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, Final Surgical Pathology Report. Procedure: Diagnosis. A. Lymph node, right axillary sentinel node, excision: One lymph node positive for metastatic carcinoma (1/1) . B. Breast, right, excision: Invasive lobular carcinoma (see tumor characteristics in the. microscopic description). C. Lymph nodes, right axillary contents, excision: Ten of sixteen lymph nodes positive for metastatic carcinoma (10/16). D. Lymph node, highest apical node, excision: One of two lymph nodes positive for metastatic carcinoma (1/2). Microscopic Description: Invasive carcinoma: Histologic type: Lobular. Histologic grade: Overall grade:2. Architectural score: 3. Nuclear score: 2. Mitotic score: 1. Greatest dimension (pT) 7.5 cm, pT3. Specimen margins: Tumor is more than 2 cm from the deep margin of. excision and 1 cm from the superficial soft tissue margin. Vessel invasion: Present. Nipple (Paget's) Tumor invades into the dermis beneath the. surface of the nipple: Paget's disease is not identified. Ductal carcinoma in situ: Not identified. Description of non-tumorous breast: Biopsy site changes are identified. Fibrocystic changes. Lymph nodes: Number of positive nodes of total: Twelve lymph nodes positive for. metastatic carcinoma (12/19). Size of largest metastasis: 2.9 cm. Extracapsular extension (present/absent) : Present. pN: pN3a. Distant metastasis (pM) : pMX. Prognostic markers: Previously performed. Specimen. A. Right breast axillary sentinel node. B. Right breast stitch at 12 o'clock. C. Right axillary contents. D. Highest apical node. Clinical Information. Right breast cancer. Intraoperative Consultation. A) Lymph node, right axillary sentinel node, excision: One lymph node. positive for metastatic carcinoma (1/1) . Gross Description. A. Received fresh labeled "right axillary sentinel node hot not blue". is a lymph node that measures 2.9 x 1.7 x 1.4 cm in dimension. The. lymph node has a firm consistency and shows yellowish discoloration. A. representative section from the node is submitted for frozen section. The remaining node is sectioned and entirely submitted for permanent. section in 6 cassettes. B. Received fresh for tissue procurement labeled "right breast" is a. 1220 g, 29.0 cm (medial to lateral) by 23.5 cm (superior to inferior). by 5.8 cm (anterior to posterior) soft, lobulated tan gold-like portion. of fibroadipose tissue in keeping with breast, designated as right per. requisition slip and container and oriented by a suture as stated. previously. A 17.5 x 5.8 cm wrinkled tan-white skin ellipse with a. flat 1.3 x 1.3 cm nipple is present along the anterior aspect. An. indurated focus is present subjacent to the central superior portion of. the skin, corresponding to the junction of the upper inner and outer. quadrants. The anterior surface in this area is inked blue. The. intact deep margin is inked black and the specimen is sectioned. There. is a central, 7.5 cm (superior to inferior) by 5.5 cm (medial to. lateral) by 4.0 cm (anterior to posterior) rubbery tan-white apparent. tumor mass is present (corresponding to the central junction of the 4. quadrants) The lesion is present within 3.5 cm of the inked deep. margin and appears to approach the anterior surface to within 2 cm. A. portion of tumor and a portion of normal parenchyma are submitted for. tissue procurement as requested. The cut surfaces throughout the. remainder of the specimen consist predominantly of soft lobulated tan. gold adipose tissue with a scant amount of interspersed delicate. tan-white fibrous tissue. No additional mass lesion or abnormality is. identified. Summary: 1 - deep margin subjacent to the lesion, 2 - lesion to. anterior surface, 3 through 7 - lesion to adjacent parenchyma, 8 -. random upper outer quadrant, 9 - upper inner quadrant, 10 - lower inner. quadrant, 11 - lower outer quadrant, 12 - nipple. C. Received fresh and subsequently fixed in formalin labeled "right. axillary contents "is a 12.0 x 7.5 x 3.0 cm aggregate of yellow lobular. fatty tissue fragments which are not orientated. The specimens are. palpated to identify lymph nodes which range from 0.1 cm and 2.5 cm in. greatest dimension. The lymph nodes are entirely submitted as follows: 1 - 1 possible lymph node, 2 - 6 possible lymph nodes, 3 - 6 possible. lymph nodes, 4 - 2 possible lymph nodes, 5 - 1 possible lymph node, 6. 1 possible lymph node. D. Received fresh and subsequently fixed in formalin labeled "highest. apical node "is a 3.0 x 2.0 x 0.4 cm aggregate of yellow lobular fatty. tissue fragment. The specimen is palpated to identify 2 possible lymph. nodes present. The lymph nodes are 0.5 cm and 0.2 cm in greatest. dimension. The specimens are entirely submitted as follows: 1 - lymph. nodes, 2 - remaining fat.

expanded version (tokens=1585) : 
 Histological classification: The subtype of breast cancer is LumA, identified as invasive lobular carcinoma.

Necrosis and tumor infiltrating lymphocytes: There is no mention of necrosis and tumor infiltrating lymphocytes in the report.

Histological grade and nuclear grade: The histologic grade of the tumor is overall grade 2, with an architectural score of 3, nuclear score of 2, and mitotic score of 1.

Lymphovascular invasion: Vessel invasion is present.

Calcification: There is no mention of calcification in the report.

Receptor status: Receptor status and IHC (immunohistochemistry) testing results are not mentioned in this report.

Ancillary testing results: No additional ancillary testing results are mentioned in the report. 

Additional information: The report states that in addition to the primary tumor, the lymph nodes in the right axillary contents were positive for metastatic carcinoma. Twelve out of the nineteen lymph nodes removed were positive for metastatic carcinoma, with the largest metastasis measuring 2.9 cm. Extracapsular extension is present, and the cancer has progressed to pN3a stage. The report also notes that biopsy site changes, and fibrocystic changes were identified in non-tumorous breast tissue.

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=1727) : 
 Surgical pathology report indicates LumA subtype of invasive lobular carcinoma in right breast, pT3 stage. The tumor has a histologic grade of 2 and invasive vessel invasion. Out of the nineteen removed lymph nodes, twelve are positive for metastatic carcinoma with pN3a stage. Biopsy site changes and fibrocystic changes are detected in non-tumorous breast tissue. Receptor status and IHC testing results are not mentioned in the report.

