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, FINAL DIAGNOSIS: PART 1: BREAST. RIGHT, SEGMENTAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA,NOS TYPE, POORLY DIFFERENTIATED. B. THE INVASIVE TUMOR MEASURES 2.0 CM IN GREATEST DIMENSION.NOTTINGHAM GRADE 3 (TUBULE. FORMATION 3, NUCLEAR PLEOMORPHISM 3, MITOTIC ACTIVITY 3; TOTAL SCORE 9/9). C. DUCTAL CARCINOMA IN-SITU (DCIS), NUCLEAR GRADE 3, MICROPAPILLARY AND PAPILLARY TYPES. WITH COMEDONECROSIS; CONSTITUTES 60% OF THE TOTAL TUMOR MASS AND IS PRESENT ADMIXED. WITH AND AWAY FROM THE INVASIVE COMPONENT. D. LYMPH VASCULAR SPACE INVASION IS IDENTIFIED. E. RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA, HOWEVER THE INVASIVE CARCINOMA EXTENDS. TO 0.5 CM FROM THE ANTERIOR MARGIN.DUCTAL CARCINOMA IN-SITU EXTENDS TO <0.1 CM FROM THE. LATERAL MARGIN AND 0.2 CM FROM THE ANTERIOR MARGIN. F. SKIN IS NEGATIVE FOR TUMOR. G. FIBROCYSTIC CHANGES WITH DUCTAL EPITHELIAL HYPERPLASIA, PREVIOUS BIOPSY SITE CHANGES. H. THE INVASIVE TUMOR CELLS ARE POSITIVE FOR ESTROGEN AND PROGESTERONE RECEPTORS AND. NEGATIVE FOR HER-2 (1+), AS PER PREVIOUS PATHOLOGY REPORT. PART 2: BREAST, RIGHT, NEW DEEP MARGIN, SEGMENTAL MASTECTOMY -. A. NO CARCINOMA IDENTIFIED. B. FIBROCYSTIC CHANGES WITH DUCTAL EPITHELIAL HYPERPLASIA,COLUMNAR CELL CHANGE. PART 3: LYMPH NODE, RIGHT AXILLA, SENTINEL #1, BIOPSY -. ONE LYMPH NODE, NEGATIVE FOR METASTATIC CARCINOMA (0/1). CASE SYNOPSIS: SYNOPTIC LATERALITY: - PRIMARY INVASIVE CARCINOMA OF BREAST. PROCEDURE: Right. Segmental. SIZE OF TUMOR: Not specified. MULTICENTRICITY/MULTIFOCALITY OF Maximum dimension invasive component: 2 cm. INVASIVE FOCI: TUMOR TYPE (invasive component): NOTTINGHAM SCORE: Ductal adenocarcinoma, NOS. Nuclear grade: 3. Tubule formation: 3. Mitotic activity score: 3. Total Nottingham score: 9. ANGIOLYMPHATIC INVASION: Nottingham grade (1, 2, 3): 3. DERMAL LYMPHATIC INVASION: CALCIFICATION: TUMOR TYPE, IN SITU: Yes, malignant zones. Papillary. Micropapillary. Percent DCIS admixed and outside of invasive carcinoma component. SURGICAL MARGINS INVOLVED BY INVASIVE of COMPONENT: tumor occupied by in situ component: 60 %. SURG MARGINS INVOLVED BY IN SITU Distance COMPONENT: of invasive tumor to closest margin: 5 mm. LYMPH NODES POSITIVE: 0 Distance of in situ disease to closest margin: 1 mm. LYMPH NODES EXAMINED: 1. METHOD(S) OF LYMPH NODE EXAMINATION: SENTINEL NODE METASTASIS: H/E stain. ONLY KERATIN POSITIVE CELLS ARE PRESENT: SKIN INVOLVED (ULCERATION): T NON-NEOPLASTIC BREAST TISSUE: FCD, Other: columnar cell change. STAGE, PATHOLOGIC: N STAGE, PATHOLOGIC: pT1c. pNO. M STAGE, PATHOLOGIC: ESTROGEN RECEPTORS: pMX. PROGESTERONE RECEPTORS: positive. HER2/NEU: positive. zero or 1+.

expanded version (tokens=1335) : 
 Histological classification: The breast pathology report indicates that the patient has a subtype of LumB, which is a type of breast cancer.

Subtype: LumB

Invasive carcinoma: The report identifies the presence of invasive ductal carcinoma, NOS type, which is poorly differentiated, with a greatest dimension of 2.0 cm and a Nottingham grade 3 (tubule formation 3, nuclear pleomorphism 3, mitotic activity 3; total score 9/9).

Ductal carcinoma in situ (DCIS): DCIS was also identified and constitutes 60% of the total tumor mass. The nuclear grade was 3, and there were micropapillary and papillary types with comedonecrosis present.

Necrosis: There is a mention of comedonecrosis in the DCIS component.

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

Histological grade: The Nottingham grade score is 9, which puts it in the category of poorly differentiated.

Nuclear grade: The nuclear grade of the DCIS component is 3.

Lymphovascular invasion: There is an identification of lymph vascular space invasion.

Calcification: The report mentions the presence of calcifications in the malignant zones.

Receptor status: The invasive tumor cells are positive for estrogen and progesterone receptors, and negative for HER2 (1+), as per the previous pathology report.

IHC and other ancillary testing

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=1504) : 
 Report: The breast pathology indicates LumB subtype, with invasive ductal carcinoma (poorly differentiated) measuring 2.0 cm and a Nottingham grade 3. Ductal carcinoma in situ constitutes 60% of the total tumor mass with nuclear grade 3 and comedonecrosis present. Lymph vascular space invasion is identified; however, lymph node biopsy shows no metastatic carcinoma. The tumor cells are positive for estrogen and progesterone receptors and negative for HER2. Resection margins are negative for carcinoma, except for a distance of <0.5 cm from the anterior margin.

