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, FINAL UIAGNOSIS: PART 1: LYMPH NODE LEFT AXILLA, SENTINEL #1, BIOPSY -. A. ONE (1) LYMPH NODE, POSITIVE FOR METASTATIC TUMOR (1/1). B. METASTATIC FOCUS MEASURES 1.1 CM. C. EXTRACAPSULAR EXTENSION IDENTIFIED. PART 2: LYMPH NODE LEFT AXILLA, SENTINEL #2, BIOPSY -. ONE (1) LYMPH NODE, NEGATIVE FOR METASTATIC TUMOR (0/1). PART 3: LYMPH NODE LEFT AXILLA, SENTINEL #3, BIOPSY -. ONE (1) LYMPH NODE, POSITIVE FOR METASTATIC TUMOR (1/1). PART 4: BREASI. LEFT, SIMPLE MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA, NOS, MULTIFOCAL, WITH FOCAL APOCRINE FEATURES. B. NOTTINGHAM GRADE: 2, TOTAL SCORE: 6/9 (TUBULE FORMATION - 2, NUCLEAR PLEOMORPHISM = 2,. MITOTIC ACTIVITY = 1). c. INVASIVE TUMOR MEASURES 6.0 CM IN LARGEST DIMENSION BY GROSS MEASUREMENT (See comment). D. DUCTAL CARCINOMA IN-SITU (DCIS), NUCLEAR GRADE 2, SOLID, CRIBRIFORM, MICROPAPILLARY AND. WITH COMEDO NECROSIS TYPES, WITH CANCERIZATION OF LOBULES. E. THE DUCTAL CARCINOMA IN-SITU CONSTITUTES 10% OF THE TOTAL TUMOR MASS AND IS PRESENT. ADMIXED WITH AND AWAY FROM THE INVASIVE COMPONENT. F. NO LYMPHOVASCULAR SPACE INVASION IS IDENTIFIED (See comment). G. RESECTION MARGINS ARE NEGATIVE FOR INVASIVE AND IN-SITU CARCINOMA. H. INVASIVE DUCTAL CARCINOMA IS PRESENT 1.5 MM FROM THE DEEP MARGIN OF THE LOWER OUTER. QUADRANT AND 1.0 MM FROM THE DEEP MARGIN OF THE LOWER INNER QUADRANT. I. THE INVASIVE AND IN-SITU CARCINOMA ARE LOCATED IN BOTH THE LOWER OUTER AND LOWER. INNER QUADRANTS. J. NIPPLE IS NEGATIVE FOR TUMOR. K. SKIN IS NEGATIVE FOR TUMOR. L. NON-NEOPLASTIC BREAST PARENCHYMA WITH FIBROCYSTIC CHANGES WITH FLORID DUCTAL. EPITHELIAL HYPERPLASIA, APOCRINE METAPLASIA, AND FIBROADENOMATOID NODULES. M. CALCIFICATIONS ARE PRESENT IN ASSOCIATION WITH IN-SITU AND INVASIVE CARCINOMA AND WITH. BENIGN BREAST PARENCHYMA. N. FAT NECROSIS AND FIBROSIS COMPATIBLE WITH PREVIOUS SURGICAL PROCEDURES. O. INVASIVE TUMOR CELLS ARE POSITIVE FOR ESTROGEN AND PROGESTERONE RECEPTORS AND. NEGATIVE FOR HER-2/NEU (NO AMPLIFICATION OF Her2-NEU GENE BY INTERPHASE FISH ANALYSIS AS. PER PREVIOUS PATHOLOGY REPORT. PART 5: AXILLARY CONTENTS, LEFT, EXCISION -. ELEVEN (11) AXILLARY LYMPH NODES, ALL NEGATIVE FOR METASTATIC TUMOR (0/11). CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Left. PROCEDURE: Simple mastectomy. Lower outer quadrant. Lower inner quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 6.0 cm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR AGGREGATE SIZE: Sum of the sizes of multiple invasive tumors: 6.0 cm. TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 2. Tubule formation: 3. Mitotic activity score: 1. ITCSA-BH-A0BS-01A-PR. Total Nottingham score: 5. ANGIOLYMPHATIC INVASION: Nottingham grade (1, 2, 3): 2. DERMAL LYMPHATIC INVASION: CALCIFICATION: Yes, benign zones. TUMOR TYPE, IN SITU;. Yes, malignant zones. Cribriform. Solid. Micropapillary. Comedo. DCIS admixed and outside of invasive carcinoma component. Ductal carcinoma in situ, multifocal. Ductal carcinoma in situ, multicentric. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Percent of tumor occupied by in situ component: 10 %. SURG MARGINS INVOLVED BY IN SITU Distance COMPONENT: of invasive tumor to closest margin: 1.0 mm. PAGET'S DISEASE OF NIPPLE: Distance of in situ disease to closest margin: 3.0 mm. LYMPH NODES POSITIVE: 2. LYMPH NODES EXAMINED: 14. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SENTINEL NODE METASTASIS: SIZE OF NODAL METASTASES: LYMPH NODE METASTASIS(-ES WITH EXTRACAPSULAR EXTENSION: SKIN INVOLVED (ULCERATION): NON-NEOPLASTIC BREAST TISSUE: Fibroadenoma, FCD, Other: Fibroadenomatoid nodule. T STAGE, PATHOLOGIC: pT3. N STAGE, PATHOLOGIC: pN1a. M STAGE, PATHOLOGIC: pMX. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: 2+. Comment: There was no amplification of the Her2-NFU.

expanded version (tokens=1768) : 
 Histological classification: The biopsy of breast tissue reports an invasive ductal carcinoma with multifocal involvement along with ductal carcinoma in situ (DCIS), nuclear grade 2. The subtype mentioned is LumA.

Subtype: LumA

Necrosis: The report describes the presence of comedo necrosis in DCIS.

Tumor Infiltrating Lymphocytes: The report does not mention anything about tumor infiltrating lymphocytes.

Histological grade: The Nottingham grade score for the invasive component is 2, with a total score of 6/9 (Tubule formation - 2, Nuclear pleomorphism = 2, Mitotic activity - 1).

Nuclear grade: Nuclear grade is described as 2 for DCIS.

Lymphovascular invasion: No lymphovascular space invasion is identified.

Calcification: Calcifications are present in association with in-situ and invasive carcinoma and with benign breast parenchyma.

Receptor status: Invasive tumor cells are positive for estrogen and progesterone receptors, and negative for HER-2/NEU.

IHC and ancillary testing results: The report states that there was no amplification of the Her2-NEU gene by interphase FISH analysis as per the previous pathology report.

Additionally, the biopsy reports a simple mastectomy on the left breast's lower outer and inner quadrant and mentions the maximum dimension of the invasive component to be 6.0 cm. The report also describes the presence

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=1933) : 
 The biopsy reveals LumA subtype invasive ductal carcinoma with multifocal involvement and associated DCIS, nuclear grade 2. Necrosis is present in DCIS, and receptor status shows positive estrogen/progesterone receptors and negative HER-2/NEU. No lymphovascular space invasion is identified. The mastectomy specimen indicates maximum invasive component size of 6 cm, Nottingham grade score 2 with a total score of 6/9. Calcifications noted in association with tumor and benign parenchyma. Two out of fourteen lymph nodes were found to be metastatic.

