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, Clinical Diagnosis & History: vio femals with left breast ductal CA. Specimens Submitted: 1: SP: Sentinel node #1, level 1, left axilla (fs). 2: SP: Sentinel node #2, level 1, left axilla (fs). 6. 3: SP: Sentinel node #3, level 1, left axilla (fs). 4: SP: Sentinel node #4, level 1, left axilla (fs). 5: SP: Left breast. 6: SP: Sentinel node #5, level 1, left axilla. 7: SP: Left axillary contents, levels 1 and 2 (. 8: SP: Left subscapular nodes. DIAGNOSIS: 1). LYMPH NODE, SENTINEL #1, LEVEL I, LEFT AXILLA; EXCISION: - METASTATIC CARCINOMA INVOLVING ONE OUT OF ONE LYMPH NODE (1/1). - THE METASTATIC FOCUS MEASURES 2 MM. - NO EXTRANODAL EXTENSION IS SEEN. 2). LYMPH NODE, SENTINEL #2, LEVEL I, LEFT AXILLA; EXCISION: - ONE BENIGN LYMPH NODK (0/1). 3). LYMPH NODE, SENTINEL #3, LEVEL I, LEFT AXILLA; EXCISION: - ONE BENIGN LYMPH NODE (0/1). 4). LYMPH NODE, SENTINEL #4, LEVEL I, LEFT AXILLA; EXCISION: - METASTATIC CARCINOMA INVOLVING ONE OUT OF ONE LYMPH NODE IN THE FORM. OF A SINGLE CLUSTER IDENTIFIED IN A H/E STAINED SECTION (1/1). 5). BREAST, LEFT; MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, NOS TYPE, HISTOLOGIC GRADE III/III (SLIGHT. OR NO TUBULE FORMATION) NUCLEAR GRADE III/III (MARKED VARIATION IN SIZE AND. SHAPE) ' MEASURING 2.5 CM IN LARGEST DIMENSION GROSSLY (AT LEAST 2.3 CM. MICROSCOPICALLY). - DUCTAL CARCINOMA IN SITU (DCIS) IS ALSO IDENTIFIED, SOLID AND CRIBRIFORM. TYPES WITH INTERMEDIATE NUCLEAR GRADE AND MINIMAL NECROSIS. - THE DCIS CONSTITUTES <= 25% OF THE TOTAL TUMOR MASS, AND IS PRESENT. ADMIXED WITH THE INVASIVE COMPONENT. - FOCAL LOBULAR CARCINOMA IN SITU (LCIS) IS ALSO IDENTIFIED, CLASSICAL TYPE. (TYPE A). - THE INVASIVE CARCINOMA IS LOCATED IN THE UPPER OUTER QUADRANT AND UPPER. INNER QUADRANT. - THE DCIS I3 LOCATED IN THE UPPER OUTER QUADRANT AND UPPER INNER QUADRANT. - NO INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA IS. IDENTIFIED. - CALCIFICATIONS ARE PRESENT IN THE IN SITU CARCINOMA AND IN BENIGN. BREAST PARENCHYMA. - VASCULAR INVASION IS PRESENT. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. - THE NON-NEOPLASTIC BREAST TISSUE SHOWS BIOPSY SITE CHANGES AND. INTRADUCTAL PAPILLOMA WITH ATYPIA. RESULTS OF SPECIAL STUDIES (ER, PR, HER2-NEU) WILL BE REPORTED AS AN. ADDENDUM. 6). LYMPH NODES, SENTINEL #5, LEVEL I, LEFT AXILLA; EXCISION: - TWO BENIGN LYMPH NODES (0/2). 7). LYMPH NODES, LEFT AXILLA, LEVEL I AND II; EXCISION: - LEVEL I: ELEVEN BENIGN LYMPH NODES (0/11). LEVEL II: ONE BENIGN LYMPH NODE (0/1). 8). LYMPH NODE, LEFT SUBCAPSULAR; EXCISION: - ONE BENIGN LYMPH NODE (0/1). I ATTEST THAT THE ABOVE DIAGNOSIS IS BASED UPON MY PERSONAL EXAMINATION OF. THE SLIDES (AND/OR OTHER MATERIAL) , AND THAT I HAVE REVIEWED AND APPROVED. THIS REPORT. Special Studies: Special Stain. Comment. ER-C. PR-C. HER2-C. NEG-HER2. NEG CONT. IMM RECUT. Gross Description: M.D. M.D. 1) The specimen is received fresh for frozen section consultation, labeled. "sentinel node number 1, level 1 left axilla" and consists of one lymph node. measuring 2.5 x 1.2 x 1.0 cm. Entirely submitted for frozen section. (bisected) . Summary of sections: FSA-FSB. frozen section control. M.D. 2) The specimen is received fresh for frozen section consultation, labeled. "sentinel node number 2, level 1 left axilla" and consists of one lymph node. measuring 1.2 x 0.5 x 0.5 cm. Entirely submitted for frozen section. Summary of sections: FSC -- frozen section control. M.D. 3) The specimen is received fresh for frozen section consultation, labeled. sentinel node number 3, level 1 left axilla" and consists of one lymph node. measuring 1.2 x 0.5 x 0.5 cm. Entirely submitted for frozen section. Summary of sections: FSC -- frozen section control. M.D. 4) The specimen is received fresh for frozen section consultation, labeled. "Sentinel node number four, level one, left axilla" and consists of one. lymph node measuring 0.9 x 0.4 x 0.4 cm. The lymph node is bisected and. entirely submitted for frozen section diagnosis. Summary sections: FSC -- frozen section control. , M.D. 5) The specimen is received fresh, labeled "Left breast and consists of a. breast measuring 21.5 x 14.0 x 3.4 cm with an overlying skin ellipse. measuring 10.8 x 5.0 cm. Situated centrally on the skin surface is an. everted nipple measuring 1.3 x 1.3 x 0.6 cm and areola measuring 2.2 x 2.2. cm. A suture demarcates the axillary aspect. The posterior surface of the. breast is inked black, the anterior aspect is blue and the axillary aspect. green and the specimen is serially sectioned to reveal an indurated. tan-white tumor measuring 2.5 x 2.4 x 2.3 cm, and located predominantly in. the upper outer quadrant, between 12 o' clock and one o' clock, focally. extending into the upper inner quadrant, 0.2 cm from the anterior aspect and. 0.7 cm from the deep margin. Sectioning of the axillary aspect reveals no. grossly identifiable lymph nodes. Tissue is submitted for TPS. Representative sections are submitted. Summary of sections: N - nipple. NB - nipple base. T - tumor. TAM, TDM-tumor to anterior aspect and deep margin respectively. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. P.A. 6) The specimen is received in formalin, labeled "Sentinel node, number. five, level one, left axilla" and consists of two single. pink-tan firm lymph nodes measuring 0.9 x 0.6 x 0.3 and 1.4 x 0.8 x 0.6 cm. The lymph nodes are bisected and entirely submitted. Summary of sections: BLN bisected lymph nodes. P.A. 7). The specimen is received in formalin, labeled "Left axillary contents. one and two tags attached". It consists of a 7 x 4 x 3 cm fragment of. fibroadipose tissue. Two tags are present, designating levels 1 and 2. Multiple lymph nodes are identified, ranging in size from 0.9 cm to 2.7 cm. All identified lymph nodes are submitted. Summary of sections: L1LN - level one lymph nodes. L1BLN-level one bisected lymph nodes. L2BLN-level two bisected lymph nodes. P.A. 8) The specimen is received in formalin, labeled "Left sub-scapular - node". and consists of a single pink-tan, fatty lymph node measuring 0.3 x 0.2 x. 0.2 cm. The lymph node is entirely submitted. Summary of sections: LN- lymph node. Summary of Sections: Part 1: SP: Sentinel node #1, level 1, left axilla (fs). Block. Sect. Site. PCs. fsa. 1. 1. fsb. 1. Part 2: SP: Sentinel node #2, level 1, left axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 3: SP: Sentinel node #3, level 1, left axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 4: SP: Sentinel node #4, level 1, left axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 5: SP: Left breast. Block. Sect. Site. PCs. 2. liq. 2. 2. loq. 2. 1. n. 1. 1. nb. 1. 4. 4. 1. tam. 1. 1. tdm. 1. 2. uiq. 2. 2. uog. 2. Part 6: SP: Sentinel node #5, level 1, left axilla. Block. Sect. Site. PCs. 2. BLN. 4. Part 7: SP: Left axillary contents, levels 1 and 2. Block. Sect. Site. PCs. 4. L1BLN. 8. 2. LILN. 4. 1. L2BLN. 2. Part 8: SP: Left subscapular nodes. Block. Sect. Site. PCs. 1. LN. 1. Procedures/Addenda: Addendum. Date Complete: MD. Addendum Diagnosis. ADDENDUM REPORT. SITE: LEFT BREAST (PART #5). ER: 70% NUCLEAR STAINING WITH MODERATE TO STRONG INTENSITY. PR: 3% NUCLEAR STAINING WITH WEAK INTENSITY. HER2/NEU (HERCEPTEST) : NEGATIVE (STAINING INTENSITY OF 0). MD. Intraoperative Consultation: The diagnoses given in this section pertain only to the tissue sample. examined at the time of the intraoperative consultation. 1A,B). FROZEN SECTION DIAGNOSIS: METASTATIC CARCINOMA. PERMANENT DIAGNOSIS: SAME. 2). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME. 3). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME. 4). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODE. PERMANENT DIAGNOSIS : SAME. MD.

expanded version (tokens=3009) : 
 The breast pathology report reveals the following information:

1. Histological Classification: Invasive Ductal Carcinoma, NOS type, histological grade III/III, Nuclear Grade III/III, ductal carcinoma in situ (DCIS), solid and cribiform types with intermediate nuclear grade and minimal necrosis, focal lobular carcinoma in situ (LCIS) classical type (type A).

2. Subtype: LumB

3. Necrosis: Minimal necrosis present in DCIS component

4. Tumor infiltrating lymphocytes: Not mentioned

5. Histological grade: Grade III/III

6. Nuclear grade: Marked variation in size and shape (Grade III/III)

7. Lymphovascular Invasion: Present

8. Calcification: Present in the in situ carcinoma and in benign breast parenchyma

9. Receptor status: ER-positive (70% nuclear staining with moderate to strong intensity), PR-positive (3% nuclear staining with weak intensity), HER2/neu negative 

10. IHC and ancillary testing results: HER2/neu-negative (staining intensity of 0)

11. Lymph node involvement: Metastatic carcinoma involving sentinel nodes #1 and #4 out of 5 nodes examined (1/1), no extranodal extension seen. Other nodes (#2, #3, #5, left axillary contents levels 1 and 2, and left subscapular) were benign

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=3182) : 
 The report confirms invasive ductal carcinoma, NOS type, grade III/III with a focal lobular carcinoma in situ (LCIS), and ductal carcinoma in situ (DCIS) present with minimal necrosis. The patient is LumB subtype and Her2/neu-negative but ER and PR-positive. Vascular invasion was seen, lymph nodes #1 and #4 have metastatic carcinoma no extranodal extension detected. The biopsy also revealed benign lymph nodes #2, #3, #5, left axillary contents levels 1 and 2, as well as the left subscapular node.

