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, Anonymous number: Accession Date: FINAL DIAGNOSIS: PART 1: LYMPH NODE, LEFT AXILLA SENTINEL NODE #1, BIOPSY -. METASTATIC ADENOCARCINOMA INVOLVING ONE LYMPH NODE (1/1), UP TO 7 MM (1A), CONFIRMED BY. AE1/AE3 CYTOKERATINE IMMUNOSTAINING ( (see comment). PART 2: LYMPH NODE, LEFT AXILLA, SENTINEL #2, BIOPSY -. METASTATIC ADENOCARCINOMA INVOLVING ONE LYMPH NODE (1/1), UP TO 7 MM (2B), CONFIRMED BY. AE1/AE3 CYTOKERATINE IMMUNOSTAINING ( (see comment). PART 3: LYMPH NODE, LEFT AXILLA, SENTINEL #3, BIOPSY -. METASTATIC ADENOCARCINOMA INVOLVING ONE LYMPH NODE (1/1), UP TO 4 MM (3A), CONFIRMED. AE1/AE3 CYTOKERATINE IMMUNOSTAINING ( (see comment). PART 4: LYMPH NODE, LEFT AXILLA, SENTINEL #4, BIOPSY -. ONE LYMPH NODE, FREE OF TUMOR (0/1), (see comment). PART 5: BREAST, LEFT, TOTAL MASTECTOMY -. A. INFIULTRATING LOBULAR CARCINOMA (5C, 5D, 5E,5F,5H,51,5J,5K,5L,5M,5N,50,5P, 5Q, 5R, 5S, 5T,. 5U,. 5V, and 5AA). B. THE TUMOR SIZE IS: 8.0 X 6.5 X 4.2 CM. C. NOTTINGHAM SCORE IS: 6/9 (TUBULES 3, NUCLEI 2, MITOSIS 1). D. LYMPHOVASCULAR INVASION IS NOT APPRECIATED (see comment). E. DUCTAL CARCINOMA IN-SITU, SOLID TYPE, NUCLEAR GRADE 2, WITH COMEDONECROSIS,. REPRESENTING ABOUT 1 % OF TUMOR VOLUME. F. DUCTAL CARCINOMA IS PRESENT ADMIXED WITH INVASIVE TUMOR. G. MARGINS OF RESECTION ARE FREE OF TUMOR. H. NIPPLE, NO TUMOR IS SEEN. I. SKIN, FREE OF TUMOR. J. CHANGES CONSISTENT WITH PREVIOUS CORE BIOPSY SITE,. K. LOBULAR CARCINOMA IN-SITU, CLASSIC TYPE WITH PAGETOID SPREAD INTO DUCTS (see comment). L. ATYPICAL LOBULAR HYPERPLASIA (see comment)). M. MULTIPLE MICROSCOPIC RADIAL SCARS WITH FLORID DUCTAL EPITHELIAL HYPERPLASIA AND. XOLUNAR CELL CHANGES. N. INTRADUCTAL PAPILLOMA INVOLVED WITH INFILTRATING LOBULAR CARCINOMA. O. FIBROCYSTIC CHANGES WITH FIBROADENOMATOID NODULAR CHANGES. P. PSEUDOANGIOMATOUS STROMAL HYPERPLASIA (PASH). Q. IMMUNOHISTOCHEMICAL STAINING FOR ESTROGEN RECEPTOR, PROGESTERONE RECEPTOR AND. HER-. 2/NEU WERE PREVIOUSLY PERFORMED ON. AND WERE REPORTED AS FOLLOWS: ESTROGEN RECEPTOR - POSITIVE (H-SCORE 290), PROGESTERONE RECEPTOR - POSITIVE (H-SCORE. 200), AND HER-2/NEU - EQUIVOCAL (SCORE 2+). HER-2 FISH WAS NOT AMPLIFIED. Anonymous No.: Gender: F. Race: White. CLINICAL HISTORY. Procedure: Left total mastectomy, left sentinel lymph node biopsy, possible axillary lymph. node dissection. Number of Lesions: 1. Site and Size Lesion 1:9 cm, Histology: Invasive lobular carcinoma. Other Areas: Not provided. Neoadjuvant Therapy: No. Type of Neoadjuvant Therapy: N/A. Pretherapy Size: N/A. Clinical Findings Based On: MRI, ultrasound and mammogram. Comment: None listed. ADDENDUM. Tumor characteristics. Size: 8 cm. Nottingham score: 6. ER H-score: 290. PR H-score: 200. HER2 status: Negative. Ki-67 labeling index: 30. Based on above tumor characteristics, the estimated recurrence score. using. is reported below. 1 (includes a-f): 22.59. 2 (includes a-e): 16.19. 3 (includes c-f): 17.82. NOTE. For more scientific details, see reference: Klein ME et al. Mod Pathol. 2013;26:658-664. PMID: 23503643. ADDENDUM. This infiltrating lobular carcinoma is heterogeneous and show microscopic. foci of pleomorphic tumor component (infiltrating pleomorphic lobular. component). This case is discussed with. at. on. FINAL DIAGNOSIS. PART 1: LYMPH NODE, LEFT AXILLA SENTINEL NODE #1, BIOPSY. METASTATIC ADENOCARCINOMA INVOLVING ONE LYMPH NODE (1/1), UP TO 7 MM. (1A), CONFIRMED BY AE1/AE3 CYTOKERATINE IMMUNOSTAINING ( (see comment). PART 2: LYMPH NODE, LEFT AXILLA, SENTINEL #2, BIOPSY. METASTATIC ADENOCARCINOMA INVOLVING ONE LYMPH NODE (1/1), UP TO 7 MM. (2B), CONFIRMED BY AE1/AE3 CYTOKERATINE IMMUNOSTAINING ( (see comment). PART 3: LYMPH NODE, LEFT AXILLA, SENTINEL #3, BIOPSY. METASTATIC ADENOCARCINOMA INVOLVING ONE LYMPH NODE (1/1), UP TO 4 MM. (3A), CONFIRMED BY AE1/AE3 CYTOKERATINE IMMUNOSTAINING ( (see comment). PART 4: LYMPH NODE, LEFT AXILLA, SENTINEL #4, BIOPSY. ONE LYMPH NODE, FREE OF TUMOR (0/1), (see comment). PART 5: BREAST, LEFT, TOTAL MASTECTOMY. A. INFIULTRATING LOBULAR CARCINOMA (5C, 5D, 5E, 5F, 5H, 5l, 5J, 5K, 5L, 5M,. 5N, 50, 5P, 5Q, 5R, 5S, 5T, 5U, 5V, and 5AA). B. THE TUMOR SIZE IS: 8.0 X 6.5 X 4.2 CM. C. NOTTINGHAM SCORE IS: 6/9 (TUBULES 3, NUCLEI 2, MITOSIS 1). D. LYMPHOVASCULAR INVASION IS NOT APPRECIATED (see comment). E. DUCTAL CARCINOMA IN-SITU, SOLID TYPE, NUCLEAR GRADE 2, WITH. COMEDONECROSIS, REPRESENTING ABOUT 1 % OF TUMOR VOLUME. F. DUCTAL CARCINOMA IS PRESENT ADMIXED WITH INVASIVE TUMOR. G. MARGINS OF RESECTION ARE FREE OF TUMOR. H. NIPPLE, NO TUMOR IS SEEN. I. SKIN, FREE OF TUMOR. J. CHANGES CONSISTENT WITH PREVIOUS CORE BIOPSY SITE, SEE PRIOR. K. LOBULAR CARCINOMA IN-SITU, CLASSIC TYPE WITH PAGETOID SPREAD INTO. DUCTS (see comment). L. ATYPICAL LOBULAR HYPERPLASIA (see comment)). M. MULTIPLE MICROSCOPIC RADIAL SCARS WITH FLORID DUCTAL EPITHELIAL. HYPERPLASIA AND XOLUNAR CELL CHANGES. N. INTRADUCTAL PAPILLOMA INVOLVED WITH INFILTRATING LOBULAR. CARCINOMA. O. FIBROCYSTIC CHANGES WITH FIBROADENOMATOID NODULAR CHANGES. P. PSEUDOANGIOMATOUS STROMAL HYPERPLASIA (PASH). Q. IMMUNOHISTOCHEMICAL STAINING FOR ESTROGEN RECEPTOR,. PROGESTERONE RECEPTOR AND HER-2/NEU WERE PREVIOUSLY PERFORMED. ON. AND WERE REPORTED AS FOLLOWS: ESTROGEN RECEPTOR. POSITIVE (H-SCORE 290), PROGESTERONE RECEPTOR POSITIVE (H-SCORE 200),. AND HER-2/NEU EQUIVOCAL (SCORE 2 2+). HER-2 FISH WAS NOT AMPLIFIED. COMMENT. Part # 1, # 2, # 3, # 4, and # 5: The results of immunohistochernical stainings support the. above diagnosis (see microscopic description). Parts #1, #2 and #3: The metastatic tumor cells with thin these lymph nodes are depicted. by the AE1/AE3 cytokeratin immunostaining and are present circumferentially within the. sub capsular sinusoidal area in minute tumor cell clusters and mostly as single cells. Re-. review of the imprint slides performed at intraoperative consultation showed no metastatic. tumor cells in part 1 and part 2, and showed rare atypical cells in part 3. GROSS DESCRIPTION. The specimen is received fresh and in 5 parts. Part 1 is received for intraoperative consultation labeled with the patient's name, initials. and "sentinel node biopsy #1 left axilla,. not blue". It consists of a portion of. adipose tissue which measures 2.5 x 1.5 x 1.2 cm. A single pink tan probable lymph node. is identified measuring 1.5 x 1.1 x 0.8 cm. The lymph node is bisected for touch. preparation to reveal a homogenous tan-yellow cut surface. The lymph node is further. bisected longitudinally into 2-mm intervals and submitted entirely in two cassettes labeled. 1A-1B. Formalin Exposure Time: 13 hours. Part 2 is received for intraoperative consultation labeled with the patient's name, initials. and "sentinel node biopsy #2 left axilla. not blue". It consists of a single fatty pink. tan. probable lymph node with minimal attached adipose tissue which measures 2 x 1.7 x. 1. cm. The lymph node is bisected for touch preparation analysis to reveal a largely fatty. replaced cut surface. The lymph node halves are further bisected into 2-mm longitudinal. intervals and submitted entirely in two cassettes labeled 2A-2B. Formalin Exposure Time: 13 hours. Part 3 is received for intraoperative consultation labeled with the patient's name, initials. and "sentinel node biopsy #3 left axilla not blue". It consists of a portion of. adipose tissue which measures 4 x 3 x 1.5 cm. A single fatty pink tan probable lymph node. is identified measuring 1.5 x 1 x 0.8 cm. The lymph node is bisected to reveal a largely. fatty replaced cut surface. One half the lymph node is submitted for frozen section. analysis. Both halves of the lymph node are further bisected into 2-mm longitudinal. intervals and submitted entirely as follows: 3FS- lymph node half, frozen section. 3A- remaining lymph node halves. Formalin Exposure Time: 13 hours. Part 4 is labeled with the patient's name, initials. and "sentinel node biopsy #4 left axilla. not blue". It consists of a portion of adipose tissue which measures 4.0 x 2.7 x 1.0 cm. A single pink tan probable lymph node is identified measuring 2.0 x 1.3 x 0.6 cm. The. lymph node is bisected to reveal a pink-tan cut surface interspersed with adipose tissue. The lymph node halves are further sectioned into 2-mm longitudinal intervals and submitted. entirely in two cassettes labeled 4A-4B. Formalin Exposure Time: 13 hours. Part 5 is labeled with the patient's name, initials. and "left total mastectomy long lateral. short superior". It consists of a 1202 g total mastectomy specimen which measures 23.5 x. 22 x 7.5 cm. The anterior surface is remarkable for an ellipse shaped portion of light tan. skin which measures 20 x 16 cm. The areola measures 6.5 x 6 cm with a 1.1-cm. retracted, mobile nipple. No discrete skin scars or lesions are grossly identified. The. specimen is inked and sectioned to reveal a large, ill-defined slightly stellate mass (ring-. shaped biopsy clip) which is located roughly between the upper outer and lower outer. quadrants, and extends towards the central aspect of the breast. The mass measures 8.0. x. 6.5 x 4.2 cm and comes to within 1.0 cm of the closest posterior margin, 2.2 cm of the. skin and 3 cm of the anterior inked margin. The breast parenchyma directly medial of the. mass and encompassing a large portion of the upper inner and lower inner quadrants is. dense and extensively fibrocystic (approximately 10 x 4.5 x 4 cm). No additional masses. are identified grossly. The uninvolved breast parenchyma is composed of approximately. 50% adipose tissue and 50% nodular fibrous tissue. Representative sections are. submitted as follows: 5A- nipple and subareolar soft tissue. 5B- breast parenchyma directly lateral of mass. 5C- fullface mass (most lateral aspect). 5D-5K-fullface mass (central lateral aspect), 5D-5G= posterior aspect, 5E-5K= anterior. aspect. 5L-5S- fullface mass (central medial aspect), 5L-50= posterior aspect, 5P-5S= anterior. aspect. 5T-5U- fullface mass (most medial aspect). 5V- breast parenchyma directly medial of mass. 5W-5Y fibrocystic tissue adjacent to the mass. 5Z-5AA- posterior inked margin closest to mass. 5AB- anterior inked margin closest to mass. 5AC- lower outer quadrant. 5AD- lower inner quadrant. 5AE- upper inner quadrant. 5AF-upper outer quadrant. Block 1-left breast tumor infiltrating lobular carcinoma. Block 2-left breast normal fibrocystic changes. Upper outer quadrant- green. Lower outer quadrant- red. Upper inner quadrant- black. Lower inner quadrant- blue. Anterior- orange. Cold ischemic time: 28 minutes. Formalin exposure time: 12 hours 30 minutes. MICROSCOPIC DESCRIPTION. Microscopic examination substantiates the above diagnosis. The results of immunohistochemical staining are as follows for Part 1, 2, 3, and 4: Antibody/Antigen. AE1-AE3. Positive in the metastatic tumor cells in parts1, 2 & 3, negative in 4. The results of immunohistochemical staining are as follows for Part 5: Antibody/Antigen. E-Cadherin. Negative. P120. Positive cytoplasmic expression in lobular cells. D240. Highlights lymphatic spaces; no tumor cells within lymphatic. spaces. CD31. Highlights vascular c spaces; no tumor cells within vascular. spaces. Utilizing formalin-fixed (8-96 hour range), paraffin embedded tissue, immunohistology is. performed with the following selected antibodies and designated antibody clone(s), directed. against the following antigenic target(s), with adequate positive and negative internal and. external controls. Antibodies are optimized appropriate for fixation times. ANTIBODY. CLONE. TARGET ANTIGEN. VENDOR. AE1/AE3. AE1/AE3. carcinomas. e-cadherin. 36. Lobular Differentiation. p120. 98. Lobular Differentiation. D2-D2-40. D2-40. Lymphatic Endothelium. CD 31. JC70. endothelium. INTRAOPERATIVE DIAGNOSIS. 1TP: LYMPH NODE, LEFT AXILLA, SENTINEL NODE BIOPSY #1,. NOT BLUE (touch. preparation)-. A. SUFFICIENT FOR ANCILLARY STUDIES. B. BENIGN. C. LYMPH NODE. 2TP: LYMPH NODE, LEFT AXILLA, SENTINEL NODE BIOPSY #2,. NOT BLUE (touch. preparation)-. A. SUFFICIENT FOR ANCILLARY STUDIES. B. BENIGN. C. LYMPH NODE. 3FS/TP: LYMPH NODE, LEFT AXILLA, SENTINEL NODE BIOPSY #3,. NOT BLUE. (frozen section and touch preparation)-. A. SUFFICIENT FOR ANCILLARY STUDIES. B. DEFER. C. LYMPH NODE WITH ATYPICAL CELLS.

expanded version (tokens=4339) : 
 Histological Classification:
- Subtype: LumA
- Type of Cancer: Infiltrating Lobular Carcinoma (ILC)
- Ductal Carcinoma In Situ (DCIS), solid type, nuclear grade 2

Description:
- Metastatic adenocarcinoma involving lymph nodes in the left axilla (1/4)
- Tumor size: 8.0 x 6.5 x 4.2 cm
- Nottingham score: 6/9 (Tubules 3, Nuclei 2, Mitosis 1)
- Lymphovascular invasion not appreciated
- Comedonecrosis representing about 1% of tumor volume
- Ductal carcinoma admixed with invasive tumor
- Margin of resection free of tumor
- No tumor seen in nipple or skin
- Lobular carcinoma in situ, classic type with pagetoid spread into ducts
- Atypical lobular hyperplasia
- Multiple microscopic radial scars with florid ductal epithelial hyperplasia and xolunar cell changes
- Intraductal papilloma involved with infiltrating lobular carcinoma
- Fibrocystic changes with fibroadenomatoid nodular changes
- Pseudoangiomatous stromal hyperplasia (PASH)

Ancillary Testing Results:
- Estrogen Receptor (ER) - Positive (H-Score 290)
- Progesterone Re

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=4535) : 
 Final Diagnosis: LumA subtype. Left axillary lymph nodes biopsied, with one node positive for metastatic adenocarcinoma (1/4). Invasive lobular carcinoma (ILC) present in left breast, measuring 8.0 x 6.5 x 4.2 cm, with Nottingham score of 6/9 (Tubules 3, Nuclei 2, Mitosis 1). Comedonecrosis observed (<1% tumor volume). Ductal carcinoma in situ (DCIS) also found, along with atypical lobular hyperplasia and other benign changes. ER-positive (H-Score 290); PR-positive (H-Score 200); HER2-negative

