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 LumB, , Surgical Pathology: Additional Info. CLINICAL HISTORY: Per Browser: Right breast mass at 9:00 position, invasive ductal carcinoma. GROSS EXAMINATION: A. "Sentinel node #1, hot and blue". Received fresh and placed in formalin is. a 2 x 1 x 1 cm brown-yellow fragment of fibroadipose tissue. The specimen is. sectioned and submitted entirely in block A1. B. "Sentinel node #2, hot not blue". Received fresh and placed in formalin is. a 3.5 x 1.5 x 1.2 cm fragment of brown-yellow fibroadipose tissue. The. specimen is sectioned and submitted entirely in blocks B1 and B2. C. "Right breast mass". Received fresh and placed in formalin is a 10.5 (M-L). by 7.7 (A-P) by 4.0 (S-I) cm excisional breast biopsy. The anterior is inked. blue, the posterior is inked black, the superior is inked red, and the. inferior is inked yellow. There is a 4.6 x 1.5 cm ellipse of skin. There is. a 2.0 x 1.8 x 1.0 cm well circumscribed firm white nodule in the anterior. middle portion of the biopsy. The mass approaches within 2.0 mm of the. anterior margin and within 0.5 cm of the ellipse of skin. Representative. sections are taken medially to laterally from blocks C1-C25. BLOCK SUMMARY: C1-. most medial section. C2-. second most medial section. C3-10- representative sections moving laterally towards mass. C11-21- representative sections with mass. C22-25- representative section moving laterally. D. "Final anterior, inferior margin". Received fresh and placed in formalin. is a 3 x 2 x 1 cm fragment of brown-yellow fibroadipose tissue. A stitch is. placed on the margin by the surgeon. Blue ink is placed next to the suture,. the suture is removed, and the specimen is bisected. The inked blue side is. placed in blocks D1 and D2. The rest of the specimen is placed in block D3. Dr. Dr. slides to Dr. MICROSCOPIC EXAMINATION: Microscopic examination is performed. DIAGNOSIS: A. "SENTINEL NODE #1, HOT AND BLUE", (EXCISIONAL BIOPSY) : METASTATIC CARCINOMA IN ONE LYMPH NODE (1/1). SIZE OF METASTASIS: 0.8 CM. NEGATIVE FOR EXTRACAPSULAR EXTENSION. B. "SENTINEL NODE #2, HOT NOT BLUE", (EXCISIONAL BIOPSY). ONE LYMPH NODE (0/1), NEGATIVE FOR MALIGNANCY. IMMUNOHISTOCHEMICAL STAINS FOR CYTOKERATIN ARE NEGATIVE. C. "RIGHT BREAST MASS", (EXCISIONAL BIOPSY) : INVASIVE ADENOCARCINOMA OF THE BREAST. HISTOLOGIC TYPE: DUCTAL. https://. NOTTINGHAM COMBINED HISTOLOGIC GRADE: 3 OF 3. TUBULE FORMATION SCORE: 3. NUCLEAR PLEOMORPHISM SCORE: 3. MITOTIC RATE SCORE: 2. GROSS TUMOR SIZE: 2.0 x 1.8 X 1.0 CM. SIZE OF INVASIVE COMPONENT: 2.0 x 1.8 x 1.0 CM. LYMPHATIC/VASCULAR INVASION: PRESENT. MULTIFOCAL TUMOR: ABSENT. IN-SITU CARCINOMA: PRESENT. TYPE OF IN-SITU CARCINOMA: CRIBRIFORM AND COMEDO. NUCLEAR GRADE OF IN-SITU CARCINOMA: 3 OF 3. NECROSIS: PRESENT. DCIS EXTENDING OUTSIDE INVASIVE TUMOR MASS: ABSENT. SIZE OF IN-SITU CARCINOMA: SOLITARY MICROSCOPIC FOCUS (<0.2 CM). STATUS OF NON-NEOPLASTIC BREAST TISSUE: MINUTE FIBROADENOMA, APOCRINE. METAPLASIA. SKIN FREE OF TUMOR. SIZE OF BIOPSY: 10.5 x 7.7 x 4.0 CM. MICROCALCIFICATIONS: PRESENT IN ASSOCIATION WITH IN-SITU CARCINOMA. SURGICAL MARGIN STATUS: ANTERIOR MARGIN CLOSE (TUMOR GROSSLY APPROACHES TO. WITHIN 0.2 CM OF THE MARGIN) . SEE FINAL ANTERIOR. MARGIN, SPECIMEN "D" BELOW. ESTROGEN/PROGESTERONE RECEPTOR, CELL CYCLE, AND HER2/NEU ANALYSIS: PERFORMED PREVIOUSLY, SEE. D. "FINAL ANTERIOR, INFERIOR MARGIN", (EXCISION) : ADIPOSE AND BREAST PARENCHYMA, NEGATIVE FOR MALIGNANCY. I certify that I personally conducted the diagnostic evaluation of the above. specimen (s) and have rendered the above diagnosis (es). , M.D. Page #. CI ADDENDUM 1: Please see. for results of supplementary. tests. I certify that I personally conducted the diagnostic evaluation of the above. specimen (s) and have rendered the above diagnosis (es) . M.D., Ph.D. Pager. https://.

expanded version (tokens=1592) : 
 Histological classification: The report indicates that the cancer is invasive ductal carcinoma (IDC), a common type of breast cancer. 

Subtype: The subtype mentioned in the report is LumB. LumB subtype is characterized by the presence of hormone receptors (ER and/or PR positive) and high levels of proliferation (Ki-67) and HER2 negative.

Necrosis: The report mentions "necrosis: present".

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

Histological and nuclear grade: The Nottingham combined histologic grade is 3 out of 3. The tubule formation score is 3, the nuclear pleomorphism score is 3, and the mitotic rate score is 2. The report indicates a high-grade tumor with poorly differentiated cells.

Lymphovascular invasion: The report indicates the presence of lymphovascular invasion.

Calcifications: The report mentions the presence of microcalcifications associated with the in-situ carcinoma.

Receptor status and IHC: The report states that estrogen/progesterone receptor, cell cycle, and HER2/neu analysis were performed previously. The results of these tests are not mentioned in this report.

Ancillary testing results: No other ancillary testing results are mentioned in the report.

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=1746) : 
 Report: The breast pathology report indicates a LumB subtype invasive ductal carcinoma with a high-grade tumor, poorly differentiated cells and the presence of necrosis and lymphovascular invasion. The cancer is 2 x 1.8 x 1 cm in size, with associated microcalcifications. Estrogen/progesterone receptor, cell cycle, and HER2/neu analysis results are not included. The anterior surgical margin is close to the tumor at 0.2 cm. No tumor infiltrating lymphocytes were reported.

