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, Histopathological Examination. 1 Complete: Pre-Op Diagnosis : Absenge of Rreast, Personal History Of Breast Cancer -. MD. Specimens. : Breast, left simple mastectomy for expo study. Suture. marking margins: long-lateral, short-superior. Lymph Node, Sentinel left axillary. Frozen Diagnosis. : GROSS EXAMINATION: A. The specimen is received in a container labeled with the. name of the patient and identified as breast, left simple. mastectomy. The specimen consists of a mastectomy measuring. en bloc 11.5 x 9.! x 4 cm and weighing 158 grams. There is. an anterior ellipse of skin measuring 6 x 3 cm with a. central 3 cm areolar complex with retracted nipple. Sections. of nipple/areola are sampled in block 1. The skin is. sampled in block 2. The superficial superior margin is. inked orange and the superficial inferior margin is inked. blue. The deep margin is inked green and the specimen. sectioned, showing an oval grey-tan firm mass measuring 2.8. cm in the upper inner quadrant of the breast. Grossly, this. mass is 0.4 cm from the inked deep margin of resection,. which is submitted in block 3. Sections of the mass are. submitted in blocks 4-7. The remaining breast is composed. of yellow lobulated adipose tissue admixed with islands of. gray-white rubbery tissue. The breast is divided into four. quadrants, upper inner, lower inner, upper outer and lower. outer and sampled in blocks 8-11 respectively Minimal. axillary tissue is present and no lymph nodes are. identified. Formalin fixation time is 11 hours. B. The specimen is received in a container labeled with the. name of the patient and identified as lymph axillary. sentinel node. Specimen Size: 1.8 x 1.5 x 1 cm. No. of Nodes 1. Size of Nodes : 1.8 cm. The specimen is sectioned and entirely submitted. THIS CONFIDENTIAL AND PRIVILEGED DOCUMENT/INFORMATION IS PROTECTED BY. FEDERAL AND STATE LAW. UNAUTHORIZED DISCLOSURE, DISSEMINATION. OR DUPLICATION IS PROHIBITED. Path # : . of 3. Visit # : DIAGNOSIS BASED ON GROSS AND MICROSCOPIC EXAMINATION: : A. Breast, left, simple mastectomy: Invasive lobular adenocarcinoma,apleomorphic variant,. Nottingham grade 2, 2.8 cm (see cancer case summary. checklist below). B. Lymph node, left axillary sentinel, excision: - One lvmph node, no tumor present (0/1). MACROSCOPIC. SPECIMEN TYPE: Mastectomy. LYMPH NODE SAMPLING: Sentinel lymph node only. LATERALITY Left. TUMOR SITE: Upper inner quadrant. MICROSCOPIC. SIZE OF INVASIVE COMPONENT: Greatest dimension: 2.8 cm (based on gross tumor size) . HISTOLOGIC TYPE: Invasive lobular adenocarcinoma,. pleomorphic variant. HISTOLOGIC GRADE: NOTTINGHAM HISTOLOGIC SCORE. Tubule formation: Minimal less than 10% (score=3). Nuclear pleomorphism: Moderate increase in size, ect. (score=2). Mitotic count for a 40 x objective with a field area of. 0.152 MMTT: 0-5 mitoses per 10 HPF (score=1). Total Nottingham Score: Grade 2 (6-7 points). EXTENT OF INVASION. PRIMARY TUMOR (PT) : pT2: Tumor more than 2.0 but not more. than 5.0 cm in greatest dimension. REGIONAL LYMPH NODES (PN) : pNO: No regional lymph node. metastasis histologically (i.e. none greater than 0.2 mm). no additional examination for isolated tumor cells. Number examined: 1. Number involved 0. DISTANT METASTASIS (PM) : pMX: Cannot be assessed. MARGINS: Uninvolved by invasive carcinoma. Distance of carcinoma from closest margin: 4 mm (deep. margin) . VENOUS/LYMPHATIC (LARGE/SMALL VESSEL) INVASION (V/L) : Absent. MICROCALCIFICATIONS: Present in non-neoplastic tissue. ADDITIONAL PATHOLOGIC FINDINGS : Proliferative fibrocystic changes with ductal hyperplasia,. columnar cell change, sclerosing adenosis (confirmed by. presence of p63 positive myoepithelial cells surrounding. epithelial structures, with appropriate controls), apocrine. metaplasia, and associated microcalcifications. THIS CONFIDENTIAL AND PRIVILEGED DOCUMENT/INFORMATION IS PROTECTED BY. FEDERAL AND STATE LAW. UNAUTHORIZED DISCLOSURE, DISSEMINATION. OR DUPLICATION IS PROHIBITED. Path # : of 3. Visit # : Prior bropsy site. COMMENT: Estrogen and progesterone receptors and Her2neu studies were. performed on the prior biopsy. with results of. estrogen receptor 2+, progesterone receptor 3+, and HER2/neu. 3+. E cadherin, also performed on the prior biopsy, was. negative, confirming a lobular phenotype. Intradepartmental consultation obtained. Results communicated to. THIS CONFIDENTIAL AND PRIVILEGED DOCUMENT/INFORMATION IS PROTECTED BY. FEDERAL AND STATE LAW. UNAUTHORIZED DISCLOSURE, DISSEMINATION. OR DUPLICATION IS PROHIBITED. Path # : I. Visit # :

expanded version (tokens=1646) : 
 The main points extracted from the breast pathology report are:

- Pre-op Diagnosis: Absence of Breast, Personal History of Breast Cancer.
- Specimen Type: Breast, left simple mastectomy.
- Lymph Node Sampling: Sentinel lymph node only.
- Laterality: Left.
- Tumor Site: Upper inner quadrant.
- Histological Type: Invasive lobular adenocarcinoma, pleomorphic variant.
- Histological Grade: Nottingham Histologic Score Grade 2.
- Extent of Invasion: Tumor more than 2.0 but not more than 5.0 cm in greatest dimension.
- Regional Lymph Nodes (PN): pNO: No regional lymph node metastasis.
- Distance of Carcinoma from Closest Margin: 4 mm (deep margin).
- Venous/Lymphatic (Large/Small Vessel) Invasion (V/L): Absent.
- Microcalcifications: Present in non-neoplastic tissue.
- Additional Pathologic Findings: Proliferative fibrocystic changes with ductal hyperplasia, columnar cell change, sclerosing adenosis, apocrine metaplasia, and associated microcalcifications.
- Receptor Status: Estrogen receptor 2+, Progesterone receptor 3+, HER2/neu 3+, E-cadherin negative, confirming a lobular phenotype.

These findings indicate that the patient had an invasive lobular adenocarcinoma, pleomorphic

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=1798) : 
 The patient underwent a left simple mastectomy for breast cancer with sentinel lymph node biopsy revealing no metastasis. Histological examination confirmed invasive lobular adenocarcinoma, pleomorphic variant, with Nottingham Histologic Score Grade 2 and positive hormone receptors. No venous/lymphatic invasion observed while microcalcifications were present in non-neoplastic tissue. Additional pathologic findings included proliferative fibrocystic changes and associated microcalcifications. E-cadherin was negative, confirming a lobular phenotype.

