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 LumA, Clinical Diagnosis & History: year-old Emale with right breast mass s/p core biopsy showing invasive. ductal carcinoma, poorly differentiated. Now for TM SLN with IR. Specimens Submitted: 1: SP: Right breast and silicone implant. 2: SP: Sentinel node #1 level one right axilla. 3: SP: Sentinel node #2 level one right axilla. 4: SP: Sentinel node #3 level one right axilla. 5: SP: Sentinel node #4 level one right axilla. 6: SP: Non-sentinel tissue right axilla. 7: SP: Sentinel node #5 level one right axilla. 3: SP: Additional superior right mastectomy flap tissue. DIAGNOSIS: 1). BREAST, RIGHT AND SILICONE IMPLANT; MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, HISTOLOGIC GRADE III/III (SLIGHT OR NO. TUBULE FORMATION) NUCLEAR GRADE III/III (MARKED VARIATION IN SIZE AND. SHAPE) , MEASURING 3.1 CM IN LARGEST DIMENSION. GROSSLY. - DUCTAL CARCINOMA IN SITU (DCIS) IS ALSO IDENTIFIED, SOLID AND. CRIBRIFORM TYPES WITH INTERMEDIATE TO HIGH NUCLEAR GRADE AND MINIMAL. NECROSIS. THE DCIS CONSTITUTES <= 25% OF THE TOTAL TUMOR MASS, AND IS. PRESENT ADMIXED WITH THE INVASIVE COMPONENT. - THE INVASIVE CARCINOMA IS LOCATED IN THE UPPER OUTER QUADRANT. THE. DCIS IS LOCATED IN THE UPPER OUTER 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 INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - INVASIVE CARCINOMA IS 0.2 CM FROM THE NEAREST (ANTERIOR AND DEEP). MARGINS. - NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. - THE NON-NEOPLASTIC BREAST TISSUE SHOWS BIOPSY SITE CHANGES AND. FIBROCYSTIC CHANGES WITH. APOCRINE METAPLASIA, MICROCALCIPICATIONS. AND. COLUMNAR CELL ALTERATION WITHOUT ATYPIA. - RESULTS UF SPECIAL STAINS (ER, PR, HERZ-NEU) WILL BE REPORTED AS AN. ADDENDUM. 2). LYMPH NODE, SENTINEL #1, LEVEL I. RIGHT AXILLA; EXCISION: - ONE BENIGN LYMPH NODE (c/1). DEEPER LEVEL RECUTS AND SPECIAL STAINS. HAVE BEEN ORDERED. THE. RESULTS WILL BE REPORTED IN AN ADDENDUM. LYMPH NODE, SENTINEL #2, LEVEL I, RIGHT AXILLA; EXCISION: ONE BENIGN LYMPH NODE (0/1) DEEPER LEVEL RECUTS AND SPECIAL STAINS. HAVE BEEN ORDERED. THE. RESULTS WILL BE REPORTED IN AN ADDENDUM. 4). LYMPH NODE, SENTINEL #3, LEVEL I, RIGHT AXILLA; EXCISION: - ONE BENIGN LYMPH NODE (0/1) DEEPER LEVEL RECUTS AND SPECIAL STAINS. HAVE BEEN ORDERED. THE. RESULTS WILL BE REPORTED IN AN ADDENDUM. LYMPH NODE, SENTINEL #4, LEVEL I, RIGHT AXILLA; EXCISION: ONE BENIGN LYMPH NODE (0/1) . DEEPER LEVEL RECUTS AND SPECIAL STAINS. HAVE BEEN ORDERED. THE. RESULTS WILL BE REPORTED IN AN ADDENDUM. NON-SENTINEL TISSUE, RIGHT AXILLA; EXCISION: - TWO BENIGN LYMPH NODES (0/2). LYMPH NODES, SENTINEL #5, LEVEL 1, RIGHT AXILLA; EXCISION: - TWO BENIGN LYMPH NODES (0/2) DEEPER LEVEL RECUTS AND SPECIAL STAINS. HAVE BEEN ORDERED. THE RESULTS WILL BE REPORTED IN AN ADDENDUM. 8). BREAST, RIGHT, ADDITIONAL SUPERIOR MASTECTOMY FLAP TISSUE; EXCISION: - BENIGN FIBROADIPOSE TISSUE AND SKELETAL MUSCLE. - NO RESIDUAL CARCINOMA SEEN. 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. MD/. Special Seudies: Recult. Special Stain. Comment. positive. ER-C. positive. PR-C. negative. HER2-. intensity of 1+. NEG CONT. NEG-HER2. IMM RECUT. negative. AE1:AE3. NEG CONT. IMM RECUT. positive. AE1:AE3. NEG CONT. IMM RECUT. negative. AE1:AE3. NEG CONT. IMM RECUT. negative. AE1:AE3. NEG CONT. IMM RECUT. negative. AE1:AE3. NEG CONT. IMM RECUT. Gross Description: 1). The specimen ic received fresh, labeled, "Right breast and silicone. implant" It consists of product of right mastectomy which measures 14.0 cm. from superior to inferior, 14.0 cm from medial to latoral, 5.0 cm from. anterior to posterior. There is a skin ellipse with nipple areolar complex. which measures 10.0 x 3.5 cm. The nipple is erect. The posterior aspect is. inked in black, superior-anter tissue edge is inked in green, and the. inferior-anterior tissue edge is inked in blue. The specimen ic serially. sectioned from the lateral to medial revealing a stellate vasculated mass in. the upper outer quadrant which measures 3.1 x 1.4 x 1.7 cm. It is present. 0.2 cm from anterior tissue edge, 0.2 cm from the deep surgical margin. The. deep margin is easily movable over the tumor mass. A silicone implant is. identified which measures 7.0 x 7.0 x 0.3 cm. It is intact. It is. surrounded by fibrous partially calcified capsule. Summary of Sections: N nipple. T tumor. UOQ - upper outer quadrant. LOQ - lower outer quadrant. UIQ - upper inner quadrant. LIQ - lower inner quadrant. 2). The specimen is received fresh for frozen section, labeled "Sentinel. node #1 level one right axilla". It consists of one firm brown-tan node. measuring 1.0 x 0.5 x 0.4 cm. Bisected and entircly frozen. Summary of Sections: FSC - frozen section control. 3). The specimen is received fresh for frozen section, labeled Seatinel. node #2 level one right axilla". It consists of a 1.6 x 1.2 x 0.6 cm. brown-tan lymph node bisected and entirely frozen. Summary of Sections: FSC - frozen section control. 4). The specimen is received fresh for Erozen section, labeled Sentinel. node #3 level one right axilla". It consists of a 1.7 x 0.6 x 0.6 cm. brown-tan node bisected and entirely frozen. Summary of Sections: FSC - frozen section control. 5). The specimen is received in formalin, labeled Sentinel node #4 level. one right axilla". It consists of a portion of adipose tissue which. measures 1.9 x 1.5 x 0.6 cm. Examination reveals a pink-tan lymph node. which measures 1.5 x 1.0 x 0.4 cm. The lymph node is bisected and submitted. entirely. Summary of Sections: SN sentinel node. The specimen is received in formalin, labeled Non-sentinel cissue. right axilla". It consists of three irregular chaped portions of yellow. adipose which measures 0.6 x 2.5 cm in greatest dimension. The specimen is. submitted entirely in one cassette. Summary of Sections: NS non-sentinel ti3sue. The specimen is received in formalin, labeled Sentinel node #5 level. one right axilla. It consists of pink-tan portion of soft tissue which. measures 0.7 x 0.4 x 0.3 cm. The specimen is submitted entirely. Summary of Sections: SN sentinel node. 8). The specimen is received in formalin, labeled "Additional superior. right mastectomy flap tissue". It consists of two unoriented flap portions. of fibrofatty tissue which measure 5.5 x 2.0 x 0.6 cm and 4.5 x3.0 x 0.9 cm. Each piece has a cauterized aspect which is inked in red. The opposing. aspect is inked in green. The specimen is serially sectioned and submitted. entirely. Summary of Sections: U - undesignated. Summary of Sections: Part 1: SP: Right breast and silicone implant. Block. Sect. Site. PCs. C. 3. 1. LIQ. 1. 1. LOQ. 1. 1. N. 1. 5. 5. 1. UIQ. 1. Part 2: SP: Sentinel node #1 level one right axilla. Block. Sect. site. PCs. 1. FSC. 1. Part 3: SP: Sentinel node #2 level one right axilla. Block. Sect. Site. PCs. 1. FSC. 1. Part 4: SP: Sentinel node #3 level one right axilla. Block. Sect. Site. PCs. 1. FSC. 1. Part 5: SP: Sentinel node #4 level one right axilla. Block. Sect. Site. PCs. 1. SN. 1. Part 6: SP: Non-sentinel tissue right axilla. Block. Sect. Site. PCs. 1. NS. 1. Part 7: SP: Sentinel node #5 level one right axilla. Block. Sect. Site. PCs. 1. SN. 1. Part 8: SP: Additional superior right mastectomy flap tissue. Block. Sect. Site. PCs. 8. U. 8. Procedures/Addenda: Addendura. Date Complete: Addendum Diagnosis. ADDENDUM. SITE: SENTINEL LYMPH NODE, RIGHT AXILLA. PART #3. METASTATIC CARCINOMA IN THE FORM OF MICROSCOPIC CLUSTERS, MEASURING LESS. THAN 2MM (MICROMETASTASIS), IS IDENTIFIED ON ADDITIONAL H&E STAINED. SECTIONS AND CYTOKERATIN IMMUNOHISTOCHEMICAL STAINS. ADDITIONAL H&E STAINED SECTIONS AND IMIUNOHISTOCHEMICAL STAINS FOR. CYTOKERATINS (AE1:AE3 AND CAM 5.2) ON THE OTHER SENTINEL LYMPH NODE FROM. PART #2,4,5,7 SHOW NO EVIDENCE OF METASTATIC TUMOR. Addendum. Date Complete: Addendum Diagnosis. ADDENDUM. SITE: RIGHT BREAST. PART #1. ER: 90% OF NUCLEAR STAINING WITH MODERATE INTENSITY. PR: 90% OF NUCLEAR STAINING WITH STRONG INTENSITY. HER2/NEU (HERCEPTEST) : NEGATIVE (STAINING INTENSITY OF 1+). Intraoperative Consultation: Note: The diagnoses given in this section pertain only to the. tissue sample examined at the time of the intraoperative. consultation. 2). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME. 3). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME. 4). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODES. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=3139) : 
 Based on the breast pathology report, the following information can be extracted:

1. Histological classification: Invasive ductal carcinoma, Histological grade III/III, Nuclear grade III/III.

2. Subtype: LumA.

3. Necrosis: Minimal necrosis found in a solid and cribriform types of ductal carcinoma in situ (DCIS).

4. Tumor infiltrating lymphocytes: None mentioned.

5. Histological grade: Grade III/III.

6. Nuclear grade: Grade III/III.

7. Lymphovascular invasion: No vascular invasion noted.

8. Calcification: No calcifications identified in either the invasive or in situ carcinoma.

9. Receptor Status: ER is positive in 90% of nucleus staining with moderate intensity, PR is positive in 90% of nucleus staining with strong intensity, HER2/neu is negative (staining intensity of 1+).

10. IHC: Results of special stains such as ER, PR, and HER2-neu reported positive for ER-C and PR-C. HER2 is negative (intensity of 1+). AE1:AE3 stains come negative in three sentinel nodes and non-sentinel tissue.

11. Ancillary testing results: Sentinel lymph node #1 level one right axilla shows benign lymph node, while the rest show no evidence of metastatic tumor.

In summary, the report indicates that there is invasive ductal carcinoma in the upper outer quadrant of the

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=3274) : 
 The breast pathology report shows invasive ductal carcinoma, histological grade III/III, and nuclear grade III/III with minimal necrosis. The tumor has a LumA subtype and is ER and PR positive with a HER2/neu negativity (intensity of 1+). Sentinel node #1 level one right axilla shows benign lymph nodes. The other sentinel and non-sentinel tissues have no evidence of metastatic tumor.

