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, Gender: F. Patient Location: Date of Service: Date Received: FINAL SURGICAL PATHOLOGY REPORT. Diagnosis: A. - E. RIGHT BREAST WITH AXILLARY SENTINEL LYMPH NODES,. MASTECTOMY WITH SENTINEL LYMPH NODE BIOPSIES: - Invasive ductal carcinoma, Nottingham grade 2. - Invasive tumor nodule measures 18 mm in diameter. - Ductal carcinoma in situ (DCIS), solid and cribriform architectural patterns,. with associated comedo necrosis and calcifications. - Resection margins free of tumor. - Tumor is present 15 mm from the nearest margin (medial-anterior-. inferior). - Sites of previous biopsy identified. - Six axillary sentinel lymph nodes, not tumor present (0/6). PATHOLOGIC TUMOR STAGING SYNOPSIS: Type and grade (invasive): Invasive ductal carcinoma, Nottingham grade 2. Type and grade (in situ): DCIS, nuclear grade 2. Primary tumor: pT1c. Regional lymph nodes: pN0(i-)(sn). Distant metastasis: pMX. Pathologic stage: IA. Lymphovascular invasion: Not identified. Margin status: Negative (R0). Printed: This report continues (FINAL). FINAL SURGICAL PATHOLOGY REPORT. Breast Invasive Tumor Staging Information. (AJCC Cancer Staging Handbook, 7th Ed, and CAP protocol, Oct 2009). This staging also incorporates: Previous biopsy: Breast profile: Specimen type: Total breast with axillary sentinel lymph nodes. Specimen procedure: Mastectomy with sentinel lymph node biopsies. Lymph node sampling: Axillary lymph nodes (6 nodes in 4 specimens). Specimen integrity: Single intact specimen. Specimen laterality: Right. Specimen size: 21 x 15.5 x 4 cm. INVASIVE TUMOR FEATURES: Invasive tumor size: 18 mm. Invasive tumor site: Lower inner quadrant (3:30 aspect). Invasive tumor focality: Single focus of invasive carcinoma. Histologic type: Invasive ductal carcinoma. Total Nottingham Grade: 2 of 3. Tubule formation: 3 of 3. Nuclear Pleomorphism: 2 of 3. Mitotic count for Nottingham: 1 of 3. Mitotic count: Three mitoses in ten high power fields. Lymphatic invasion: Not identified. MARGIN STATUS FOR INVASIVE COMPONENT: Negative (R0). Distance of tumor from margins: 15 mm. Closest margin: Anterior-medial-inferior (anterior margin overlying. LIQ tumor). Other margins: Invasive carcinoma is at least 40 mm from all. other margins. IN-SITU CARCINOMA (DCIS) FEATURES: DCIS extent: DCIS present in association with invasive. carcinoma, and extends into surrounding tissue. (DCIS is associated with calcifications, and. therefore may correspond to area of. mammographically detected calcifications). Pattern: Solid and cribriform. Nuclear grade: Intermediate grade. FINAL SURGICAL PATHOLOGY REPORT. Necrosis: Present. Calcifications: Present. Margin status for DCIS component: Negative. Distance of In-situ from nearest margin: DCIS is at least 15 mm from the closest. anterior-inferior-medial margin. LOBULAR CARCINOMA IN-SITU (LCIS): Absent. Skin: Unremarkable. Nipple: Unremarkable. Skeletal Muscle: Not present. INVASIVE PATHOLOGIC TUMOR STAGING (pTNM). Primary tumor (pT): pT1c. Regional lymph nodes (pN): pNO(i-)(sn). Distant metastasis (pM): pMX. Pathologic Stage: IA. RECEPTOR STATUS AND HER2/NEU: Estrogen receptors: POSITIVE (98% positive cells, strong). Progesterone receptors: POSITIVE (15% positive cells, strong). Her2/neu: Not overexpressed (IHC score 1+). Ki-67 proliferative index: 20% positive cells. Source of Specimen: A. Right axillary sentinel lymph node. B. Right axillary sentinel lymph node. C. Right axillary sentinel node. D. Right axillary sentinel lymph node. E. Right Breast. Clinical History/Operative Dx: Right breast cancer. Intraoperative Diagnosis: A. Right axillary sentinel lymph node. No tumor cells present. (Dr. i' The intraoperative. interpretation(s) was/were performed and rendered at. Printed:

expanded version (tokens=1381) : 
 The breast pathology report describes the following:

1. Histological classification:
- Invasive ductal carcinoma, Nottingham grade 2 
- Ductal carcinoma in situ (DCIS), solid and cribriform architectural patterns with associated comedo necrosis and calcifications. 

2. Subtype: Luminal A

3. Description of any necrosis:
- Necrosis present in DCIS 

4. Tumor infiltrating lymphocytes: 
- Not mentioned 

5. Histological grade:
- Invasive ductal carcinoma is Nottingham grade 2 
- DCIS is nuclear grade 2 

6. Nuclear grade: 
- In DCIS, it is intermediate grade 

7. Lymphovascular invasion: 
- Not identified 

8. Calcification: 
- Present with DCIS 

9. Receptor status and other ancillary testing results: 
- Estrogen receptors: Positive (98% positive cells, strong) 
- Progesterone receptors: Positive (15% positive cells, strong) 
- Her2/neu: Not overexpressed (IHC score 1+) 
- Ki-67 proliferative index: 20% positive cells. 

10. Margin status: 
- Resection margins free of tumor 
- Tumor is present 15 mm from the nearest margin (medial-anterior-inferior) 

11. Others: 
- No lymph node involvement was identified 
- Pathologic stage: IA.

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=1551) : 
 The pathology report shows Luminal A subtype invasive ductal carcinoma (Nottingham grade 2) and ductal carcinoma in situ (DCIS) with necrosis, calcifications, and receptor status testing indicating positive estrogen receptors (98% cells; strong), positive progesterone receptors (15% cells; strong), non-overexpressed Her2/neu (IHC score 1+), and a Ki-67 proliferative index of 20%. There is negative margin status with a tumor at least 15 mm from the closest margin. No lymph node involvement was identified. Pathologic stage: IA.

