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: nnDATE of LMP: DATE OF LAST DELIVERY: PRE-OP DIAGNOSIS: LEFT BREAST CA. POST-OP DIAGNOSIS: SAME. OPERATIVE PROCEDURE: LEFT MOD. RADICAL MASTECTOMY, TRAM. CLINICAL HISTORY. MATERIAL SUBMITTED: LEFT (MOD) RADICAL MASTECTOMY, PROCUREMENT BY SURGICAL PROCEDURE. & axillary contents. INTRAOPERATIVE CONSULTATION: Skin: 6.0 by 4.5 cm. Overall breast: 17.0 by 24.0 by 5.0 cm. Tumor mass: 2.5 by 2.0 by 3.5 cm. Close to. anterior margin. Possible tumor approximately 1.0 cm close to inferior margin. ADDENDA: Addendum. HER-2/neu AMPLIFICATION ANALYSIS (FISH). AS PER THE REQUEST OF FLUORESCENCE IN SITU HYBRIDIZATION (FISH) WAS PERFORMED ON SURGICAL. CANCER) USING THE VYSIS DNA PROBE FOR THE HER-2/neu GENE. - (BREAST. CHROMOSOME 17 CENTROMERE SIGNALS WAS DETERMINED TO BE 2.05. A RATIO OF 2.0 OR GREATER IS CONSIDERED. THE RATIO OF HER-2/neu SIGNALS TO. AMPLIFIED; THEREFORE, THIS SPECIMEN IS AMPLIFIED,. Addendum. MATERIAL SUBMITTED: BLOCK "A2" FOR ER/PR AND HER-2/NEU (BREAST CANCER). FINAL DIAGNOSIS: ESTROGEN/PROGESTERONE RECEPTORS AND HER-2/NEU PERFORMED ON LEFT BREAST TISSUE. ESTROGEN RECEPTOR 20%; 1+ 30%; 2+ 30%; 3+ 20%) HSCORE OF 150. ESTROGEN RECEPTOR IS INTERPRETED AS. POSITIVE. PROGESTERONIE RECEPTOR (0- 10%; 1+ 10%; 2+ 20%; 3+ 60%) HSCORE OF 230. PROGESTERONE RECEPTOR IS INTERPRETED. AS POSITIVE. HSCORE: <= 15 NEGATIVE. > 15 <= 30 BORDERLINIS. > 30 POSITIVE. HER-2/NEU - DAKO HERCEPTEST: A WEAK TO MODERATE COMPLETE MEMBRANE STAINING IS OBSERVED IN MORE THAN 10% OF. THE TUMOR CELLS. HER-2/NEU IS INTERPRETED AS WEAKLY POSITIVE (SCORE 2+). NOTE: Hor-2/Neu FISH was ordered. The Her-2/NEU and estrogen assays were performed with FDA approved. methods. The progesterone receptor. immunoperoxidase test used in this case has been devaloned and the performance characteristics determined by. the Department of Pathology at. They have not been cleared. or. approved by the U.S Food and Drug Adinistration. HSCORE is modified from: Estrogen Receptor Analysis, Arch. Pathol Lab Med 1985; 109:716-721. My signature is attestation that I have personally reviewed the submitted material(s) and the final. diagnosis reflects that evaluation. FINAL DIAGNOSIS: FINAT. DIAGNOSIS: LEFT BREAST AND AXILLARY CONTENTS. - INFILTRATING MULTIFOCAL AND MULTICENTRIE-DUCTAL CARCINONA WITH FOCAL LOBULAR FEATURES, 2.5 BY 2.0 BY 3.5. CM, NOTTINGHAM SCORE 6/9 (TUBULES 3, NUCLEI 2, MITOSIS 1) WITH DUCTAL CARCINOMA IN-SITU, NON-COMEDO WITH. CENTRAL NECROSIS AND CRIBRIFORM TYPE. - DUCTAL CARCINOMA IN-SITU REPRESENT APPROXIMATELY 20% OF THE TUMOR VOLUME. - FIBROCYSTIC CHANGES. TWO (2) SEPARATE NODULE OF INFILTRATING DUCTAL CARCINOMA ARE PRESENT IN THE LOWER INNER QUADRANT, 0.8 CM,. AND UPPER INNER QUADRANT, 0.5 CM. - TUMOR IN THE LOWER INNER QUADRANT IS WITHIN 1.0 MM FROM THE MARGIN OF RESECTION. - ALL MARGINS OF RESECTION ARE FREE OF TUMOR. - FOUR OF SIX (4/6) LYMPH NODES ARE POSITIVE FOR METASTATIC TUMOR. - TWO (2) LYMPH NODES SHOW EXTRACAPSULAR SPREAD. - THREE (3) SMALL FIRM NODULES SIMULATING LYMPH NODES IN THE AXILLARY CONTENTS SHOW INFILTRATING DUCTAL. CARCINOMA. NOTE: ER/PR immunoperoxidase assay and Her-2/NEU testing will be performed on block "A2".

expanded version (tokens=1509) : 
 Histological classification:
- Left breast and axillary contents: Infiltrating multifocal and multicentric ductal carcinoma with focal lobular features, 2.5 x 2.0 x 3.5 cm, Nottingham score 6/9 (tubules 3, nuclei 2, mitosis 1) with ductal carcinoma in-situ, non-comedo with central necrosis and cribiform type.
- Ductal carcinoma in-situ represents approximately 20% of the tumor volume.
- Fibrocystic changes.
- Two separate nodules of infiltrating ductal carcinoma are present in the lower inner quadrant, 0.8 cm, and upper inner quadrant, 0.5 cm.
- Tumor in the lower inner quadrant is within 1.0 mm from the margin of resection.
- All margins of resection are free of tumor.
- Four of six (4/6) lymph nodes are positive for metastatic tumor.
- Two lymph nodes show extracapsular spread.
- Three small firm nodules simulating lymph nodes in the axillary contents show infiltrating ductal carcinoma.

Subtype:
- Luminal A

Necrosis:
- Central necrosis in ductal carcinoma in-situ

Tumor infiltrating lymphocytes:
- None mentioned in the report

Histological grade:
- Nottingham score 6/9 (tubules 3, nuclei 2, mitosis 1)

Nuclear grade

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=1682) : 
 Left breast and axillary contents: Infiltrating multifocal and multicentric ductal carcinoma with focal lobular features, 2.5 x 2.0 x 3.5 cm, Nottingham score 6/9 (tubules 3, nuclei 2, mitosis 1) with ductal carcinoma in-situ, non-comedo with central necrosis and cribiform type. Luminal A subtype. Four of six lymph nodes are positive for metastatic tumor. Two lymph nodes show extracapsular spread. Three small nodules in the axillary contents show infiltrating ductal carcinoma.

