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, Rég. Att. M.D. This report contains corrections; additions or deletions. Any previous versions are stored internally and are available if necessary. Specimen: Req# : Sp type: SURGICAL P. , M.D. PREOPERATIVE DIAGNOSIS. 174-RT BREAST CANCER-INVASIVE. OPERATION PERFORMED. DOCTOR (S) : PROCEDURE: MASTECTOMY PARTIAL LUMPECTOMY, ULTRASONIC NEEDLE LOC BREAST BX. PROCEDURE (CONT) : BX SENTINEL NODE. TISSUE REMOVED. A. RT PARTIAL MASTECTOMY POSSIBLE SARCOMA SHORT STITCH SUPERIOR MEDIAL. SKIN MARGIN LONG STITCH LATERAL SKIN MARGIN @. B. RT BREAST MEDIAL MARGIN AT. C. RT BREAST SUPERIOR MARGIN @. D. RT BREAST LATERAL MARGIN @. E. RT BREAST INFERIOR MARGIN AT. F. RT BREAST POSTERIOR MARGIN @. G. RT BREAST ANTERIOR MARGIN @. H. RT BREAST MEDIAL POSTERIOR MARGIN @. I. RT AXILLARY SENTINEL NODE HOT AND BLUE COUNT 241 @. GROSS DESCRIPTION. RECEIVED IN 9 PARTS. A RECEIVED LABELED. RIGHT BREAST PARTIAL MASTECTOMY. POSSIBLE SARCOMA SHORT SUPERIOR MEDIAL SKIN MARGIN LONG LATERAL SKIN. MARGIN IS A 167 GRAMS PARTIAL MASTECTOMY WITH A 10 X 4.5 CM SKIN. ELLIPSE. ON THE LATERAL PORTION OF THE SPECIMEN THERE ARE SEVERAL. ELEVATED SLIGHTLY DARKENED SKIN LESIONS THE LARGEST 0.5 X 0. CM. ONE. OF THESE IS GROSSLY FOUND TO BE A SUPERIOR LATERAL SKIN MARGIN. THERE. IS A PROMINENT PALPABLE MASS WITHIN THE SPECIMEN. THE MARGINS ARE. MARKED AS FOLLOWS USING SKIN AS THE ANTERIOR MARGIN: LATERAL ORANGE,. MEDIAL RED, INFERIOR BLUE, SUPERIOR GREEN, POSTERIOR BLACK. RED-BROWN. MUSCLE FIBERS ARE NOTED IN THE AREA OF THE MASS ON THE POSTERIOR ASPECT. WHICH OTHERWISE HAS A SMOOTH APPEARANCE. SECTIONING REVEALS A DISCRETE. Specimen. Sp type: SURGICAL P. GROSS DESCRIPTION. FIRM GRAY MASS MEASURING 3.4 x 2.8 x 2.8 CM. CENTRALLY THERE IS RED. DISCOLORATION TO THE NODULE AND ANTERIOR INFERIORLY TO THIS THERE IS A. 1.3 CM IN DIAMETER AREA OF RED-BROWN BLOOD. THE DEEP MEMBRANOUS SURFACE. EASILY SLIDES OVER THIS MASS WHICH IS ONLY COVERED GROSSLY BY THE DEEP. FASCIA AND MUSCLE FIBERS. IT IS OTHERWISE GREATER THAN 1 CM FROM ALL. MARGINS. SECTIONS ARE SUBMITTED AS. EOLLOWS.: Al--RE.PRESENTATIVE. PERPENDICULAR MEDIAL MARGIN, A2--REPRESENTATIVE PERPENDICULAR LATERAL. MARGIN, A3 THROUGH A9--FULL CROSS SECTION OF THE LESION TO INCLUDE THE. DEEP MARGIN (A3) AND THE ADJACENT HEMORRHAGIC AREA (A5), A6--OVERLYING. SKIN TO THIS NODULE, AND REPRESENTATIVE SKIN LESION, A7--REPRESENTATIVE. SUPERIOR MARGIN TO THIS LESION, A8 AND A9--REPRESENTATIVE INFERIOR. MARGIN TO THIS LESION, A10--CROSS SECTION OF LESION TO INCLUDE POSTERIOR. MARGIN, All--THE HEMORRHAGIC AREA ADJACENT TO A10, A12--LATERAL PORTION. OF LESION WITH ADJACENT HEMORRHAGIC TISSUE. NOTE: RANDOM SECTIONS OF THE MASS ARE SUBMITTED PER PROTOCOL AS P1-p5. WITH MIRROR IMAGE SECTION FROZEN OF P1 AND P2 AS WELL AS RANDOM TISSUE. FRESH FROZEN. A PORTION OF SKIN IS ALSO SUBMITTED AS P6 FROM THE AREA. OF SKIN IN A6. B RECEIVED LABELED. BREAST MEDIAL MARGIN IS A 5 x 3.9 x. 1.2 CM FRAGMENT OF YELLOW FATTY TISSUE. PURPLE-BLUE COLORATION IS NOTED. ON ONE SURFACE. THIS SURFACE IS REMARKED WITH BLUE INK WITH A PERIMETER. OF BLACK. THIS IS SECTIONED AND SUBMITTED AS B1-B9. C RECEIVED LABELED. RIGHT BREAST SUPERIOR MARGIN IS A. 3.8 x 2.8 X 1.1 CM FRAGMENT OF YELLOW FATTY TISSUE. BLUE COLORATION IS. SEEN ON ONE SIDE OF THE SPECIMEN. THIS SIDE IS REMARKED WITH BLUE INK. WITH A PERIMETER OF BLACK. THIS IS SECTIONED AND SUBMITTED AS C1-C3. D RECEIVED LABELED. RIGHT BREAST LATERAL MARGIN IS A 2.8. X 1.8 X 0.8 CM FRAGMENT OF YELLOW FATTY TISSUE. PURPLE-BLUE COLORATION. IS SEEN ON ONE SIDE OF THE SPECIMEN. THIS IS REMARKED WITH BLUE INK. WITH A PERIMETER OF BLACK. THIS IS SECTIONED AND SUBMITTED AS D1 AND D2. E RECEIVED LABELED. RIGHT BREAST INFERIOR MARGIN IS A. 4.5 x 2.7 x 1 CM FRAGMENT OF YELLOW FATTY TISSUE. PURPLE-BLUE. COLORATION IS SEEN ON APPROXIMATELY ONE-HALF OF ONE SIDE OF THE. SPECIMEN. THIS SIDE IS ENTIRELY MARKED WITH BLUE INK WITH A PERIMETER. OF BLACK. THIS IS SECTIONED AND SUBMITTED LABELED E1-E3. F RECEIVED LABELED. RIGHT BREAST POSTERIOR MARGIN IS AN. IRREGULAR FRAGMENT OF YELLOW FATTY TISSUE WITH MULTIPLE METAL CLIPS. MEASURING 4.2 X 3.7 x 0.6 CM IN GREATEST DIMENSION. PURPLE-BLUE. Specimen: tatus: Sp type: SURGICAL P. .D. GROSS DESCRIPTION. COLORATION IS SEEN ON ONE SIDE OF THE SPECIMEN WHICH IS THEN REMARKED. WITH BLUE INK WITH A PERIMETER OF BLACK. THIS IS SECTIONED AND. SUBMITTED AS F1-F3. G RECEIVED LABELED. RIGHT BREAST ANTERIOR MARGIN IS AN. IRREGULAR FRAGMENT OF YELLOW FATTY TISSUE MEASURING 5.6. X 3.5 x 1.1 CM. IN GREATEST DIMENSION. PURPLE-BLUE COLORATION IS SEEN ON ONE SIDE OF. THE SPECIMEN WHICH ALSO DEMONSTRATES BLUE DYE WITHIN THE TISSUE. THIS. SIDE IS REMARKED WITH BLUE INK WITH A PERIMETER OF BLACK. THIS IS. SECTIONED AND SUBMITTED LABELED G1-G7. H RECEIVED LABELED. RIGHT BREAST MEDIAL POSTERIOR MARGIN. IS A 4.2 X 3.2 x 0.5 CM FRAGMENT OF YELLOW FATTY TISSUE. BLUE. COLORATION IS SEEN ON ONE SIDE OF THE SPECIMEN. THIS SIDE IS REMARKED. WITH BLUE INK WITH A PERIMETER OF BLACK. THIS IS SECTIONED AND. SUBMITTED LABELED H1-H3. I RECEIVED LABELED. RIGHT AXILLARY SENTINEL NODE HOT AND. BLUE COUNT 241 IS A 5 X 3.5 X 1.5 CM FRAGMENT OF YELLOW FATTY TISSUE. EXAMINATION REVEALS 2 NODAL STRUCTURES. ONE IS 4.0 x 0.8 x 0.4 CM. THIS IS SECTIONED INTO MULTIPLE PIECES AND SUBMITTED AS Il AND 2. THE. 2ND MEASURES 0.6 x 0.4 X 0.2 CM. THIS IS SUBMITTED LABELED I3. COMMENT: THIS CASE IS IN COMPLIANCE WITH CAP. GUIDELINES OF 6-48 HOURS FORMALIN FIXATION TIME. PATH PROCEDURES. PROCEDURES: 88307/9, IMMUNOPEROXIDAS/2, A BLK/12, B BLK/9, C BLK/3, D BLK/2, E BLK/3,. F BLK/3, G BLK/7, H BLK/3, IBX X6/3. FINAL DIAGNOSIS. PART A RIGHT BREAST, PARTIAL MASTECTOMY: 1. POORLY DIFFERENTIATED MALIGNANT NEOPLASM WITH OSTEOSARCOMATOUS. FEATURES WHICH MOST LIKELY REPRESENTS A METAPLASTIC CARCINOMA OF. BREAST NUCLEAR GRADE 3 WITH HIGH MITOTIC INDEX WITH FOCI OF MALIGNANT. OSTEOID FORMATION. - LVI. Specimen: Req# : Sp type: SURGICAL P. M.D. FINAL DIAGNOSIS. 2. ADJACENT BREAST TISSUE WITH FOCI OF INTERMEDIATE TO HIGH GRADE. DUCTAL CARCINOMA IN SITU OF SOLID AND CRIBRIFORM TYPE WITH FOCI OF. INTRADUCTAL NECROSIS AND CALCIFICATION. 3. THE INVASIVE NEOPLASM MEASURES 34 MM IN GREATEST DIMENSION AND IS. PRESENT 2. MM FROM THE POSTERIOR MARGIN AND. 5. MM OR GREATER FROM ALL. OTHER MARGINS. 4. THE LARGEST FOCUS OF DCIS MEASURES 10 MM IN GREATEST DIMENSION. DCIS IS PRESENT 1 MM FROM THE INFERIOR MARGIN, 2 MM FROM THE LATERAL. MARGIN AND 5 MM OR GREATER FROM ALL OTHER MARGINS. 5. LYMPHATIC INVASION IS NOT IDENTIFIED. 6. BIOPSY SITE CHANGE WITH REACTIVE FIBROSIS AND FAT NECROSIS. 7. SEGMENT OF BENIGN SKIN. PART B RIGHT BREAST, MEDIAL MARGIN REEXCISION: FIBROCYSTIC DISEASE. WITH A FOCUS OF ATYPICAL DUCT HYPERPLASIA, DUCT HYPERPLASIA OF THE USUAL. TYPE AND SCLEROSING ADENOSIS. A FEW CALCIFICATIONS ARE PRESENT. THE. NEW INKED MARGIN IS FREE OF NEOPLASM. PART C RIGHT BREAST, SUPERIOR MARGIN REEXCISION: INTERMEDIATE GRADE. DUCTAL CARCINOMA IN SITU WITH EXTENSION INTO TERMINAL LOBULES WITH FOCAL. INTRADUCTAL NECROSIS. DCIS IS PRESENT 3 MM FROM THE NEW INKED MARGIN. RESIDUAL INVASIVE NEOPLASM IS NOT IDENTIFIED. THE AREA INVOLVED BY DCIS. HAS A CALCULATED DIMENSION OF APPROXIMATELY 8 MM. PART D RIGHT BREAST, LATERAL MARGIN REEXCISION: LIPOMATOUS BREAST TISSUE. WITH NO EVIDENCE OF RESIDUAL TUMOR. THE NEW INKED MARGIN IS FREE OF. NEOPLASM. PART E RIGHT BREAST, INFERIOR MARGIN REEXCISION: LOW GRADE DUCTAL. CARCINOMA IN SITU OF CRIBRIFORM TYPE NUCLEAR GRADE 1 WITH LOW MITOTIC. INDEX MEASURING 4 MM IN GREATEST DIMENSION. DCIS IS PRESENT 2 MM FROM. THE NEW INKED MARGIN. RESIDUAL INVASIVE TUMOR IS NOT IDENTIFIED. PART F RIGHT BREAST, POSTERIOR MARGIN REEXCISION: LIPOMATOUS TISSUE. WITH NO EVIDENCE OF RESIDUAL NEOPLASM. THE NEW INKED MARGIN IS FREE OF. NEOPLASM. PART G RIGHT BREAST, ANTERIOR MARGIN REEXCISION: NO EVIDENCE OF. RESIDUAL NEOPLASM. THE NEW INKED MARGIN IS FREE OF NEOPLASM. Specimen: Sp type: SURGICAL P. FINAL DIAGNOSIS. PROLIFERATIVE FIBROCYSTIC DISEASE WITH NUMEROUS CALCIFICATIONS PRESENT. PART H RIGHT BREAST, MEDIAL POSTERIOR MARGIN REEXCISION: LIPOMATOUS. TISSUE AND SKELETAL MUSCLE WITH NO EVIDENCE OF RESIDUAL NEOPLASM. THE. NEW INKED MARGIN IS FREE OF NEOPLASM. PART I RIGHT SENTINEL NODE, BIOPSY: LYMPH NODE (1), NEGATIVE FOR TUMOR. BY STEP SECTION AND CYTOKERATIN STAIN. COMMENT. MULTIPLE BLOCKS OF THE INVASIVE NEOPLASM ARE STAINED WITH CYTOKERATIN. STAIN AND DEMONSTRATE VIRTUALLY NO STAINING OF THE INVASIVE TUMOR. ALTHOUGH FOCI OF ADJACENT DCIS DO DEMONSTRATE STAINING. THIS TUMOR. IS. MOST LIKELY A METAPLASTIC CARCINOMA OF BREAST DUE TO THE ASSOCIATION. WITH DUCTAL CARCINOMA IN SITU. , M.D. yany. Liscrepance.

expanded version (tokens=3414) : 
 Based on the pathology report, here is the information that can be extracted:

1. Histological classification: The invasive neoplasm is poorly differentiated with osteosarcomatous features which most likely represent a metaplastic carcinoma of breast, nuclear grade 3, with high mitotic index with foci of malignant osteoid formation. The adjacent breast tissue has foci of intermediate to high-grade ductal carcinoma in situ (DCIS) of the solid and cribriform type, with foci of intraductal necrosis and calcification. Low grade ductal carcinoma in situ is present in the inferior margin re-excision.

2. Necrosis: Intraductal necrosis is present in DCIS and there is a focus of red-brown blood in the firm gray mass.

3. Tumor infiltrating lymphocytes: Lymphatic invasion is not identified.

4. Histological grade: The nuclear grade of invasive carcinoma is 3, and for DCIS, it is intermediate to high-grade.

5. Nuclear grade: Nuclear grade for low-grade DCIS is 1.

6. Lymphovascular invasion: LVI is present in the invasive neoplasm.

7. Calcification: Calcifications are present in DCIS.

8. Receptor status: No information is provided regarding receptor status.

9. IHC and ancillary testing: Cytokeratin staining was done for the invasive neoplasm and no staining was observed.

10. Other anc

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=3593) : 
 The breast pathology report reveals a poorly differentiated metaplastic carcinoma of breast with osteosarcomatous features, nuclear grade 3, and high mitotic index with foci of malignant osteoid formation. The adjacent breast tissue has intermediate to high-grade DCIS with necrosis and calcification. Low-grade DCIS is present in the inferior margin re-excision. Lymphatic invasion is not identified. Cytokeratin staining for invasive neoplasm was negative. LVI is present in the invasive neoplasm with proliferative fibrocystic disease and numerous calcifications present in the other margins. No information is provided regarding receptor status.

