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: Right breast cancer with axillary positive FNA. Specimens Submitted: 1: SP: Right breast and axillary contents level 1 and 2. 2: SP:Additional level one lymph node , right axilla. DIAGNOSIS: 1. BREAST, RIGHT; MODIFIED RADICAL MASTECTOMY: - MULTIPLE FOCI INVASIVE DUCTAL CARCINOMA WITH NEUROENDOCRINE. DIFFERENTIATION, HISTOLOGIC GRADE III/III (SLIGHT OR NO TUBULE FORMATION). NUCLEAR GRADE III/III (MARKED VARIATION IN SIZE AND SHAPE) RANGING IN SIZE. FROM 0.1 CM TO 4.2 CM. - THERE IS A DOMINANT TUMOR MASS WHICH MEASURES 4.2 CM IN GREATEST DIMENSION. WITH MULTIPLE SATELLITE NODULES SPANNING AN AREA OF 9.0 CM. - DUCTAL CARCINOMA IN-SITU (DCIS) IS ALSO IDENTIFIED, SOLID, FLAT/CLINGING,. MICROPAPILLARY, AND CRIBRIFORM TYPES WITH INTERMEDIATE TO HIGH NUCLEAR GRADE. AND MILD NECROSIS. - THE DCIS CONSTITUTES LESS THAN OR EQUAL TO 25% OF THE TOTAL TUMOR MASS,. AND IS PRESENT ADMIXED WITH THE INVASIVE COMPONENT. - THE INVASIVE CARCINOIMA IS LOCATED IN ALL FOUR QUADRANTS AND THE. CENTRAL AREA. - THE DCIS IS LOCATED IN ALL FOUR QUADRANTS AND THE CENTRAL AREA. - SMALL FOCUS OF LOBULAR CARCINOMA IN SITU (LCIS) IS IDENTIFIED. - NO INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA. IS IDENTIFIED. - CALCIFICATIONS ARE PRESENT IN THE INVASIVE AND IN SITU CARCINOMA. NO VASCULAR INVASION IS NOTED. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. - BIOPSY SITE, FIBROCYSTIC, AND COLUMNAR CHANGES AND MICROSCOPIC. INTRADUCTAL PAPILLOMAS ARE ALSO IDENTIFIED. - THE LYMPH NODE STATUS IS AS FOLLOWS (EXPRESSED AS THE NUMBER OF POSITIVE. LYMPH NODES IN RELATION TO THE TOTAL NUMBER OF LYMPH NODES EXAMINED) : LEVEL I: 0/23; LEVEL II: 0/11; INTRAMAMMARY (ELEVEN o' CLOCK) : 1/1. - THE METASTATIC FOCUS MEASURES 1.9 CM. - THERE IS NO EXTRANODAL EXTENSION OF CARCINOMA. LYMPH NODE, LEVEL ONE, RIGHT AXILLA, ADDITIONAL; 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. Gross Description: M.D. 1) The specimen is received fresh and labeled, "right breast and axillary. contents levels 1 and 2" and consists of a breast measuring 33.0 x 27.5 x. 6.0 cm with overlying skin ellipse measuring 33.0 x 17.0 cm. Situated. centrally on the skin surface is a flattened nipple measuring 0.9 x 0.9 cm. and areola measuring 4.2 cm. The skin shows bruising at the 8 o'clock. positions. No definitive scars are appreciated. A suture demarcates the. axillary contents which measures 11.0 x 6.5 cm. Two tags are present,. designating levels 1 and 2. The posterior surface of the breast is inked. black and the anterior/superior red and interior/inferior green. The. specimen is serially sectioned to reveal a firm tumor nodule measuring 4.2. x 3.5 x 3.2 cm located centrally at the subareolar aspect, located 1.0 cm. from the deep margin with surrounding firm satellite extension involving a. 9.0 x 5.5 x 5.0 cm area involving all four quadrants. A full face section of. the largest tumor nodule is taken, sectioned and submitted accordingly. Additional representative sections showing the satellite nodules are. submitted. The remaining breast tissue shows, lobular adipose tissue with. scant white fibrous breast tissue. The axillary tissue is dissected to. reveal an enlarged tan lymph node located in the upper outer quadrant at 11. o'clock position, measuring 2.5 cm in greatest dimension with a grossly. positive cut surface. A representative section of the lymph node is. submitted. All identified lymph nodes are submitted. Representative sections. are submitted. All dissected lymph nodes are entirely submitted. Summary of sections: N - nipple. NB - nipple base. S - representative skin. D - tumor to deep margin. TN- largest tumor nodule to surrounding papillary nodules. PN- surrounding papillary tumor nodules. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. LN11 grossly positive 11 o'clock lymph node. LN1- lymph nodes (level 1). BLN1- bisected lymph nodes (level 1). TLN1- - trisected lymph nodes (level 1). SLNIserially sectioned single lymph node (level 1). LN2 - lymph nodes (level 2). BLN2 bisected lymph node (level 2). 2) The specimen is received in formalin, labeled "Additional level 1 lymph. node, right axilla" and consists of a single pink tan fatty lymph node. measuring 1.2 x 1 x 0.3 cm. The lymph node is entirely submitted. Summary of sections: LN- lymph node. Summary of Sections: Part 1: SP: Right breast and axillary contents level 1 and 2. Block. Sect. Site. PCs. 4. BLN1. 4. 1. BLN2. 1. 1. D. 1. 2. LIQ. 2. 3. LN1. 3. 1. LN11. 1. 2. LN2. 2. 2. LOQ. 2. 3. N. 3. 1. NB. 1. 1. S. 1. 4. SLN1. 4. 3. TLN1. 3. 2. TN. 2. 3. 3. 2. UIQ. 2. 2. UOQ. 2. Part 2: SP:Additional level one lymph node , right axilla. Block. Sect. Site. PCs. 1. LN. 1. Procedures/Addenda: Addendum. Date Complete: D. Addendum Diagnosis. RIGHT BREAST AND AXILLARY CONTENTS, LEVEL 1 AND 2: - IMMUNOHISTOCHEMICAL STAINS SHOW THE TUMOR CELLS TO BE NEGATIVE FOR. HER2 (G/1+). M.D.

expanded version (tokens=1980) : 
 Histological Classification: Multiple foci invasive ductal carcinoma with neuroendocrine differentiation and luminal B subtype. Ductal Carcinoma In-Situ (DCIS) identified, solid, flat/clinging, micropapillary, and cribiform types with intermediate to high nuclear grade and mild necrosis. Small focus of lobular carcinoma in situ (LCIS) also identified.

Nuclear Grade: III/III (marked variation in size and shape) ranging in size from 0.1 cm to 4.2 cm.

Tumor Size: Dominant tumor mass measuring 4.2 cm in greatest dimension with multiple satellite nodules spanning an area of 9.0 cm.

Necrosis: Mild necrosis observed in DCIS.

Tumor Infiltrating Lymphocytes: No mention.

Histological Grade: III/III (slight or no tubule formation).

Lymphovascular Invasion: No vascular invasion noted.

Calcifications: Present in the invasive and in situ carcinoma.

Receptor Status: Cancer cells tested negative for HER2 (G/1+).

Ancillary Testing: Immunohistochemical stains were 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=2125) : 
 The breast pathology report indicates a luminal B subtype cancer with multiple invasive ductal carcinoma foci. Ductal carcinoma in situ (DCIS) and a small focus of lobular carcinoma in situ (LCIS) were identified. There was no tumor infiltrating lymphocytes or vascular invasion, but mild necrosis was observed in DCIS. Histological grade III/III and negative HER2 receptor status were noted. Immunohistochemical stains were performed to determine the receptor status.

