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 Normal, Clinical Diagnosis & History: Palpable left breast cancer showing IDC on core. Specimens Submitted: 1: SP: Sentinel node #1, level one, left axilla (fs). 2: SP: Sentinel node #2, level one, left axilla (fs). 3: SP: Sentinel node #3, level one, left axilla (fa). 4: SP: Left breast. 5: SP: Level one anu two lymph nodes left axilla. DIAGNOSIS: 1). LYMPH NODE, SENTINEL #1, LEFT AXILLA LEVEL I, BIOPSY: - METASTATIC CARCINOMA INVOLVING ONE OUT OF ONE LYMPH NODE (1/1). - NO EXTRANODAL EXTENSION SEEN. 2). LYMPH NODE. SENTINEL #2, LEFT AXILLA LEVEL I, BIOPSY: - ONE BENIGN LYMPH NODE (0/1). 3). LYMPH NODE, SENTINEL #3, LEFT AXILLA LEVEL I, BIOPSY: - METASTATIC CARCINOMA INVOLVING ONE OUT OF ONE LYMPH NODE (1/1). - NO EXTRANODAL EXTENSION SEEN. 4). BREAST, LEFT, TOTAL MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, NOS TYPE, HISTOLOGIC GRADE III/III (SLIGHT. OR NO TUBULE FORMATION),. NUCLEAR GRADE II/III (MODERATE VARIATION IN. SIZE AND SHAPE), MEASURING 2.5 CM, GROSSLY. - DUCTAL CARCINOMA IN SITU (DCIS) IS ALSO IDENTIFIED, SOLID TYPE WITH. INTERMEDIATE NUCLEAR GRADE AND MODERATE NECROSIS. LOBULAR INVOLVEMENT BY DCIS IS PRESENT. - THE DCIS CONSTITUTES <= 25% OF THE TOTAL TUMOR MASS, AND IS PRESENT. ADMIXED WITH AND AWAY. FROM THE INVASIVE COMPONENT. - THE INVASIVE CARCINOMA IS LOCATED NI THE UPPER OUTER QUADRANT AND. CENTRAL AREA. - THE DCIS IS LOCATED IN THE UPPER OUTER QUADRANT AND CENTRAL AREA. - NO INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA. IS IDENTIFIED. 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, STROMAL. FIBROSIS, ADENOSIS. AND FIBROCYSTIC CHANGES. - RESULTS OF SPECIAL STAINS (ARE AS FOLLOWS: Immunohistochemical stains were performed on formalin-fixed tissue with the. following results for invasive carcinoma (block 4 T 11). ESTROGEN RECEPTOR (6F11,. 95% nuclear staining with moderate intensity. PROGESTERONE RECEPTOR (1E2;. 60% nuclear staining with moderate intensity. HER2 (HercepTest; -. Negative (0 ). Controls are satisfactory. Comment: HercepTestTM. ) is an FDA-approved method for assessment of. HER2 protein overexpression in breast cancer tissue routinely processed for. histological evaluation. The HER2 test results are reported in accordance. with the ASCO/CAP guideline recommendations for HER2 testing in breast. cancer (J Clin Oncol 2007; 25 (1) :1-28) . 5). LYMPH NODES, LEFT AXILLA LEVELS I AND II, RESECTION: - NINE BENIGN LYMPH NODES (0/9). 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. NEG-HER2. Gross Description: 1) The specimen is received fresh for frozen section consultation, labeled. "sentinel node number one level 1 left axilla" and consists of a pink-tan. lymph node measuring 1.2 x 1.0 x 0.4 cm. Bisected and entirely submitted. for frozen section. Summary of sections: FSC -- frozen section control. 2) The snecimen is received fresh for frozen section consultation, labeled. "sentinel node number two level 1 left axilla" and consists of tan lymph. node measuring 1.0 x 0.5 x 0.5 cm. Bisected and entirely submitted for. frozen section. Summary of sections: FSC frozen section control. 3) The specimen is received fresh for frozen section consultation, labeled. "sentinel node number three level 1 left axilla" and consists of a tan lymph. node measuring 1.5 x 0.8 x 0.8 cm. Bisected and entirely submitted for. frozen section. Summary of sections: FSC - frozen section control. 4). The specimen is received fresh, labeled "left breast stitch marks. axillary tail" and consists of a breast measuring 21.5 x 17.5 x 4 cm with. overlying skin ellipse measuring 9.5 x 3 cm. Situated centrally on the skin. surface is an everted nipple measuring 1.5 x 1.2 x 0.8 cm and areola. measuring 3.4 x 2.5 cm. A suture demarcates the axillary aspect. The. posterior surface of the breast is inked black and the specimen is serially. sectioned to reveal a centrally located white-tan firm tumor measuring 2.5 x. 2.5 x 2 cm with extension into upper outer quadrant, and located 1.1 cm from. the deep margin. A metal clip marking the previous biopsy site is. identified. Sectioning of the axillary aspect reveals no grossly. identifiable lymph nodes. Representative sections are submitted. TPS. is. taken. Summary of sections: N - nipple. NB - nipple base. D - deep margin. BX - biopsy site with tumor. T - tumor. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. 5) The specimen is received fresh, labeled "level 1 and 2 lymph nodes left. axilla" It consists of a 8 x 8 x 1.5 cm fragment of fibroadipose tissue. without orientation. Multiple lymph nodes are identified, ranging in size. from 0.3 cm to 1.2 cm. All identified lymph nodes are submitted. Summary of sections: LN - whole lymph nodes. Summary of Sections: Part. 1: SP: Sentinel node #1, level one, left axilla (fs). Block. Sect. Site. PC's. 1. FSC. 1. Part 2: SP: Sentinel node #2, level one, left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 3: SP: Sentinel node #3, level one, left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 4: SP: Left breast. Block. Sect. Site. PCs. 5. BX. 5. 1. D. 1. 2. LIQ. 2. 2. LOQ. 2. 2. N. 2. 1. NB. 1. 7. T. 7. 20. TEST. 20. 2. UIQ. 2. 2. UOQ. 2. Part 5: SP: Level one and two lymph nodes left axilla. Block. Sect. Site. PCs. 4. LN. 9. Intraoperative Consultation: Note: The diagnoses given in this section pertain only to the tissue sample. examined at the time of the intraoperative consultation. 1). FROZEN SECTION DIAGNOSIS: METASTATIC DUCT CARCINOMA. PERMANENT DIAGNOSIS: SAME. 2). FROZEN SECTION DIAGNOSIS: BENIGN. PERMANENT DIAGNOSIS: SAME. 3). FROZEN SECTION DIAGNOSIS: METASTATIC DUCT CARCINOMA. PERMANENT DIAGNOSIS: SAME. M.D.

expanded version (tokens=2288) : 
 The breast pathology report consists of multiple specimens submitted for analysis. The diagnosis reveals invasive ductal carcinoma with ductal carcinoma in situ (DCIS) identified in the left breast, total mastectomy specimen, measuring 2.5 cm, with slight or no tubule formation. The histologic grade is III/III which suggests a high-grade tumor with moderate variation in size and shape, and nuclear grade is II/III with moderate necrosis. The DCIS is a solid type with intermediate nuclear grade and moderate necrosis, and lobular involvement by DCIS is present. The report also mentions that the invasive carcinoma is located in the upper outer quadrant and central area, and the DCIS is located in the upper outer quadrant and central area. No involvement of the nipple by either in situ or invasive carcinoma was identified, but vascular invasion is present and there was no skin involvement by carcinoma identified. The report also includes the results of special stains where immunohistochemical stains were performed on formalin-fixed tissue. The results showed that estrogen receptor (ER) positivity was at 95% nuclear staining with moderate intensity while progesterone receptor (PR) positivity was at 60% nuclear staining with moderate intensity. HER2 was negative since the test results were reported in accordance with the ASCO/CAP guideline recommendations for HER2 testing in breast cancer. The lymph nodes report revealed that the first and third sentinel nodes in the left axilla level I has a metastatic carcinoma involving one-out-of-one lymph

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=2444) : 
 The breast pathology report identifies invasive ductal carcinoma with ductal carcinoma in situ and lobular involvement by DCIS. The histologic grade is III/III, and nuclear grade is II/III with moderate necrosis. ER is 95% positive while PR is 60% positive, and HER2 is negative. Vascular invasion is seen but no lymphovascular invasion was mentioned. Two sentinel nodes show metastatic carcinoma while one shows benign lymph nodes. No skin or nipple involvement by carcinoma was identified, and surgical margins were negative.

