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: DATE of LMP: DATE OF LAST DELIVERY. PRE-OP DIAGNOSIS: STAGE IV RIGHT BREAST CANCER. POST-OP DIAGNOSIS: SAME. OPERATIVE PROCEDURE: MODIFIED RADICAL RIGHT MASTECTOMY. CLINICAL HISTORY: MATERIAL SUBMITTED: RIGHT (MOD) RADICAL MASTECTOMY, PROCUREMENT BY SURGICAL PROCEDURE. ADDENDA: Addendum. MATERIAL SUBMITTED: MWH Slide for ER/PR and Her-2/Neu. FINAL DIAGNOSIS: My signature is attestation that I have personally reviewed the submitted material(s) and the final. diagnosis reflects that evaluation. ER/PR. IMMUNOPEROXIDASE IDENTIFICATION OF ESTROGEN AND PROGESTERONE RECEPTORS IS CARRIED OUT ON SLIDE. "A4". DISTINCT INTRANUCLEAR STAINING IS IDENTIFIED FOR ESTROGEN RECEPTOR (50%) AND ALSO TOR PROGESTERONT. RECEPTOR. (40%) . THEREFORE, BOTH ARE INTERPRITED AS POSITIVE. HER-2/NEU. c-erb82 (HER-2/NEU) IMMUNOSTAINING IS CARRIED OUT ON. BLOCK "A4" (BREAST CANCER). USING A 1:300 DILUTION OF DANO'S POLYCLONAL ANTIBODY A485 (DIRBCTED AGAINST THE INTRACELLULAR DOMAIN OF c-. erb82) WITHOUT ANTIGEN RETRIEVAL. NO DISTINCT COMPLETE MEMBRANE STAINING IS IDENTIFIED. THEREFORE,. c-exbB2. (HER-2/NEU) IS INTERPRETED AS NEGATIVE (SCORE 0). FINAL DIAGNOSIS: RIGHT; BREAST MODIFIED RADICAL MASTECTOMY : INFILTRATING POORLY DIFFERENTIATED DUCT CARCINOMA, 9.0 BY 8.5 BY 4.0 CM, INVOLVING ALL FOUR QUADRANTS. (SKX NOTE). - NOTTINGHAM SCORE 8/9 (TUBULES 3, NUCLEAR ATYPIA 3, MITOTIC INDEX 2). - TUMOR EXTENDS TO INVOLVE NIPPLE AND EPIDERMIS OF OVERLYING ULCERATED SKIN. - INTRADUCTAL CARCINOMA, COMEDO-TYPE, INVOLVES <54 OF TOTAL TUMOR. - MARGINS OF RESECTION ARE NEGATIVE FOR TUMOR. - MULTIPLE MATTED LYMPH NODES WITH NEARLY COMPLETE ARCHITECTURAL EFTACEMENT BY METASTATIC CARCINOMA (SEE. NOTE). NOTE: ER/PR immunoperoxidase assay and Her-2/NEU testing will be performed on block "A4". A prior HER-2/NEU immunostain was performed on a paraffin block received from Shadyside Rospital and was. interpreted as negative. Due to possible differences in fixation among institutions, the HER-. 2/NEU study will be repeated on the present specimen. The axillary lymph nodes are extensively matted, indicative of extracapsular extension by tumor. For this. reason, an accurate lymph node count cannot be made.

expanded version (tokens=1118) : 
 The histological classification of the breast tumor is infiltrating poorly differentiated duct carcinoma, with an additional finding of intraductal carcinoma (comedo-type) involving less than 54% of the total tumor. The tumor is described as involving all four quadrants of the breast and measuring 9.0 by 8.5 by 4.0 cm. The Nottingham score is 8/9, indicating a moderately to poorly differentiated tumor with high nuclear atypia and mitotic index. Lymphovascular invasion is not mentioned in the report. 

The receptor status is stated as positive for both estrogen and progesterone receptors, with a staining percentage of 50% and 40% respectively. HER-2/NEU testing is reported as negative with a score of 0, but it is noted that a prior HER-2/NEU immunostain from a different facility was also negative. The report does not mention any other ancillary testing results.

The patient's clinical history includes a diagnosis of stage IV right breast cancer, and the post-operative diagnosis remains the same. A modified radical right mastectomy was performed, and the material submitted for examination included both the mastectomy specimen and a block for ER/PR and HER-2/NEU testing.

The report notes that the tumor extends to involve the nipple and the overlying ulcerated skin, and that the resection margins are negative for tumor. Multiple matted lymph nodes are found with near complete architectural eff

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=1262) : 
 Histological classification of a 9 cm breast tumor is infiltrating poorly differentiated duct carcinoma with intraductal carcinoma. Nottingham score is 8/9, and lymphovascular invasion is absent. The tumor has involved all four quadrants and extends to involve nipple and ulcerated skin. Multiple lymph nodes are involved by the tumor. Receptor staining shows positivity for both estrogen and progesterone receptors, while HER-2/NEU testing is negative (score 0).

