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, Fatient. Surgical Pathology: Final. CLINICAL HISTORY: Breast cancer. GROSS EXAMINATION: A. "Left breast and axilla", received fresh. The specimen is a 22.7 x 11.5. x. 2.5 cm mastectomy specimen. The overlying skin ellipse measures 17.0 x 11.0. cm, and includes a 5.5 cm areola and 1.0 cm nipple. A well-healed 3.0 cm scar. is noted just superior to the areola in the upper inner quadrant. The. specimen includes an axillary tail which measures 11.0 cm x 7.0 cm. The. margins of the specimen are inked in blue, and the specimen is serially. sectioned to reveal a 3.5 x 3.5 x 3.0 cm tumor in the upper inner quadrant,. extending medially to the upper outer quadrant. The tumor is firm,. tannish-white, with a gritty consistency. It appears to be infiltrating. adjacent tissue. Tissue has been sent for estrogen and progesterone receptor. assays. The tumor approaches to 1 cm of the deep margin. It approaches to. 1.0 cm to the lateral margins. The remainder of the breast tissue is composed. of lobular adipose tissue intermixed with reddish pink fibrous tissue. There. is an area of dense white fibrous breast tissue in the upper outer quadrant. The axillary tail measures 13.5 x 8.0 cm. It is composed of yellow lobular. adipose tissue. Several nodes are identified grossly. A 3.1 x 1.0 cm node is. sectioned to reveal a firm 2.0 x 1.0 cm tan-white mass. The axillary tail is. amputated, divided into three sections and searched for lymph nodes which are. submitted as described below. Block Summary: A1- section of skin through nipple and areola. A2- section of breast through overlying skin with scar. A3- section of deep margin of tumor. A4- section of deep margin of tumor. A5- section of lateral margin of tumor. A6- section of tumor. A7- section of tumor. A8- section of tumor, with possible biopsy cavity. A9- tissue from the upper inner quadrant. A10- tissue from the lower inner quadrant. A11- tissue from lower outer quadrant. A12- tissue from upper outer quadrant. A13-one grossly positive lymph node, section I. A14-one lymph node, sectioned, section I. A15- six lymph nodes, section II. A16- three lymph nodes, section II. A17 one lymph node , sectioned, section II. A18- three lymph nodes, section III. A19- one lymph node, sectioned, section III. A20- three lymph nodes, section III. MICROSCOPIC EXAMINATION: The previous biopsy site is located in the center of a large tumor mass. consisting of infiltrating ductal carcinoma. Positive lymph nodes are. identified in the axillary tail in the following distribution: low axillary. tail, 2/2 (one macroscopically positive with extracapsular extension) ; mid. axillary tail, 2/8; high axillary tail, 0/6. DIAGNOSIS: A. "LEFT BREAST AND AXILLA"; MODIFIED RADICAL MASTECTOMY: 1. RESIDUAL INFILTRATING DUCTAL CARCINOMA, NSABP NUCLEAR GRADE 2/3,. eBrowser Result for. 1 of 2. HISTOLOGIC GRADE 3/3. 2. RESIDUAL TUMOR SIZE 3.5 x 3.5 x 3.0 CM. 3. FOCAL DUCTAL CARCINOMA IN SITU, COMEDO TYPE. 4. FOCAL VASCULAR INVASION IS IDENTIFIED. 5. NIPPLE, NO PAGET'S DISEASE IDENTIFIED. 6. SKIN WITH HEALING SCAR. NO DERMAL LYMPHATIC INVASION IDENTIFIED. 7. ALL SURGICAL MARGINS ARE FREE OF TUMOR. 8. REMAINING BREAST WITH PAPILLARY APOCRINE METAPLASIA, CYSTIC CHANGE, AND. INTER- AND INTRALOBULAR FIBROSIS. 9. METASTATIC ADENOCARCINOMA INVOLVING 4 OF 16 TOTAL AXILLARY LYMPH NODES. ONE LYMPH NODE IN THE LOW AXILLA IS MACROSCOPICALLY POSITIVE AND. EXHIBITS EXTRACAPSULAR INVASION BY TUMOR. 2 of 2.

expanded version (tokens=1443) : 
 Histological classification: The tumor identified in the left breast and axilla is a residual infiltrating ductal carcinoma with a focal ductal carcinoma in situ (comedo type), and vascular invasion. The tumor subtype is LumA.

Subtype: LumA

Necrosis: There is no mention of any necrosis in the report.

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

Histological Grade: The nuclear grade of infiltrating ductal carcinoma is 2/3 and the histologic grade is 3/3.

Lymphovascular invasion: The report identifies the focal vascular invasion of infiltrating ductal carcinoma, but there is no mention of lymphovascular invasion.

Calcification: There is no mention of calcification in the report.

Receptor Status: The estrogen and progesterone receptor status of the tumor is not given in the report.

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

Other findings include:

- The surgical margins are free of tumor.
- The remaining breast tissue has papillary apocrine metaplasia, cystic change, and inter- and intralobular fibrosis.
- Metastatic adenocarcinoma involving 4 of 16 total axillary lymph nodes is identified.
- One lymph node in the low axilla is macroscopically positive and exhibits extracapsular invasion by the 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=1617) : 
 Left breast and axilla biopsy shows the presence of infiltrating ductal carcinoma and ductal carcinoma in situ (comedo type) with a focal vascular invasion. The tumor subtype is LumA and has a histological grade of 3/3. No necrosis or lymphovascular invasion was found. Surgical margins are free of tumor. Metastatic adenocarcinoma involves 4 out of 16 total axillary lymph nodes, with one exhibiting extracapsular invasion by the tumor. Additional features include papillary apocrine metaplasia, cystic change, and fibrosis within the remaining breast tissue.

