR LATERAL ASPECT OF LESION WITH SKIN, A5--GROSS MEDIAL. ASPECT OF LESION 4 CM FROM A4, AND A10 IS THE TISSUE SUPERFICIAL TO A8. SUPERFICIAL TO DEEP MEASUREMENT. SECTIONS OF THE LESION ARE ALSO. SUBMITTED PER PROTOCOL. A BOWTIE-SHAPED CLIP IS IDENTIFIED WITHIN THE. LESION, A11--TUMOR, A12--UPPER INNER QUADRANT, A13--UPPER OUTER QUADRANT. LATERAL TO LESION, A14--LOWER OUTER QUADRANT, A15--LOWER INNER QUADRANT. B RECEIVED LABELED. RIGHT AXILLARY NODE DISSECTION ARE 2. IRREGULAR PORTIONS OF YELLOW-RED FATTY TISSUE TOGETHER MEASURING 9 X 7 x. 2.5 CM. THIS TISSUE IS EXAMINED FOR LYMPH NODES. THE LARGEST NODE. WHICH IS 2.5 CM IN DIAMETER DEMONSTRATES A ROD-SHAPED METAL CLIP. IT. HAS ILL-DEFINED BORDERS. ONE-HALF IS SUBMITTED IN B1. THE REMAINDER IS. Specimen: q#. Spec Type: GROSS DESCRIPTION. TAKEN PER PROTOCOL. ADDITIONAL NODES ARE ALSO IDENTIFIED AND SUBMITTED. AS. FOLLOWS. THERE IS A 2ND 2.5 CM LYMPH NODE WHICH IS GROSSLY. UNREMARKABLE. ONE-HALF IS SUBMITTED AS B2. THE REMAINDER IS TAKEN PER. PROTOCOL. A 1.7 CM LYMPH NODE IS BISECTED, ONE-HALF SUBMITTED IN B3,. THE REMAINDER SUBMITTED PER PROTOCOL. ADDITIONAL NODES ARE THEN. SUBMITTED AS FOLLOWS: B4--2 NODES EACH BISECTED, B5--3 NODES EACH. BISECTED, B6--3 NODES EACH BISECTED, B7--1 NODE TOTAL, B8--5 NODES,. B9~-4 NODES, B10-4 NODES. FORMALIN FIXATION TIME IS 6 HOURS AND 10 MINUTES. PATH PROCEDURES. PROCEDURES: 88309, A BLK/15, B BLK/10. FINAL DIAGNOSIS. PART A RIGHT BREAST, SIMPLE MASTECTOMY: 1. INTRALOBULAR AND INFILTRATING LOBULAR CARCINOMA OF THE PLEOMORPHIC. TYPE. THE INVASIVE COMPONENT SHOWS NUCLEAR GRADE 2/3, LOW MITOTIC. INDEX AND TUBULE FORMATION 3 FOR A TOTAL NOTTINGHAM SCORE OF. LCIS. WITH RARE FOCI OF LUMINAL NECROSIS COMPRISES APPROXIMATELY 30% OF THE. TUMOR. 2. THE TUMOR HAS A MAXIMUM GROSS DIMENSION OF 4 CM ALTHOUGH RARE IN. SITU AND INVASIVE FOCI ARE IDENTIFIED IN A RANDOM SECTION FROM THE. LOWER OUTER QUADRANT. 3. INVASIVE TUMOR IS FOCALLY IDENTIFIED 4 MM FROM THE NEAREST INKED. SUPERFICIAL MARGIN (A2) AND 4 MM FROM THE SKIN SURFACE (A4) . 4. THE BIOPSY SITE. ) AND A BOWTIE-SHAPED CLIP ARE IDENTIFIED. 5. ALTHOUGH LYMPHOVASCULAR INVASION IS NOT IDENTIFIED, PERINEURAL. INVASION IS PRESENT. PART B RIGHT AXILLA,. IS IDENTIFIED IN ALL. OF LYMPH THE NODE 27 LYMPH DISSECTION: NODES EXAMINED. METASTATIC FOCAL BREAST EXTRANODAL CARCINOMA 27/27/20. EXTENSION INTO THE PERINODAL FAT IS PRESENT. A BIOPSY SITE INCLUDING A. Specimen: Spec Type: 1, D.O. FINAL DIAGNOSIS. ROD-SHAPED METAL CLIP IS ALSO PRESENT. :, M.D.

expanded version (tokens=1668) : 
 Histological classification: Invasive lobular carcinoma and intralobular carcinoma of pleomorphic type. Rare foci of luminal necrosis noticed with a maximum gross dimension of 4 cm.

Subtype: Pleomorphic type

Necrosis: Rare foci of luminal necrosis comprising approximately 30% of the tumor.

Tumor-infiltrating lymphocytes: Not mentioned

Histological grade: Nuclear grade 2/3, low mitotic index, and tubule formation 3 for a total Nottingham score of LCIS.

Lymphovascular invasion: Not identified, but perineural invasion is present.

Calcification: Not mentioned

Receptor status: Not mentioned

IHC and other ancillary testing results: Not mentioned

Other important points: There is a biopsy site identified with a rod-shaped metal clip. Invasive tumor is focally identified 4mm from the nearest inked superficial margin (A2) and 4 mm from the skin surface (A4). Metastatic focal breast extranodal carcinoma is present in all 27 lymph nodes examined in the right axilla, with extension into the perinodal fat.

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=1813) : 
 Report: Invasive lobular carcinoma and intralobular carcinoma of pleomorphic type with rare foci of luminal necrosis, comprising approximately 30% of the tumor. Maximum gross dimension is 4cm with perineural invasion present. No lymphovascular invasion identified, and receptor status is not mentioned. Metastatic focal breast extranodal carcinoma is present in all 27 lymph nodes examined in the right axilla, with extension into the perinodal fat.

