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: y/o female with right lower inner quadrant carcinoma IDC/DCIS with. microcalcifications, Right 3:00 => IDC poorly differentiated; DCIS with. microcalcification. Specimens Submitted: 1: SP: Senitnle node #1, level one, right axilla (fp). 2: SP: Sentinel node #2, level one, right axilla (fi. 3: SP: Sentinel node #3, level two, right axilla (fs. 4: SP: Right breast and axillary contents levels 1, 2 and 3. DIAGNOSIS: 1). LYMPH NODE, SENTINEL #1 LEVEL I RIGHT AXILLA; BIOPSY: METASTATIC CARCINOMA IN ONE OUT OF SIX LYMPH NODES (1/6). - THERE IS NO EXTRANODAL EXTENSION OF CARCINOMA. 2). LYMPH NODE, SENTINEL #2 LEVEL I RIGHT AXILLA; BIOPSY: - METASTATIC CARCINOMA IN ONE OF ONE LYMPH NODE (1/1) (SEE NOTE). - NO EXTRANODAL EXTENSION SEEN. NOTE: THE METASTASIS IS PRESENT ON DEEPER LEVEL PERMANENT SECTION ONLY. 3). LYMPH NODE, SENTINEL #3 LEVEL II RIGHT AXILLA; BIOPSY: - TWO BENIGN LYMPH NODES (0/2). 4). BREAST AND AXILLARY CONTENTS, RIGHT LEVELS I, II, AND III;. MASTECTOMY: - MULTIPLE FOCI OF INVASIVE DUCTAL CARCINOMA, NOS TYPE, 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 UP TO 3 CM. - DUCTAL CARCINOMA IN SITU (DCIS) IS ALSO IDENTIFIED, SOLID, CRIBRIFORM, AND. MICROPAPILLARY TYPES WITH HIGH 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 IN THE LOWER OUTER QUADRANT AND LOWER. INNER QUADRANT. - THE DCIS IS LOCATED IN THE LOWER OUTER QUADRANT AND LOWER INNER QUADRANT. - DCIS INVOLVES THE LARGE LACTIFEROUS DUCTS. - CALCIFICATIONS ARE PRESENT IN BOTH THE IN SITU AND INVASIVE CARCINOMA. - VASCULAR INVASION IS PRESENT. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY INVASIVE CARCINOMA IS. IDENTIFIED. - RARE FOCI OF DCIS/IN SITU CARCINOMA ARE CLOSE (1 MM) TO THE FOLLOWING. SURGICAL MARGIN: DEEP. - NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. - THE ATTACHED SKELETAL MUSCLE IS NEGATIVE FOR TUMOR. - THE NON-NEOPLASTIC BREAST TISSUE SHOWS BIOPSY SITE CHANGES. - 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: 0/13; LEVEL II: 0/9; AND LEVEL III: 0/2. RESULTS OF SPECIAL STAINS (ER, PR, HER2-NEU) 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. El .conically Signed Out. Special Studies: Special Stain. Comment. ER-C. PR-C. HER2-C. IMM RECUT. NEG CONT. Gross. MD. 1). The specimen is received fresh for frozen section consultation,. labeled "Sentinel node number one, level 1, right axilla" and consists of 7. lymph nodes and measure 3.5 x 2.6 x 1.0 cm in aggregate. One lymph node is. blue and has been bisected, and the lymph nodes are entirely submitted in. two cassettes. Summary of sections: FSCA- frozen section control A. FSCB--frozen section control B. 2) The specimen is received fresh for frozen section consultation,. labeled "Sentinel node number two, level 1, left axilla" and consists of a. soft lymph node measuring 0.6 x 0.5 x 0.5 cm, bisected and entirely. submitted for frozen section. Summary of sections: FSC-frozen section control. PA. 3). The specimen is received fresh for frozen section consultation,. labeled "Sentinel node number three, level 2, right axilla" and consists of. two soft tan lymph nodes totaling 2.0 x 1.2 x 0.6 cm, entirely submitted for. frozen section. Summary of sections: FSC-frozen section control. MD. 4). The specimen is received fresh in a container, labeled "Right breast and. axillary contents levels 1, 2 and 3 with tags attached". The specimen. consists of a mastectomy measuring 30 x 19 x 3 cm. That axillary tail. measures 13 x 8 x 2 cm. The overlying ellipse of skin measures 10 x 3 cm. No scar can be identified on the skin. The nipple measures 1 x 1 cm and it. is grossly unremarkable. The deep resection margin is inked blue. The. specimen is serially sectioned revealing a pinkish red, relatively. well-circumscribed and firm lesion measuring 3 x 1.5 x 1 cm which closely. abuts the inked resection margin. The lesion is 2 cm away from the skin. The lesion is located in the lower inner quadrant. Surrounding the lesion,. are areas of fibrosis which show punctate areas of cheesy necrosis. Away. from this lesion, in the lower outer quadrant is a vaguely defined area of. fibrosis and nodularity. Approximate measurements of this area are 10 x 6. cm. The upper inner and outer quadrants show mainly fatty tissue. An. axillary dissection is performed revealing 3 level one lymph nodes, 4 level. two lymph nodes and 2 level three lymph nodes. Summary of sections: TRM-tumor in relation to inked resection margin. TRS-tumor in relation to skin. LIQ-lower inner quadrant. LOQ-lower outer quadrant. UOQ-upper outer quadrant. UIQ-upper inner quadrant. N-nipple. L1-level one lymph nodes. L2-level two lymph nodes. L3-level three lymph nodes. Summary of Sections: Part 1: SP: Senitnle node #1, level one, right axilla (fa). Block. Sect. Site. PCs. 1. {not entered}. 1. 1. fsc. 1. Part 2: SP: Sentinel node #2, level one, right axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 3: SP: Sentinel node #3, level two, right axilla (fs). Block. Sect. Site. PCs. 1. fsc. Part 4: SP: Right breast and axillary contents levels 1, 2 and 3. Block. Sect. Site. PCs. 1. 11. 1. 1. 12. 1. 1. 13. 1. 11. lig. 11. 15. log. 15. 1. n. 1. 3. trm. 3. 1. trs. 1. 1. uiq. 1. 1. uoq. 1. Procedures/Addenda. Addendum. Date Complete: Addendum Diagnosis. ADDENDUM. SITE; RIGHT BREAST. PART #4. ER: 90% OF NUCLEAR STAINING WITH MODERATE INTENSITY. PR: 1% OF NUCLEAR STAINING WITH MODERATE TO WEAK INTENSITY. HER2/NEU (HERCEPTEST) : POSITIVE (STAINING INTENSITY OF 3+). MD. Intraoperative Consultation: Note: The diagnoses given in this section pertain only to the tissue sample. examined at the time of the intraoperative consultation. Page 5 of. 5. 1). FROZEN SECTION DIAGNOSIS: METASTATIC CARCINOMA (SLIDE B) . PERMANENT DIAGNOSIS: SAME. 2). FROZEN SECTION DIAGNOSIS: NEGATIVE LYMPH NODE. PERMANENT DIAGNOSIS: SEE FINAL DIAGNOSIS. 3). FROZEN SECTION DIAGNOSIS: NEGATIVE LYMPH NODE. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=2454) : 
 The breast pathology report indicates the following findings:

1. Histological Classification: The subtype is described as LumB, which refers to Luminal B breast cancer. The report indicates the presence of both invasive ductal carcinoma (IDC) and ductal carcinoma in situ (DCIS).

2. Subtype: The report does not provide any further information on the subtype of the cancer.

3. Necrosis: The report mentions moderate necrosis in the DCIS component.

4. Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

5. Histological grade: The IDC is histologically grade III/III, also known as poorly differentiated, with slight or no tubule formation. The nuclear grade of the IDC is III/III with marked variation in size and shape. The DCIS has a high nuclear grade.

6. Lymphovascular invasion: The report mentions the presence of vascular invasion.

7. Calcification: The report mentions the presence of microcalcifications in both the in situ and invasive carcinoma.

8. Receptor status: The report indicates that an addendum with the results of ER, PR, and HER2/neu staining will be reported separately. The addendum later states that ER is positive in 90% of nuclear staining with moderate intensity, PR is positive in only 1% of nuclear staining with moderate to weak intensity, and HER2/neu staining is positive with a staining intensity of 3+.



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=2613) : 
 The breast pathology report shows Luminal B breast cancer with a mix of invasive ductal carcinoma (IDC) and ductal carcinoma in situ (DCIS) with moderate necrosis. Histologic grade III/III IDC with marked variation in size and shape and vascular invasion is also present. Microcalcifications are found in the DCIS component and IDC. ER is positive (90%) with moderate intensity while PR is weakly positive (1%). HER2/neu is positive with a staining of 3+. No tumor infiltrating lymphocytes are mentioned.

