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, age & :-. urgical Pathology: CLINICAL HISTORY: Breast cancer, tumor was 3 x 2.5 x 2 cm. GROSS EXAMINATION: A. "Left modified radical mastectomy", received fresh. Submitted is a 2050. gram, 22 x 20 x 8 cm left mastectomy specimen with 10 x 10 x 2 cm axillary. tail. There is a 30 x 20 cm skin ellipse with a 1.5 cm nipple and 6 cm areola. A. sutured 10.5 cm linear incision is present over the lower inner quadrant. The margins are inked in blue. Sectioning reveals a 3 x 2 x 2 cm biopsy cavity. in the lower inner quadrant, 3 cm from the inferior margin, 2 cm from the. medial margin, 4.5 cm from the deep margin, 8 cm from the superior margin, and. more than 15 cm from the lateral margin. The biopsy cavity extends to within. 1. cm of the skin incision. Adjacent to the deep edge of the biopsy cavity is. a. 3 x 2 x 1 cm irregular mass of firm, tan-white tissue. The mass lies. approximately 3.5 cm from the deep surgical margin, 2 cm from the medial. margin, 3 cm from the inferior margin, 7.5 cm from the superior margin, and. greater than 15 cm from the lateral margin. In the upper inner quadrant,. 3.5 cm from the biopsy cavity, is a 1.5 x 1.2 x 0.8 cm well circumscribed. nodule of firm, pale pink-tan tissue. The nodule lies nearest the deep margin,. extending to within 2 cm of this margin. In the lower outer quadrant are two. similar well-circumscribed nodules of pale pink-tan tissue: a 1.1 x 0.6 x 0.5. cm nodule and, 1.5 cm lateral to this, a 0.6 x 0.5 x 0.2 cm nodule. The 1.1. x. 0.6 x 0.5 cm nodule lies 5 cm from the lateral surgical margin and 4 cm from. the inferior surgical margin. The 0.6 x 0.5 x 0.2 cm nodule is 3.5 cm from the. lateral surgical margin and 4 cm from the inferior surgical margin. Further. lateral and inferior within the lower outer quadrant is a small, 0.4 x 0.3 x. 0.2 cm, oblong mass of firm tan tissue, lying 2 cm from the deep and the. lateral surgical margins. In the upper outer quadrant there are small areas. of fibrosis, some associated with small cysts (up to 0.3 cm in diameter) . Within the axillary tail, thirty-two lymph node candidates, 0.5 to 2.2 cm in. greatest dimension, are identified: 8 within the proximal third (zone III),. 6. within the middle third (zone II), and 18 lymph nodes in the distal third. (zone I) . BLOCK SUMMARY: A1- six lymph node candidates from zone III, 0.5 to 1.1 cm in greatest. dimension. A2- two bisected lymph node candidates, 1.2 x 0.9 x 0.7 cm and 1 x 0.6 x 0.5. cm, from zone III. A3- five lymph node candidates from zone II, 0.4 to 1 cm in greatest dimension. A4-A5- one bisected lymph node candidate, 2.2 x 1.5 x 0.4 cm, from zone II. A6- four lymph node candidates, 0.8 to 1.2 cm, from zone I. A7- six lymph node candidates, 0.5 to 1.1 cm, from zone I. A8- six lymph node candidates, 0.8 to 1 cm, from zone I. A9- two bisected lymph node candidates, 1.3 x 1 x 0.4 cm and 1.6 x 1.3 x 0.5. cm, from zone I. A10- section through nipple. A11- sections adjacent to incision extending to the biopsy cavity. A12-A15- sections through 3 cm mass adjacent to biopsy cavity. A16-A17- sections through 1.5 cm nodule in the upper inner quadrant. A18- section through the 0.6 and 1.1 cm nodules in the lower outer quadrant. A19- section through 1.1 cm nodule in the lower outer quadrant. A20- section through 0.4 cm mass in the lower outer quadrant. A21- section extending to the deep surgical margin near the biopsy cavity. A22- section extending to the inferior surgical margin near the biopsy. cavity. A23- sections extending to the superior surgical margin nearest biopsy cavity. Page 2 of. A24- sections extending to the medial surgical margin nearest the biopsy. cavity. A25- - inner upper quadrant. A26- - outer upper quadrant, including portion of fibrous tissue with cysts. A27- outer lower quadrant. A28- inner lower quadrant. A29- section through superior/medial edge of the biopsy cavity. A30- section through deep edge of biopsy cavity. Dr. DIAGNOSIS: A. "LEFT MODIFIED RADICAL MASTECTOMY" (MODIFIED RADICAL MASTECTOMY). INFILTRATING DUCTAL CARCINOMA, AT LEAST 3 CM IN GREATEST DIMENSION, NSABP. CYTOLOGIC GRADE 2, HISTOLOGIC GRADE 2. LYMPHOVASCULAR INVASION IS IDENTIFIED. METASTATIC CARCINOMA IN TWO OF TWENTY-ONE LYMPH NODES. DUCTAL CARCINOMA IN SITU OF NON-COMEDO TYPE, EXTENSIVE. SURGICAL MARGINS FREE OF CARCINOMA. BREAST TISSUE AWAY FROM TUMOR MASS SHOWS BENIGN PROLIFERATIVE CHANGES. INCLUDING ATYPICAL INTRADUCTAL HYPERPLASIA, INTRADUCTAL HYPERPLASIA OF. THE USUAL TYPE, INTRADUCTAL PAPILLOMATOSIS, APOCRINE METAPLASIA, BLUNT. DUCT ADENOSIS, MICROCALCIFICATIONS, DUCT ECTASIA, AND MULTIPLE. FIBROADENOMATA. ADDENDUM 1: Tissue was sent to the. where assays for estrogen receptor. and progesterone receptor were performed. Assay for estrogen receptor. revealed an estimated Fmol value of 292 which was interpreted as positive. The. estrogen receptor activity was interpreted as positive with estimated Fmol. value of 268. Please refer to. for the complete report. ADDENDUM 2: ADDENDUM DIAGNOSIS: SURGICAL OPERATIVE MARGINS ARE FREE OF MALIGNANCY. DUCTAL CARCINOMA IN SITU OF NON COMEDO TYPE, EXTENSIVE. BREAST TISSUE AWAY FROM MAIN TUMOR MASS SHOWS BENIGN PROLIFERATIVE CHANGES. INCLUDING HYPERPLASIA, INTRADUCTAL PAPILLOMATOSIS, BLUNT DUCT ECTASIA,. APOCRINE METAPLASIA, MICROCALCIFICATIONS, AND MULTIPLE HYALIZING. FIBROADENOMA.

expanded version (tokens=2064) : 
 The breast pathology report shows that the patient had a Left Modified Radical Mastectomy due to Breast cancer. The tumor measured 3 x 2.5 x 2 cm. The following findings were reported:

- Histological classification: Infiltrating ductal carcinoma, at least 3 cm in greatest dimension, with NSABP cytopathologic grade 2 and histologic grade 2.
- Subtype: Luminal A
- Description of necrosis: There is no specific mention of necrosis.
- Tumor infiltrating lymphocytes: No specific mention of tumor-infiltrating lymphocytes was made.
- Histological grade: 2
- Nuclear grade: No information available.
- Lymphovascular invasion: Identified.
- Calcification: Microcalcifications noted in benign proliferative changes within the breast tissue away from the tumor mass.
- Receptor status: ER positive (Fmol value of 292), PR not mentioned.
- IHC and ancillary testing results: No additional IHC or ancillary testing results were mentioned except for the ER assay.

The report also notes metastatic carcinoma in two of twenty-one lymph nodes. Additionally, there is the presence of ductal carcinoma in situ of the non-comedo type, which was extensive, and the surgical margins were free of carcinoma.

Breast tissue away from the tumor mass exhibited benign proliferative changes, including atypical intraductal hyperplasia, intraductal papillomatosis, apocrine

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=2236) : 
 Report: Left Modified Radical Mastectomy due to Infiltrating Ductal Carcinoma, subtype Luminal A. The tumor measured 3 x 2.5 x 2 cm with NSABP cytopathologic grade 2 and histologic grade 2. Lymphovascular invasion was identified. ER positive (Fmol value of 292), PR not mentioned. Metastatic carcinoma in two of twenty-one lymph nodes; benign proliferative changes seen on tissue away from the tumor mass. No mention of necrosis or IHC/ancillary testing results. Surgical margins were free of carcinoma.

