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 DIAGNOSIS: EtGHT BREAST, MODIFIED RADICAL MASTECTOMY -. A. MULTIFOCAL INFILTRATING DUCTAL CARCINOMA, NOTTINGHAM GRADE 2 (NUCLEAR GRADE 3, TUBULE. SCORE 3, MITOTIC ACTIVITY SCORE 1; TOTAL SCORE 7/9). B. LARGEST TUMOR MEASURES 1.5 CM, LOCATED IN THE UPPER/OUTER QUADRANT, CORRELATED WITH THE. BIOPSIED 10 O'CLOCK LESION. C. SECOND TUMOR MEASURES 1.2 CM IN GREATEST DIMENSION, LOCATED AT THE JUNCTION OF THE. UPPER/OUTER AND UPPER/INNER QUADRANTS AND CORRELATES WITH THE BIOPSIED 12 O'CLOCK LESION. D. BOTH TUMORS ARE MORPHOLOGICALLY SIMILAR. E. EXTENSIVE LYMPHOVASCULAR INVASION IS PRESENT. F. MARGINS ARE NEGATIVE; INVASIVE TUMOR APPROACHES MOST CLOSELY TO THE MARGIN POSTERIOR TO. THE 12 O'CLOCK LESION (see comment). G. DUCTAL CARCINOMA IN-SITU (DCIS), NUCLEAR GRADE 2, CRIBRIFORM TYPE, COMPRISING APPROXIMATELY. 5% OF TUMOR MASS (DCIS IS ASSOCIATED WITH BOTH TUMORS). H. BIOPSY SITE CHANGES (see comment). I. SIX AXILLARY LYMPH NODES WITH METASTATIC CARCINOMA (6/16). J. LARGEST METASTASIS MEASURES 1.1 CM. K. EXTRACAPSULAR EXTENSION IS PRESENT, AND MEASURES APPROXIMATELY 0.3 CM. L. UNINVOLVED BREAST WITH FIBROCYSTIC CHANGES AND FIBROADENOMA. M. NIPPLE AND SKIN ARE NEGATIVE FOR NEOPLASM. N. SKELETAL MUSCLE, NEGATIVE FOR TUMOR. O. CALCIFIC ATHEROSCLEROSIS. CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Right. PROCEDURE: Modified radical mastectomy. Upper outer quadrant. Upper inner quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 1.5 cm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR AGGREGATE SIZE: Sum of the sizes of multiple invasive tumors: 2.7 cm. TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 3. Tubule formation: 3. Mitotic activity score: 1. Total Nottingham score: 7. Nottingham grade (1, 2, 3): 2. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: CALCIFICATION: TUMOR TYPE, IN SITU: Cribriform. Percent of tumor occupied by in situ component: 5 %. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 7 mm. SURG MARGINS INVOLVED BY IN SITU COMPONENT: LYMPH NODES POSITIVE: 6. LYMPH NODES EXAMINED: 16. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SIZE OF NODAL METASTASES: Diameter of largest lymph node metastasis: 11 mm. LYMPH NODE METASTASIS(-ES) WITH EXTRACAPSULAR EXTENSION: NON-NEOPLASTIC BREAST TISSUE: Fibroadenoma, FCD. T STAGE, PATHOLOGIC: pT1c. N STAGE, PATHOLOGIC: pN2a. M STAGE, PATHOLOGIC: pMX. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: zero or 1+.

expanded version (tokens=1319) : 
 The pathology report indicates that there is multifocal infiltrating ductal carcinoma, with two separate tumors found in the upper/outer and upper/inner quadrants. Both tumors are morphologically similar and measure 1.5 cm and 1.2 cm in their largest dimensions respectively. The tumor type is classified as Luminal A subtype, ductal adenocarcinoma, with a Nottingham grade of 2 (which means there is a nuclear grade of 3, a tubule score of 3 and a mitotic activity score of 1, with a total score of 7/9). There is also extensive lymphovascular invasion present. 

In addition to the invasive ductal carcinoma, there is also ductal carcinoma in situ (DCIS), comprising approximately 5% of the tumor mass. The DCIS is nuclear grade 2 and is of the cribriform type. The margins are negative, but there is extensive lymphovascular invasion present. 

Receptor status testing results show that the cancer cells are positive for both estrogen and progesterone receptors, while HER2/NEU is zero or 1+ (negative).

On a separate note, there are six axillary lymph nodes with metastatic carcinoma out of 16 that were examined, indicating an N stage of pN2a. The largest lymph node metastasis measures 1.1 cm, and extracapsular extension is present, measuring approximately 0.3 cm. There is also

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=1512) : 
 The patient was diagnosed with multifocal infiltrating ductal carcinoma in the right breast, with extensive lymphovascular invasion present. Both tumors are morphologically identical and are Luminal A subtype, measuring 1.5 cm and 1.2 cm in their largest dimensions respectively. The tumor has a Nottingham grade of 2 (nuclear grade 3, tubule score 3, mitotic activity score 1). There is also DCIS present and receptor status testing shows that the cancer cells are estrogen- and progesterone-receptor positive but HER2/NEU negative. Six axillary lymph nodes out of the 16 examined were found to have metastatic carcinoma, with extracapsular extension present.

