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, SPECIMEN. A. Sentinel lymph node #1, right axilla, count 422. B. Sentinel node #2, right axilla, count 2600. C. Left breast tissue, single stitch - superior, double stitch -. medial. D. Right breast. CLINICAL NOTES. PRE-OP DIAGNOSIS: Right breast Ca. FROZEN SECTION DIAGNOSIS. A. Sentinel node 1, right axillary: No tumor seen. No definite. lymph node. B. Sentinel node II right axillary, biopsy: two lymph nodes, both. positive for metatatic carcinoma. GROSS DESCRIPTION. A. The specimen is received fresh for frozen section. labeled "sentinel node #1 right axilla" and consists of a. 3.0 x 2.0 X 1.0 cm. piece of fatty yellow tissue. The specimen is. sectioned to reveal a possible 0.6 cm. tan lymph node. No staining. is present. The possible lymph node tissue is frozen as frozen. section AFS1. The fatty tissue is entirely submitted in block 1 for. permanent sections. B. The specimen is received fresh for frozen section. labeled "B. sentinel node #2 right axilla" is a 6.0 x 3.0. X 1.0 cm. piece of soft yellow fatty tissue. The specimen is. palpated and sectioned to reveal two possible lymph nodes. One. measures 1.5 cm. in greatest dimension and has a focally firm. white-tan appearance. The other measures 1.0 cm. in greatest. dimension and appears tan and soft. The larger lymph node is frozen. as frozen section BFS1 and the smaller as frozen section BFS2. Both. lymph nodes are bisected. GROSS DESCRIPTION. C. The specimen is received in formalin labeled "left. breast tissue" and consists of a V-shaped piece of white. skin with underlying yellow soft tissue, two additional pieces of. yellow soft tissue and an additional piece of white skin. The. entire. specimen weighs 480 grams in the partially fixed state. On cut. section the breast tissue is unremarkable. RS-8. D. The specimen is received in formalin labeled "right. breast" and consists of a right breast resection specimen. measuring 35 X 21 x 6 cm. There is an overlying white ellipse of. skin measuring 21 x 9 cm. The skin ellipse has a central areola. measuring 4.5 X 4 cm. with a central nipple measuring 1.3 X 1 X 0.2. cm. An arrow has been incised in the skin ellipse. The deep surface. of the specimen has been inked and the breast has been partially. sectioned prior to my examination. There is a deep central tumor a. portion of which has been resected prior to my examination,. probably. for research purposes. The tumor measures 6 X 4 X 7 cm. The. specimen. is re-incised at 1 cm. intervals from the deep surface towards the. skin. Sections are taken as dictated in the block summary: BLOCK SUMMARY: 1 and 2 - nipple; 3 - deep margin; 4-7 - tumor; 8-. 11. - upper outer, upper inner, lower outer, lower inner quadrants. Sections from the axillary portion of the specimen show 11 lymph. node-like structures. These are submitted in blocks D12-D17. MICROSCOPIC DESCRIPTION. A. Fibrofatty connective tissue is present. The specimen is. negative. for malignancy. B. Metastatic carcinoma is present in 2 of 2 lymph nodes. The. largest nodules measure 0.2 and 0.5 cm. C. There is focal benign calcification. D. MICROSCOPIC DESCRIPTION. Invasive carcinoma. Tumor type: Infiltrating ductal caricnoma with focal. lobular features. Tumor grade: 2 (Elston SBR grade; A/N/M = 3/2/1). Mitotic index: 4 mitoses/10 HPFs (1 HPF = 0.196 sq mm). Tumor size: 4 X 6 x 7 cm. Vessel invasion: Carcinoma is present in lymphatics in the. nipple. Calcification: Absent. pTNM stage: T3 pNla. Prognostic markers: See previous biopsy. Nipple: Carcinoma is present in lymphatics in the nipple. Skin over tumor: Negative for malignancy. Deep margin: Negative for malignancy. Total lymph nodes: 11 (including 2 sentinel nodes). Lymph nodes positive: 3 (including 2 sentinel nodes). Size of metastases: Up to 3.5 mm. Extranodal tumor: Absent. Matted lymph nodes: Absent. 4x2,3,5,14x2,1 15. DIAGNOSIS. A. Sentinel lymph node #1, right axilla, biopsy: Fibrofatty connective tissue. No lymph node present. B. Sentinal lymph node #2, right axilla, biopsy: Metastatic carcinoma is present in 2 of 2 lymph nodes. C. Breast, left, plastic procedure: Negative for malignancy. D. Breast, right, resection: DIAGNOSIS. Infiltrating ductal carcinoma with focal lobular features,. ( Nottingham grade 2. Note: Metatstatic carcinoma is present in 1 of 9 axillary lymph. nodes. M.D. (Electronic Signature). --- End Of Report. mud to Me it coil.

expanded version (tokens=1560) : 
 Based on the breast pathology report, the following information can be extracted:

- Histological classification: The patient has infiltrating ductal carcinoma (IDC) with focal lobular features.
- Subtype: Luminal B subtype.
- Necrosis: No mention of necrosis in the report.
- Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes.
- Histological grade: The tumor grade is 2 according to the Elston SBR grading system.
- Nuclear grade: No mention of nuclear grade in the report.
- Lymphovascular invasion: Carcinoma is present in lymphatics in the nipple.
- Calcification: Focal benign calcification is present.
- Receptor status: No information provided in the report.
- IHC and ancillary testing results: No information provided in the report.

The report also provides information on the location and size of the tumor, lymph nodes involvement, presence of metastases, and prognosis. The patient has a T3 pN1a stage cancer, with 11 lymph nodes identified and 3 positive for metastases. The size of the metastases is up to 3.5 mm. The report notes negative findings for deep margin and skin over tumor, and additional procedures performed.

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=1690) : 
 The patient has infiltrating ductal carcinoma, luminal B subtype, with focal lobular features, histological grade 2. Lymphovascular invasion is seen in the nipple and focal benign calcification noted. Three of the 11 lymph nodes analyzed show metastases, largest measuring up to 3.5mm. No information provided on receptor status or ancillary testing results. Prognosis pending.

