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 Basal, Surgical Pathology: Final. OUID:CA834E5F-30DC-46CF-AF33-AD11226FC09E. CLINICAL HISTORY: Bilateral carcinoma of the breast. GROSS EXAMINATION: A. "Medial margin right breast biopsy", fresh. The specimen consists of 3.7 x. 2.2 x 0.6 cm disc of firm white, unremarkable breast tissue; four sutures. denote the true margin, which is inked black. Serial radial sections are. submitted as follows: BLOCK SUMMARY: A1 frozen section remnant Af1. A2 frozen section remnant AF2. A3 frozen section remnant AF3. A4 additional tissue. B. "Right breast biopsy sample". Contains an irregular 10 x 0.5 x 1.7 cm disc. tan-brown coarsely papillary tissue. Portions are submitted for ER/PR and for. tissue. bank and for frozen section. Frozen section remnant submitted in Block. B1. C. "Left breast tumor, wide reexcision, long suture lateral, short suture. superior", fresh. The specimen consists of a 4.5 x 4.3 x 2.2 cm wide. reexcision of the breast. The long suture denotes the lateral aspect of the. specimen and a short suture the superior. The superior pole of the tissue is. inked black, and the inferior blue. On cut section, there is a 1.3 x 1.3 x 1 cm round, white, firm, gritty,. sharply-circumscribed tumor in the superior portion of the resection. The. tumor extends to within 2 mm of the superior margin, and does not approach. closely to any other margin. The remainder of the breast consists of firm,. white and tan admixed breast parenchyma. Tissue is divided into deep (towards. chest wall) and superficial (towards skin) halves and submitted from medial to. lateral as follows: BLOCK SUMMARY: C1 frozen section remnant Cfl. C2-C8 superficial half from medial to lateral. C9-C15 deep half from medial to lateral. D. "Right axillary dissection and wide reexcision", fresh. The specimen. consists of an excisional breast biopsy and attached axillary dissection. The. biopsy is incised, to obtain tissue for frozen section, ER/PR, and tissue. bank, prior to receipt by pathology. The biopsy measures 6.7 x 6.5 x 3.2 cm. The axillary tail measures 10 x 2.3 x 0.9 cm. The medial surface (not a true. margin) is inked in red, the inferior margin black and the superior margin in. blue. On cut section, there is a 4.5 x 2.3 x 2.5 cm white firm tumor, composed of. tan-yellow loose aggregates of tumor. The tumor approaches to within 3 mm of. the inked superior margin of resection and to within 1 cm of the superior and. 5 mm of the inferior margin. Tumor approaches to within 4 mm of the deep. margin of resection. The remainder of the breast is unremarkable. The axillary dissection is divided into low, mid and distal level. There are. numerous lymph nodes, ranging from 0.3 to 1.4 cm, none grossly involved by. tumor. BLOCK SUMMARY: 1 of 2. D1-D5 Anterior (superficial) tumor from lateral to medial. D6-D10 Posterior (deep) tumor from lateral to medial. D11 - Lower lymph node candidate. D12 - One mid-level lymph node, bisected. D13 - Five mid-level lymph node candidates. D14 - Four distal lymph node candidates. D15 - Highest lymph node. E. "Left axillary dissection, silk on apex", fresh. The specimen consists of. a 6 x 9 x 1.7 cm lymph node dissection, with a black suture at one pole. The. lymph node dissection is divided into three sections, lower, middle and. distal. Numerous lymph nodes are identified ranging from 0.3 to 1.7 cm in. greatest dimension. None grossly contains tumor. BLOCK SUMMARY: E1 Lower nodes, 3 lymph node candidates. E2 Three lymph node candidates, lower node. E3 Middle nodes, 2 lymph node candidates. E4 Middle nodes, 2 lymph node candidates. E5 Three lymph node candidates, upper lobe. E6 Upper nodes, 1 lymph node candidate. E7 Upper node, 1 lymph node candidates, bisected. E8 Highest apical node. INTRA OPERATIVE CONSULTATION: AF1-Af3: "Medial margin right breast biopsy": Inked margin free of carcinoma. (KR). Bf1: "Right breast biopsy sample": Carcinoma. Cf1: "Left breast biopsy": Carcinoma. DIAGNOSIS: A. "MEDIAL MARGIN RIGHT BREAST BIOPSY": BENIGN BREAST TISSUE. B. "RIGHT BREAST BIOPSY": POORLY-DIFFERENTIATED ADENOCARCINOMA. C. "LEFT BREAST TUMOR, WIDE RE-EXCISION": INVASIVE AND INTRADUCTAL ADENOCARCINOMA. 1.3 x 1.3 x 1.3 CM. NSABP HISTOLOGIC GRADE 3, NUCLEAR GRADE 3. NON-COMEDO TYPE INTRADUCTAL COMPONENT COMPRISES 5% OF TUMOR. VASCULAR SPACE INVASION IDENTIFIED (C13) . INKED MARGINS OF RESECTION FREE OF TUMOR. EXTENDING TO WITHIN 1 MM OF INKED SUPERIOR MARGIN OF RESECTION (C14) . ASSOCIATED WITH MICROCALCIFICATION. REMAINDER OF BREAST WITH APOCRINE METAPLASIA AND MICROCYST FORMATION. D. "RIGHT AXILLARY RESECTION OF BREAST AND WIDE RE-EXCISION": INVASIVE AND INTRADUCTAL CARCINOMA. 4.5 x 2.3 x 2.5 CM. NSABP HISTOLOGIC GRADE 3, NUCLEAR GRADE 2. NON-COMEDO TYPE INTRADUCTAL CARCINOMA COMPRISES 5% OF TUMOR. INTRADUCTAL CARCINOMA EXTENDS BEYOND TUMOR MASS. VASCULAR SPACE INVASION NOT IDENTIFIED. TUMOR APPROACHES TO WITHIN 100 MICRONS OF INKED MARGIN OF RESECTION. (D7, D8, D9, D10, D6), SEE NOTE. REMAINDER OF BREAST WITH MICROCYST FORMATION AND FIBROADENOMATOUS CHANGE. 10 REGIONAL LYMPH NODES WITH NO TUMOR SEEN (0/10) . E. "LEFT AXILLARY DISSECTION": 8 LYMPH NODES WITH NO TUMOR SEEN (0/8) . NOTE: FOCALLY, CAUTERY ARTIFACT EXTENDS TO TUMOR inal. 2 of 2.

expanded version (tokens=1925) : 
 Histological classification: The report indicates that the patient has invasive and intraductal adenocarcinoma in both breasts. The subtype of cancer identified is Basal.

Subtype: Basal

Description of any necrosis: No mention of necrosis is made in the report.

Tumor infiltrating lymphocytes: The report does not mention tumor-infiltrating lymphocytes.

Histological grade: The NSABP Histologic grade is 3 for both left and right breast cancers.

Nuclear grade: Nuclear grade 3 is seen in the left breast tumor, while nuclear grade 2 is present in the right breast tumor.

Lymphovascular invasion: Vascular space invasion is identified in the left breast tumor.

Calcification: The report states that the left breast tumor is associated with microcalcification.

Receptor status: The report does not mention the receptor status of the cancer type.

IHC and other ancillary testing results: The report does not mention any additional IHC or ancillary testing results.

Other main points from the report include the size and location of tumors, margin status (invasive carcinoma extends close to margins), and a mention of regional lymph nodes not showing signs of tumor.

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=2065) : 
 The patient has basal subtype invasive and intraductal adenocarcinoma in both breasts with vascular space invasion identified in the left breast. NSABP histologic grade 3 is seen in both breasts, with nuclear grade 3 in the left breast and nuclear grade 2 in the right breast tumor. The left breast tumor is associated with microcalcification. Invasive carcinoma extends close to margins, while no tumor was seen in any lymph nodes.

