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 Her2, Ciinical Diagnosis & History: He. year old with left breast invasive ductal carcinoma. Specimens Submitted: 1: SP: Sentinel node #1 level one left axilla (fs). 2: SP: Sentinel node #2 level one lef+ willa (fs). 3: SP: Left breast and axillary tail. 4: SP: Right breast and axillary tail. 5: SP: Sentinel node #1 level one right axilla. DIAGNOSIS: 1. LYMPH NODES, SENTINEL #1 . LEVEL ONE LEFT AXILLA; BIOPSY: THREE BENIGN LYMPH NODES (0/3). - THE RESULTS OF DEEPER RECUTS AND KERATIN STAINS WILL BE REPORTED AS. AN ADDENDUM. 2. LYMPH NODES, SENTINEL #2 LEVEL ONE LEFT AXILLA; BIOPSY: TWO BENIGN LYMPH NODES (0/2). - THE RESULTS OF DEEPER RECUTS AND KERATIN STAINS WILL BE REPORTED AS. AN ADDENDUM. 3. BREAST AND AXILLARY TAIL, LEFT; MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, HISTOLOGIC GRADE III/III, NUCLEAR GRADE. III/III. - THE INVASIVE CARCINOMA MEASURES 1.7 CM IN LARGEST DIMENSION GROSSLY. - THE CARCINOMA IS ASSOCIATED WITH A LYMPHOCYTIC INFILTRATE. - DUCTAL CARCINOMA IN SITU (DCIS) IS IDENTIFIED, SOLID AND. MICROPAPILLARY TYPES, WITH HIGH. NUCLEAR GRADE AND MINIMAL NECROSIS. THE DCIS CONSTITUTES LESS THAN 25% OF THE TOTAL TUMOR MASS AND IS PRESENT. ADMIXED WITH AND. AWAY FROM THE INVASIVE COMPONENT. THE INVASIVE CARCINOMA IS LOCATED IN THE LOWER INNER QUADRANT. - NO INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA IS. IDENTIFIED. NO CALCIFICATIONS ARE IDENTIFIED IN EITHER THE INVASIVE OR IN SITU. CARCINOMA. NO VASCULAR INVASION IS NOTED. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER IN SITU OR INVASIVE. CARCINOMA IS IDENTIFIED. - INVASIVE CARCINOMA IS PRESENT 0.4 CM FROM THE NEAREST ANTERIOR MARGIN. DCIS IS PRESENT 0.6 CM FROM THE NEAREST ANTERIOR MARGIN. NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. THE NON-NEOPLASTIC BREAST TISSUE SHOWS STROMAL FIBROSIS, APOCRINE. METAPLASIA AND CYSTS. - FOCAL FAT NECROSIS AND STROMAL FIBROSIS, CONSISTENT WITH PRIOR BIOPSY. SITE. - RESULTS OF IMMUNOHISTOCHEMICAL STAINS (ER, PR, HER-2/NEU) WILL BE REPORTED. IN AN ADDENDUM. 4. BREAST AND AXILLARY TAIL, RIGHT; MASTECTOMY: - BENIGN BREAST TISSUE WITH STROMAL FIBROSIS, CYSTS AND FOCAL APOCRINE. METAPLASIA. - RARE CALCIFICATIONS ARE NOTED IN ASSOCIATION WITH BENIGN BREAST. EPITHELIUM. - BENIGN NIPPLE, SKIN AND FRAGMENT OF SKELETAL MUSCLE. 5. LYMPH NODE, SENTINEL #1 LEVEL ONE RIGHT; BIOPSY: ONE BENIGN LYMPH NODE (0/1). THE RESULTS OF DEEPER RECUTS AND KERATIN STAINS WILL BE REPORTED AS. AN ADDENDUM. 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. Gross Description: .D. 1) The specimen is received fresh for frozen section consultation, labeled. "sentinel node #1, level 1, left axilla" and consists of three tan rubbery. lymph nodes measuring 0.8, 0.4, and 0.2 cm. The two largest lymph nodes are. inked black and blue, respectively and bisected. Entirely submitted for. frozen section. Summary of sections: FSC -- frozen section control. .D. 2) The specimen is received fresh for frozen section consultation, labeled. "sentinel #2, level 1, left axilla" and consists of two tan rubbery lymph. nodes measuring 0.8 and 0.5 cm. The largest lymph node is inked black and. bisected. The specimen is entirely submitted for frozen section. Summary of sections: FSC -- frozen section control. M.D. 3) The specimen is received fresh labeled, "left breast and axillary tail. stitch marks axillary tail ink margins" and consists of a breast measuring. 20.0 x 18.0 x 5.0 cm with overlying skin ellipse measuring 9.0 x 2.8 cm. Situated centrally on the skin surface is an inverted nipple measuring 1.4. x. 1.2 x 1.0 cm and areola measuring 3.0 cm in diameter. The skin surface is. tan-pink, with a focal blue discoloration wrinkled and unremarkable. A. suture demarcates the axillary aspect. The posterior surface of the breast. is inked black, the anterior blue and the axillary aspect is inked yellow. The specimen is serially sectioned to reveal a tan ovoid firm solid mass. measuring 1.7 x 1.7 x 1.2 cm, located at the outer edge of the specimen in. the. lower inner quadrant 2 mm from the anterior margin and 3 mm from the. deep margin. Hemorrhagic biopay site changes and a clip are identified in. proximity to the mass. The remainder of the breast tissue consists of soft. yellow adipose tissue marbled with dense white firm breast parenchyma (60%). with a broad tan fibrous area in the lower outer quadrant. Sectioning of. the axillary aspect reveals no grossly identifiable lymph nodes. Additionally present in the container is an unoriented irregularly shaped. strip of unremarkable tan skin and underlying soft lobulated yellow adipose. tissue. The patient's prior radiology is reviewed and correlated with the. findings in this specimen. Representative sections are submitted. Summary of sections: N nipple. NB nipple base. S skin. BX - biopsy site. T tumor including anterior and deep margin. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. 4.D. 4) The specimen is received fresh labeled, "right breast and axillary tail. stitch marks axillary tail, ink margin (fresh) and consists of a breast. measuring 20.5 x 18.5 x 3.5 cm with overlying tan skin ellipse that is. wrinkled with focal blue discoloration. The ellipse measures 9 x 2.5 cm. Situated centrally on the skin surface is an everted nipple measuring 1.5 x. 1.5 x 1.0 cm with an areola measuring 4 cm in diameter. A suture demarcates. the axillary aspect. The posterior surface of the breast is inked black,. the anterior blue and the axillary aspect is inked yellow. Sectioning. through the breast demonstrates no focal lesion. The breast tissue consists. of soft yellow adipose tissue marbled with 40% white and pink fibrous. tissue. Sectioning of the axillary aspect reveals no grossly identifiable. lymph nodes. The patient' s prior radiology is reviewed. Representative. sections are submitted. Summary of sections: N - nipple. NB - nipple base. S - skin. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. P.A. 5). The specimen is received in formalin labeled, "Sentinel node number. 1, level 1, right axilla", and consists of a single pink tan firm lymph. node measuring 1.8 x 1.1 x 0.5 cm, which is bisected and entirely submitted. Summary of sections: BLN -- bisected lymph node. Summary of Sections: Part 1: SP: Sentinel node #1 level one left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 2: SP: Sentinel node #2 level one left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 3: SP: Left breast and axillary tail. Block. Sect. Site. PCs. 2. BX. 2. 2. lig. 2. 2. LOQ. 2. 1. N. 1. 1. NB. 1. 1. s. 1. 4. T. 4. 2. UIQ. 2. 2. UOQ. 2. Part 4: SP: Right breast and axillary tail. Block. Sect. Site. PCs. 2. LIQ. 2. 2. LOQ. 2. 1. N. 1. 1. NB. 1. 1. S. 1. 2. UIQ. 2. 2. UOQ. 2. Part 5: SP: Sentinel node #1 level one right axilla. Block. Sect. Site. PCs. 1. bln. 1. Procedures/Addenda: Addendum. Date Complete: M.D. Addendum Diagnosis. NODES ADDITIONAL LEVEL SECTIONS AND KERATIN AE1/AE3 STAINS ON THE SENTINEL LYMPH. (PARTS 1, 2 AND 5) REVEAL NO EVIDENCE OF METASTATIC CARCINOMA. IMMUNOHISTOCHEMICAL (BLOCK STAINS WERE PERFORMED ON PART 3, LEFT BREAST CARCINOMA. 3T15) WITH THE FOLLOWING RESULTS: ESTROGEN RECEPTOR: of NUCLEAR STAINING. PROGESTERONE RECEPTOR: 0% NUCLEAR STAINING. HER-2 30% OF (HERCEP TEST; DAKO) : EQUIVOCAL (1+ TO 2+). FISH WILL BE PERFORMED,. INVASIVE TUMOR CELLS EXHIBIT COMPLETE MEMBRANOUS STAINING. , M.D. Intraoperative Consultation: Note: examined The diagnoses given in this section pertain only to the tissue sample. at the time of the intraoperative consultation. 1. FROZEN SECTION DIAGNOSIS: LEFT AXILLA (FS) ): BENIGN LYMPH NODES / SP: SENTINEL NODE #1 LEVEL ONE. PERMANENT DIAGNOSIS: SAME. 2. FROZRN SECTION DIAGNOSIS: LEFT AXILLA (FS). BENIGN LYMPH NODES. SP: SENTINEL NODE #2 LEVEL ONE. PERMANENT DIAGNOSIS: SAME. PhD. Note: examined The at diagnoses given in this section pertain only to the tissue sample. the time of the intraoperative consultation. 1. FROZEN SECTION DIAGNOSIS: LEFT AXILLA (FS). SP: SENTINEL NODE #1 LEVEL ONE. BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME. 2. F. SECTION DIAGNOSIS: LEFT AXILLA (FS). SP: SENTINEL NODE #2 LEVEL ONE. BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=2965) : 
 Histological classification: Invasive ductal carcinoma, Histologic grade III/III, Nuclear grade III/III, associated with a lymphocytic infiltrate, and Ductal carcinoma in situ (DCIS) of solid and micropapillary types with high nuclear grade and minimal necrosis.

Subtype: Her2

Description of Necrosis: Minimal necrosis in DCIS.

Tumor infiltrating lymphocytes: The invasive carcinoma is associated with a lymphocytic infiltrate.

Histological Grade: Histologic grade III/III.

Nuclear Grade: Nuclear grade III/III.

Lymphovascular invasion: None mentioned.

Calcification: No calcification identified in either the invasive or in-situ carcinoma.

Receptor Status: Estrogen receptor is negative, Progesterone receptor is negative, Her2 equivocal (1+ to 2+)

Ancillary testing results: Immunohistochemical stains (ER, PR, HER-2/NEU) were performed on the left breast carcinoma. The invasive tumor cells exhibited complete membranous staining for HER-2 (30% of cells). Fish will be performed.

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=3123) : 
 Report: A  her2 subtype of invasive ductal carcinoma located in the lower inner quadrant, along with Ductal carcinoma in situ (DCIS). It measures 1.7 cm and has a high histologic and nuclear grade (III/III). No lymphovascular invasion or calcification was identified. Immunohistochemical stains revealed a negative estrogen receptor, progesterone receptor, and equivocal HER-2. The tumor was associated with a lymphocytic infiltrate. Fish test will be performed to confirm HER-2 positivity.

