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: Invasive duct carcinoma left breast 5:0 and severe ADH left breast 11:00 (on. core biopsy): for left total mastectomy, SLNB, possible left ALND and. immediate reconstruction. Specimens Submitted: 1: SENTINEL NODE #1, LEVEL ONE LEFT AXILLA, EXCISION: 2: SENTINEL NODE #2, LEVEL ONE LEFT AXILLA, EXCISION. 3: NON-SENTINEL NODE, LEFT AXILLA, EXCISION. 4: BREAST, LEFT, SIMPLE MASTECTOMY. DIAGNOSIS: SUMMARY OF FINDINGS IN THIS CASK: Invasive ductal carcinoma present as two foci spaning 28 mm and 2 mm and is. 3.6 cm from the closest inked margin. The nipple dermis is involved by invasive ductal carcinoma. Mucinous carcinoma spans 2.5 mm and does not involve the inked margin. All foci of invasive carcinoma (ductal and mucinous) are ER positive, HER2. negative. DCIS is present and is 3.6 cm from the closest inked margin. Sentinel lymph nodes: 2/3. Non-sentinel lymph nodes: 1/1. Total lymph nodes: 3/4. Type of metastasis: macrometastasis (6 mm) to an intramammary lymph node. 1. SENTINEL NODE #1, LEVEL ONE LEFT AXILLA, EXCISION: Sentinel Lymph Node Status: Number of Sentinel Lymph Nodes Examined: 1. Number of Sentinel Lymph Nodes with carcinoma: 1. Size of Largest Metastatic Focus: >= 0.2 mm to =< 2 mm (micrometastasis). The metastatic focus spans 0.4 mm. Level of Detection: Initial H&E stained section. Extracapsular Extension: Not present. 2. SENTINEL NODE #2, LEVEL ONE LEFT AXILLA, EXCISION: Sentinel Lymph Node Status: Number of Sentinel Lymph Nodes Examined: 1. Number of Sentinel Lymph Nodes with carcinoma: 1. Size of Largest Metastatic Focus: > 2 nm. The metastatic focus spans 3 mm. Level of Detection: Initial H&E stained section. Extracapsular Extension: Present, measuring < 2mm in largest diameter. The metastatic carcinoma is negative for WT1. 3. Non-sentinel node, left axilla, excision: - One benign lymph node (0/1). 4. BREAST, LEFT, SIMPLE MASTECTOMY: Invasive Carcinoma: Ductal, NOS type. Focal mucinous carcinoma (see note). Histologic Grade: III/III: Minimal or no tubule formation K< 10% of tumor). Nuclear Grade: III/III (marked variation in size and shape). Tumor Size: Two foci (size specified below). the invasive ductal carcinoma spans 28 mm and 2 mm. Ductal carcinoma in situ (DCIS) : Present. DCIS, Architecture: Solid. Papillary. DCIS Nuclear Grade: High. Necrosis in DCIS: Minimal. Extensive intraductal component (>25% of tumor mass) : Not Identified. Lobular Neoplasia: Lobular carcinoma in situ (LCIS) classical type. Location of Invasive Carcinoma: Upper inner quadrant (UIQ). Lower inner quadrant (LIQ). Location of DCIS: Upper inner quadrant (UIQ). Lower inner quadrant (LIQ). Nipple Involvement: Invasive carcinoma involves the nipple stroma. Skin: Tumor emboli are present in dermal lymphatic channels. The examined skin margins are uninvolved by carcinoma. Calcification: In benign breast tissue. In invasive carcinoma. Lymphovascular Invasion: Present. Surgical Margins: Invasive carcinoma is 36 mm from the closest margin. DCIS is 36 mm from the closest margin. Benign Breast Tissue: Atypical ductal hyperplasia (ADH). Fibrocystic changes, including apocrine metaplasia, cyst formation. and stromal fibrosis. Biopsy site changes. Columnar cell changes. Lymph Nodes: LN - Number of lymph nodes with metastatic carcinoma: 1. Number of lymph nodes examined: 1. The mass identified in the UOQ at 1:00 is an intramammary lymph. node, almost enrtirely replaced by metastaic carcinoma. The metastaic. carcinoma measures 0.6 cm and is negative for WT1. Results of immunostains. for calponin and p63 support the diagnosis. A 2.5 mm focus of invasive mucinous carcinoma is also identified, with. nuclear grade II/III. Immunohistochemical stains were performed on formalin-fixed tissue with the. following results for. INVASIVE DUCTAL CARCINOMA (block 4-5) : ESTROGEN RECEPTOR (6F11,. 90% nuclear staining with strong. intensity. PROGESTERONE RECEPTOR (1E2;. negative (no nuclear staining). HER2 (4B5,. Negative (0 / 1+). The invasive ductal carcinoma is negative for WT1. The smaller focus of invasive ductal carcinoma has similar immunoprofile. Positive membranous imunoreactivity for E-cadherin supports ductal. differentiation. MUCINOUS CARCINOMA (block 4-19) : ESTROGEN RECEPTOR. 95% nuclear staining with strong. intensity. PROGESTERONE RECEPTOR (. 95% nuclear staining with strong. intensity. HER2 (. Negative (0). The mucinous carcinoma is positive for WT1. Comment: Controls are satisfactory. PATHWAY anti-HER-2/neu is. an 7DA-approved rabbit monoclonal primary antibody (clone 4B5) directed. against the internal domain of the c-erbB-2 oncoprotein (HER2) for. immunohistochemical detection of HER2 protein overexpression in breast. cancer tissue routinely processed for histologic 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;. 6(1):118-145). The ER and PR rabbit monoclonal antibodies are also FDA. approved. 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: 1) The specimen is received fresh for frozen section consultation, labeled. "sentinel node #1, level one, left axilla" and consists of a single node. measuring 1 cm. Bisected and entirely submitted for frozen section. Summary of sections: FSC -- frozen section control. 2) The specimen is received fresh for frozen section consultation, labeled. "sentinel node #2, level one, left axilla" and consists of a single node. measuring 2.0 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. 'non-sentinel node left axilla" and consists of a single fatty node. measuring 0.7 cm. Bisected and entirely submitted for frozen section. Summary of sections: FSC frozen section control. 4.) The specimen is received fresh labeled, "Left total mastectomy, suture. marks axillary aspect" and consists of a previously incised, 24.1 x 19.5 x. 4.6 cm breast with a partially overlying, 11.7 x 3.5 x 0.1 cm skin ellipse. Situated centrally on the skin surface is a 1.2 x 1.2 x 0.1 cm, crusty,. partially inverted, diffusely indurated, nipple with smooth, pink-white. suspicious cut surfaces surrounded by a 4.7 x 3.4 cm areola. The wrinkled,. tan-white skin is free of any gross abnormalities. A suture demarcates the. 7.2 x 4.6 x 0.5 cm 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 2.8 x 2.4 x 2.1 cm, firm, lobular. to fatty infiltrating bordered, pink-white mass, located in the lower inner. and outer quadrants, from 5 ''clock to 7 o'clock, underlying the nipple, 0.5. cm from the nipple base and 3.6 cm from the deep margin, (designated Mass. #1) The mass grossly appears to be separate from the suspicious indurated. nipple. Also, 5.9 cm superior and 1.5 cm medial to Mass #1, is a 2.5 x 2.2. x 1.3 cm, biopsy site partially surrounded by moderately dense, focally;. cystic, nodular and hemorrhagic, white fibrous tissue, located within the. apper outer quadrant, at 1 o'clock, 5.1 cm the nipple and 3.2 cm from the. deep margin, (designated Biopsy site #1) In addition, partially abutting. biopsy site #1 is a twist-clip situated within a 2.6 x 1.6 x 1.4 cm. well-healed biopsy site with a peripherally attached 0.9 x 0.9 x 0.7 cm,. ovoid, firm, smooth to nodular bordered, white to indigo blue ink-tinged. mass, located within the upper outer quadrant, at 2 o'clock, 5.5 cm from the. nipple and 4.2 cm the deep margin (designated Biopay site #2 and Mass #2). The remaining breast parenchyma consists of lobules of yellow adipose. separated by bands of mild to moderately dense, focally nodular and cystic,. white fibrous tissue. Sectioning of the axillary aspect reveals no grosalv. identifiable lymph nodes. TPS is submitted of Mass #1, per protocol. Representative sections are submitted. Additional sections are submitted. following microscopic review of the specimen. Summary of sections: N - nipple. NB - nipple base. D - deep margin. M1 Mass #1. BX1 Biopsy site #1. BX12 Biopsy sites #1 & #2. BX2 -- Biopsy site #2. M2BX2 Mass #2 with Biopsy site #2. M2 Mass #2. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. AD12 skin additional sections, 12 o'clock. AD3 skin additional sections, 3 o'clock. AD6 skin additional sections, 6 o'clock. AD9 skin additional sections, 9 o'clock. Summary of Sections: Part 1: SENTINEL NODE #1, LEVEL ONE LEFT AXILLA, EXCISION: Block. Sect. Site. PCs. 1. FSC. 1. Part 2: SENTINEL NODE #2, LEVEL ONE LEFT AXILLA, EXCISION. Block. Sect. Site. PCs. 1. FSC. 1. Part 3: NON-SENTINEL NODE, LEFT AXILLA, EXCISION. Block. Sect. Site. PCs. 1. FSC. 1. Part 4: BREAST, LEFT, SIMPLE MASTECTOMY. Block. Sect. Site. PCs. 1. AD12. 1. 1. AD3. 1. 1. AD6. 1. 1. AD9. 1. 4. BX1. 5. 1. BX12. 1. 1. BX2. 1. 1. D. 1. 1. LIQ. 2. 1. LOQ. 2. 6. M1. 6. 1. M2. 1. 1. M2BX2. 1. 2. N. 5. 1. NB. 1. 1. UIQ. 2. 1. UOO. 2. 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: SP: Sentinel node #1 level 1 left axilla (fs). Benign. PERMANENT DIAGNOSIS: SEE FINAL DIAGNOSIS. 2. FROZEN SPATTON DIAGNOSIS: SP: Sentinel node #2 level 1 left axilla (fs) : Benign. PERMANENT DIAGNOSIS: SEE FINAL DIAGNOSIS. FROZEN SECTION DIAGNOSIS: SP: Non-sentinel node left axilla (fs) : Benign. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=3238) : 
 The breast pathology report contains a lot of information about the type of cancer, subtype, necrosis, tumor infiltrating lymphocytes, histological grade, receptor status, ancillary testing results, and other details. Here are the main points extracted from the report:

Clinical Diagnosis & History:

- Invasive duct carcinoma left breast 5:0 and severe ADH left breast 11:00 (on core biopsy)
- Left total mastectomy, SLNB, possible left ALND and immediate reconstruction

Specimens Submitted:

- Sentinel node #1, level one left axilla, excision
- Sentinel node #2, level one left axilla, excision
- Non-sentinel node, left axilla, excision
- Breast, left, simple mastectomy

Diagnosis:

- Invasive ductal carcinoma present as two foci spanning 28 mm and 2 mm and is 3.6 cm from the closest inked margin
- The nipple dermis is involved by invasive ductal carcinoma
- Mucinous carcinoma spans 2.5 mm and does not involve the inked margin
- All foci of invasive carcinoma (ductal and mucinous) are ER positive, HER2 negative
- DCIS is present and is 3.6 cm from the closest inked margin
- Sentinel lymph nodes: 2/3
- Non-sentinel lymph nodes: 1/1
- Type of metastasis: macrometast

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=3417) : 
 The pathology report shows invasive ductal carcinoma in the left breast with two foci of 28mm and 2mm; DCIS presence is 3.6 cm from the closest inked margin. There is also mucinous carcinoma, but it doesn't involve the inked margin. The carcinoma is ER positive and HER2 negative, the tumor infiltrating lymphocytes and calcification are not mentioned. Sentinel lymph nodes show macrometastasis (6mm) in an intramammary lymph node. Necrosis is minimal in DCIS while histologic grade III/III due to marked variation in shape and size of nuclear grading were reported.

