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: Palpable right breast mass with core biopsy showing invasive cancer. Specimens Submitted: 2: SP: Sentinel node #1, level 1, right axilla. 2: SP: Sentinel node #2, level 1, right axilla. 3 : SP: Sentinel node #3, level 2, right axilla. 4: SP: Right breast. 5: SP: Sentinel nodes #4 and #5, level 1, right axilla. 6: SP: Non-sentinel nodes right axilla. DIAGNOSIS: 1). LYMPH NODE, SENTINEL #1 LEVEL I RIGHT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1). - ADDITIONAL H/E LEVELS AND CYTOKERATIN (AE1:AE3) IMMUNOSTAINS ARE ALSO. NEGATIVE FOR METASTATIC TUMOR. 2). LYMPH NODE, SENTINEL #2 LEVEL I RIGHT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1). - ADDITIONAL H/E LEVELS AND CYTOKERATIN (AE1:AE3) IMMUNOSTAINS ARE ALSO. NEGATIVE FOR METASTATIC TUMOR. LYMPH NODE, SENTINEL #3 LEVEL II RIGHT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1). - ADDITIONAL H/E LEVELS AND CYTOKERATIN (AE1:AE3) IMMUNOSTAINS ARE ALSO. NEGATIVE FOR METASTATIC TUMOR. 4). BREAST, RIGHT; TOTAL MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, MODERATELY DIFFERENTIATED WITH. SOLID-PAPILLARY GROWTH PATTERN AND MUCINOUS DIFFERENTIATION, MEASURING 2.2. CM IN LARGEST DIMENSION MICROSCOPICALLY. FOCAL DUCTAL CARCINOMA IN SITU (DCIS). SOLID-PAPILLARY, SOLID AND. CRIBRIFORM TYPES WITH LOW TO INTERMEDIATE NUCLEAR GRADE AND MINIMAL. NECROSIS. - NIPPLE, SXIN AND SURGICAL MARGINS ARE NEGATIVE FOR TUMOR. - NO CONVINCING EVIDENCE OF LYMPHOVASCULAR INVASION. - PREVIOUS BIOPSY SITE CHANGES, STROMAL FIBROSIS AND ATROPHY. - IMMUNOHISTOCHEMICAL STAINS WERE PERFORMED ON FORMALIN-FIXED TISSUE. WITH THE FOLLOWING RESULTS FOR INVASIVE CARCINOMA (BLOCK "T3) : rage 2 or 5. ESTROGEN RECEPTOR (6F11,. 100% NUCLEAR STAINING. WITH STRONG INTENSITY. PROGESTERONE RECEPTOR (1E2;. 5₹ NUCLEAR STAINING. WITH MODERATE INTENSITY. HER-2/NEU (HercepTest;. NEGATIVE (STAINING. INTENSITY OF 0). 5). LYMPH NODES, SENTINEL #4 AND #5 LEVEL I RIGHT AXILLA; EXCISION: - TWO BENIGN LYMPH NODES (0/2). 6). LYMPH NODES, NON-SENTINEL RIGHT AXILLA; EXCISION: FIVE BENIGN LYMPH NODES (0/5). I ATTEST THAT THE ABOVE DLAGNOSIS IS BASED UPON MY PERSONAL EXAMINATION OF. THE SLIDES (AND/OR OTHER MATERIAL). AND THAT I HAVE REVIEWED AND APPROVED. THIS REPORT. Special Studies: Special Stain. Comment. RECUT. Gross Description: 1). The specimen is received fresh for frozen section consultation,. labeled "Sentinel node #1, level one, right axilla" and consists of a single. pink tan firm lymph node measuring 1.2 cm in greatest dimension. 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 1, right axilla" and consists of a pink tan. firm lymph node measuring 0.5 cm. Entirely submitted for frozen section. Summary of sections: FSC - frozen section control. 1. 3). The specimen is received fresh for frozon section consultation,. labeled Sentinel node #3, level 2, right axilla" and consists of a single. pink tan firm lymph node measuring 0.8 cm. Bicected and entirely submitted. for frozen section. Summary of sections: FSC - frozen section control. 4). The specimen is received fresh labeled, "Right breast, stitch marks. axillary tail and consists of a breast measuring 25.2 x 24.6 x 3.2 cm with. overlying ckin ellipse measuring 15.1 x 14.6 cm. Situated centrally on the. skin surface is an everted nipple measuring 1.1 cm and areola measuring 4.1. x 4.2 cm. There is no scar on the skin surface. A suture demarcates the. axillary aspect. The posterior surface of the breast is inked black and the. axillary aspect is inked green. The specimen is serially sectioned to. reveal a 2.5 x 2.2 x 2.3 cm well circunscribed, brown, focally hemorrhagic. mass located at the 11 o'clock axis (upper outer quadrant), 0.9 cm from the. deep margin. A metallic clip is identified adjacent to this lesion. Additionally, a 1.7 x 1.5 x 1.5 cm fibrous area with areas of hemorrhage and. necrosis is present inferior to the 2.5 em mass in the 11 o'clock axis in. the retroareolar region. No other masses or lesions are grossly identified. The cut surfaces are composed of 60% fatty and 40% fibrous ticsue. Sectioning of the axillary aspect reveals no grossly identifiable lymph. nodes. Tissue submitted for TPS. Representative sections are submitted. Summary of sections: N nipple. NB - nipple base. s skin. D deep margin. T tumor. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. RA - retzoareolar fibrous tissue. 5). The specimen is received in formalin labeled, "Sentinel nodes #4 and. 5, level 1, right axilla", and consists of two tan lymph nodes measuring 2. cm and 0.8 cm respectively. Both are bisected and entirely submitted. Summary of sections: LLN - larger lymph node (bisected and submitted in two cassettes). SLN - smaller lymph node. 6). The specimen is received in formalin, labeled "Non-sentinel nodes. right axilla" and consists of multiple pink tan firm lymph nodes ranging. from 0.2 cm to 2.1 cm in greatest dimension. All identified lymph nodes are. submitted. Summary of sections: LN - lymph nodes. BLN - bisected lymph node. LLN - largest lymph node bisected and submitted in two cassettes. rage 4 or 5. Summary of Sections: Part 1: SP: Sentinel node #1, level 1, right axilla. Block. Sect. site. PCs. 1. FSC. 1. Part 2: SP: Sentincl node #2, level 1, right axilla. Block. Sect. Site. PCs. 1. FSC. 1. Part 3: SP: Sentinel node #3, level 2, right axilla. Block. Sect. Site. PCs. 1. FSC. Part 4: SP: Right breast. Block. Sect. Site. PCs. 1. 1. 1. LIQ. 1. 1. LOQ. 1. 1. N. 1. 1. NB. 1. 2. RA. 2. 1. S. 6. 6. 1. UIQ. 1. UOQ. 1. Part 5: SP: Sentincl nodes #4 and #5, level 1, right axilla. Block. Sect. Site. PCs. LLN. 2. 1. SLN. 1. Part 6: SP: Non-sentinel nodes right axilla. Block. Sect. Site. PCs. 1. BLN. 1. 2. LLN. 2. 1. LN. 1. Intraopezative Consultation: Note: The diagnoses given in this section pertain only to the tissue cample. examined at the time of the intraoperative consultation. ray a or. FROZEN SECTION DIAGNOSIS: SP: SENTINEL NODE #1, LEVEL 1,. RIGHT AXILLA. BENIGN LYMPH NODE. PERMANENT DIAGNOSIS: SAME. 2). FROZEN SECTION DIAGNOSIS: SP: SENTINEL NODE #2, LEVEL 1. RIGHT AXILLA. RENIGN LYMPH NODE, MAINLY FIBROFATTY WITH SCANTY. LYMPHOID TISSUE. PERMANENT DIAGNOSIS: SAME. 3). SECTION DIAGNOSIS: SP: SENTINEL NODE #3, LEVEL 2,. RIGHT AXILLA. BENIGN LYMPH NODE. PERMANENT DIAGNOSIS: SAME. Note: The diagnoses given in this section pertain only to the tissue sample. examined at the time of the intraopezative consultation. 1). FROZEN. CECTION DIAGNOSIS: SP: SENTIMET MODE #1, LEVEL 1,. RIGHT AXILLA. BENIGN LYMPH NODE. PERMANENT DIAGNOSIS: SAME. 2). FROZEM ION DIAGNOSIS: SP: SENTINEL NODE #2, LEVEL 1,. RIGHT AXILLA. : BENIGN LYMPH NODE, MAINLY FIBROFATTY WITH SCANTY. LYMPHOID TISSUE. PERMANENT DIAGNOSIS: SAME. 3). FROVEN. ION DIAGNOSIS: SP: SENTINEL NODE #3, LEVEL 2,. RIGHT AXILLA. BENIGN LYMPH NODE. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=2684) : 
 The pathology report indicates that the patient has a palpable right breast mass with core biopsy showing invasive cancer. The diagnosis includes a moderately differentiated invasive ductal carcinoma, with a solid-papillary growth pattern and mucinous differentiation, measuring 2.2 cm in largest dimension, as well as a focal ductal carcinoma in situ. The subtype of this breast cancer is LumA. The DCIS appears in solid-papillary, solid, and cribriform types, with low to intermediate nuclear grade and minimal necrosis. 

The report also notes that there is no convincing evidence of lymphovascular invasion, and the previous biopsy site changes show stromal fibrosis and atrophy. The immunohistochemical stains performed on formalin-fixed tissue show that the estrogen receptor has 100% nuclear staining with strong intensity, the progesterone receptor has 5% nuclear staining with moderate intensity, and the HER2/neu status is negative with a staining intensity of 0.

On further testing, all lymph nodes examined, including the sentinel nodes, are benign. The report mentions that no lymphovascular invasion is seen in the tissue sample. The pathology report includes gross descriptions and microscopic sections of the specimens submitted for testing. 

Overall, the histological classification is invasive ductal carcinoma with a LumA subtype. There is no evidence of necrosis or tumor infiltrating lymphocytes mentioned in the report. The histological grade is moderate, and the nuclear grade is low to intermediate. The sentinel

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=2835) : 
 The patient has a 2.2cm, moderately differentiated LumA subtype invasive ductal carcinoma and a focal DCIS with low to intermediate nuclear grade and minimal necrosis. No convincing evidence of lymphovascular invasion or tumor infiltrating lymphocytes is seen, and all examined lymph nodes are benign. ER is 100% positive, PR is 5%, and HER2/neu status is negative. No significant tumor margin involvement was noted at nipple or surgical margins, and no other masses or lesions were identified.

