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, PATIENT HISTORY: Site Code : breast, NOS C50.9. CHIEF COMPLAINT/ PRE-OP/ POST-OP DIAGNOSIS: Left breast cancer 1.3 cm, positive nodes. Right invasive ductal. carcinoma 9 d'clock. LMP DATE: Not provided. PROCEDURE: Bilateral segmental mastectomies, right sentinel lymph node biopsy. left axillary lymph node dissection. SPECIFIC CLINICAL QUESTION: Not provided. OUTSIDE TISSUE DIAGNOSIS: No. PRIOR MALIGNANCY: No. CHEMORADIATION THERAPY: No. OTHER DISEASES: No. FINAL DIAGNOSIS: PART 1: BREAST, RIGHTAT 9 O'CLOCK, SEGMENTAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA, NO SPECIAL TYPE (See comment). B. NOTTINGHAM GRADE 2 (TUBULE FORMATION: 3, NUCLEAR PLEOMORPHISM: 2, MITOTIC ACTIVITY: 1;. TOTAL SCORE: 6/9). C. THE INVASIVE TUMOR MEASURES 0.8 CM IN LARGEST DIMENSION. D. DUCTAL CARCINOMA IN SITU (DCIS), NUCLEAR GRADE 2, CRIBRIFORM, MICROPAPILLARY AND FOCAL. PAPILLARY TYPE WITH CALCIFICATIONS. E. LOBULAR INVOLVEMENT BY DCIS IS PRESENT. F. THE DCIS CONSTITUTES 60% OF THE TOTAL TUMOR VOLUME AND is PRESENT ADMIXED AND. ADJACENT TO THE INVASIVE COMPONENT. G. NO LYMPHOVASCULAR SPACE INVASION IS NOTED. H. RESECTION MARGINS ARE NEGATIVE FOR TUMOR. I. BOTH INVASIVE CARCINOMA AND IN SITU CARCINOMA ARE MORE THAN 0.5 CM FROM ALL MARGINS. J. FOCAL ATYPICAL DUCTAL HYPERPLASIA. K. PREVIOUS BIOPSY SITE CHANGES. L. THE NON-NEOPLASTIC BREAST SHOWS FIBROCYSTIC CHANGES. M. THE INVASIVE TUMOR CELLS ARE POSITIVE FOR ESTROGEN (H-score 230), POSITIVE FOR. PROGESTERONE RECEPTORS (H-score 180), AND NEGATIVE FOR HER-2/NEU (IHC 2+, FISH not amplified). AS PER THE PREVIOUS PATHOLOGY REPORT. PART 2: RIGHT AXILLARY SENTINEL LYMPH NODE #1, BIOPSY -. ONE LYMPH NODE, NEGATIVE FOR METASTATIC TUMOR (0/1). PART 3: BREAST, LEFT. AT 12 O'CLOCK, SEGMENTAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA NO SPECIAL TYPE. B. NOTTINGHAM GRADE 3 (TUBULE FORMATION: 3, NUCLEAR PLEOMORPHISM: 3, MITOTIC ACTIVITY: 2;. TOTAL SCORE: 8/9). C. THE INVASIVE TUMOR MEASURES 1.3 CM IN LARGEST DIMENSION. D. ADDITIONAL SATELLITE NODULE OF INVASIVE CARCINOMA MEASURING 0.2 CM IS IDENTIFIED. E. THE SATELLITE NODULE IS 0.5 CM FROM THE DOMINANT TUMOR NODUI E. F. DUCTAL CARCINOMA IN SITU (DCIS), NUCLEAR GRADE 3, SOLID TYPE. G. LOBULAR INVOLVEMENT BY DCIS IS PRESENT. H. THE DCIS CONSTITUTES 15% OF THE TOTAL TUMOR VOLUME AND IS PRESENT ADJACENT TO THE. INVASIVE COMPONENT. I. FOCAL LYMPHOVASCULAR SPACE INVASION IS IDENTIFIED. J. RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA. K. INVASIVE CARCINOMA IS 0.4 CM FROM THE NEAREST (POSTERIOR) MARGIN. L. DUCTAL CARCINOMA IN SITU IS MORE THAN 0.5 CM FROM ALL MARGINS. M. SKIN IS NEGATIVE FOR TUMOR. N. PREVIOUS BIOPSY SITE CHANGES. O. THE NON-NEOPLASTIC BREAST SHOWS FIBROCYSTIC CHANGES. P. THE INVASIVE TUMOR CELLS ARE POSITIVE FOR ESTROGEN RECEPTOR (H-ccore 300), POSITIVE FOR. PROGESTERONE RECEPTOR (H-score 235), AND NEGATIVE FOR HER-2/NEU, AS PER PREVIOUS. PART 4: LEFT AXILLARY CONTENTS, EXCISION -. A. METASTATIC CARCINOMA INVOLVES TWO OF TWENTY-FOUR LYMPH NODES (2/24). B. THE LARGEST METASTATIC FOCUS MEASURES 4.0 CM. C. NO EXTRACAPSULAR EXTENSION IDENTIFIED. COMMENT: Part 1: The gross examination demonstrated an III-defined firm nodule with surrounding fibrous tissue measuring 2.0 x. 1.1 x 0.7 cm. This area was entirely submitted for histologic evaluation and shows Invasive carcinoma in only two. sections of 0.4 cm thickness and therefore, the invasive tumor size is estimated to be 0.8 cm in largest dimension. The. majority of this gross lesion is composed of ductal carcinoma in situ (DCIS). Part 3: The invasive tumor demonstrates scattered cells with intra-cytoplasmic lumina or signet ring cell morphology. CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Right. PROCEDURE: Segmental. Clook position:9.00. SIZE OF TUMOR: Maximum dimension invasive component: 8 mm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR TYPE (Invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 2. Tubule formation: 3. Mitotic activity score: 1. Total Nottingham score: 6. Nottingham grade (1, 2, 3): 2. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: Not applicable. CALCIFICATION: Yes, benign zones. TUMOR TYPE, IN SITU: Cribriform. Micropapillary. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of Invasive tumor to closest margin: 6 mm. SURG MARGINS INVOLVED BY IN SITU COMPONENT: Distance of in situ disease to closest margin: 6 mm. LYMPH NODES POSITIVE: 0. LYMPH NODES EXAMINED: 1. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SENTINEL NODE METASTASIS: NON-NEOPLASTIC 1 BREAST TISSUE: ADH, FCD. T STAGE, PATHOLOGIC: pT1b. N STAGE MODIFIER: (sn). N STAGE, PATHOLOGIC: pNO. M STAGE: Not applicable. ESTROGEN RECEPTORS: positive, H-score: 230. PROGESTERONE RECEPTORS: positive, H-score: 180. HER2/NEU: 2+. HER2/NEU (FISH): Not amplified. SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: ( Left. PROCEDURE: Segmental. Clock position: 12.00. SIZE OF TUMOR: Maximum dimension invasive component: 13 mm. MULIICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI;. TUMOR AGGREGATE SIZE: Sum of the sizes of multiple invasive tumors: 15 mm. TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 3. Tubule formation: 3. Mitotic activity score: 2. Total Nottingham score: 8. Nottingham grade (1, 2, 3): 3. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: CALCIFICATION: TUMOR TYPE, IN SITU: Solid. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 4 mm. SURG MARGINS INVOLVED BY IN SITU COMPONENT: LYMPH NODES POSITIVE: 2. LYMPH NODES EXAMINED: 24. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SIZE OF NODAL METASTASES: Diameter of largest lymph node metastasis: 40 mm. LYMPH NODE METASTASIS(-ES WITH EXTRACAPSULAR EXTENSION: SKIN INVOLVED (ULCERATION): NON-NEOPLASTIC BREAST TISSUE: FCD. T STAGE, PATHOLOGIC: pT1c. N STAGE, PATHOLOGIC: pN1a. M STAGE: Not applicable. ESTROGEN RECEPTORS: positive, H-score: 300. PROGESTERONE RECEPTORS: positive, H-score: 235. HER2/NEU: 1+.

expanded version (tokens=2512) : 
 Histological Classification: The breast pathology report shows that the patient has two types of breast cancer - invasive ductal carcinoma and ductal carcinoma in situ (DCIS).
Subtype: The subtype of the breast cancer is LumA.
Necrosis: There is no mention of necrosis in the report.
Tumor Infiltrating Lymphocytes: The report does not mention any information on tumor infiltrating lymphocytes.
Histological grade: The invasive ductal carcinoma in the right breast is graded as Nottingham Grade 2, while the invasive ductal carcinoma in the left breast is graded as Nottingham Grade 3.
Nuclear Grade: The nuclear grades of the DCIS in both breasts are mentioned - it is grade 2 in the right and grade 3 in the left.
Lymphovascular Invasion: There is no lymphovascular invasion found in either breast.
Calcification: There are calcifications present in both breasts, with the DCIS in the right breast showing calcifications of the cribriform and micropapillary types, and the left breast showing calcification without mentioning the type.
Receptor status: The invasive tumors have been tested for Estrogen Receptor (ER), Progesterone Receptor (PR) and HER2/NEU status. Both the invasive tumors and the DCIS in both breasts are ER and PR positive, and HER2/NEU negative.
IHC and ancillary testing: Additional information on IHC testing and ancillary testing is not

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=2686) : 
 The report shows that the patient has two types of breast cancer-LumA subtype, invasive ductal carcinoma and DCIS with grades from 2 to 3. Both tumors are ER and PR positive and HER2/NEU negative. Calcification is present in both breasts without mentioning the types. The lymphovascular invasion is not found in either breast. No necrosis mentioned. There's focal atypical ductal hyperplasia on the right side. The tumor size ranges between 0.4-1.3 cm, and no metastasis is observed in 1 lymph node from a total of 25 analyzed.


