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, Nos page 1 / 2. copy No. Examination: Histopathological examination. Cost of diagnostic procedure. xamination No.: Gender: F. Material: 1. Total organ resection - left breast and axillary tissue. Expected time of examination: up to 8 working days. Clinical diagnosis: Cancer of the left breast - outer upper quad. Results of immunohistochemical examination: Estrogen receptors found in over 75% of neoplastic cell nuclei. Progesterone receptors found in 10-75% of neoplastic cell nuclei. HER2 protein stained with HercepTest™M by DAKO. Negative reaction in invasive cancerous cells ( Score = 1+ ). Macroscopic description: Left breast sized 19 x 18 x 5 cm removed along with axillary tissues sized 11 x 4.5 x 1.5 cm and a 19. x 10 cm skin flap. Weight 620 g. Tumour sized 2.8 x 1.5 x 2.5 cm on the border of upper quadrants, 4.5 cm from the upper. boundary, 0.2 cm from the base and 1.0 cm from the skin. Another tumour sized 0.5 x 0.7 x 0.5 cm found 1.5 cm away from the first one (margins: lower. boundary - 10 cm; base - 0.1 cm; skin - 3.5 cm). Microscopic description: Both tumours showing similar pattern. Carcinoma ductale invasivum bifocal - NHG2 (2 + 3 +1/7 mitoses/10 HPF, visual area diameter 0.55. mm). Foci of carcinoma ductale in situ DCIS found within the tumour (solid and cribrate type with high. nuclear atypia and comedo necrosis, 5% of the tumour). Reactio lymphocytaria peritumoralis. Mamilla sine laesionibus. Glandular tissue showing mastopathia fibrosa et cystica. AXILLARY LYMPH NODES: Metastases carcinomatosae in lymphonodis No III/XIV. Infiltratio capsulae lymphonodis et telae perinodalis. page 2 / 2. Gender: F. Histopathological diagnosis: Carcinoma ductale invasivum bifocale mammae sinistrae. Invasive bifocal ductal carcinoma of the left breast. Metastases carcinomatosae in lymphonodis axillae No. III/XIV. Cancer metastases in axillary lymph nodes. No. III/XIV. (NHG2, pT2, pN1a).

expanded version (tokens=991) : 
 Histological Classification: The report states that the patient has invasive bifocal ductal carcinoma, which is a type of breast cancer. It also revealed the presence of ductal carcinoma in situ (DCIS) within the tumor, categorized as solid and cribrate with high nuclear atypia and comedo necrosis. 

Subtype: The patient has Luminal B subtype of breast cancer, as per the immunohistochemical results mentioned in the report.

Necrosis: There is a mention of comedo necrosis within the DCIS portion of the tumor.

Tumor Infiltrating Lymphocytes: The report states that there is a peritumoral lymphocytic reaction, which means that there are immune cells or lymphocytes present around the tumor.

Histological Grade: The histological grade mentioned in the report is NHG2 (Nottingham Histologic Grade 2) for the invasive ductal carcinoma part of the tumor.

Nuclear Grade: The report mentions a 2+3 grading for mitotic figures during the examination.

Lymphovascular Invasion: No mention of lymphovascular invasion was made in the report.

Calcification: No mention of calcification was made in the report.

Receptor Status: The report mentions that the patient's cancer cells have estrogen receptors found in over 75% of neoplastic cell nuclei and progesterone receptors found in 10-75% of neoplastic cell nuclei.

IHC (Immunohistochemistry) and

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=1157) : 
 Report: The patient, a female, has invasive bifocal ductal carcinoma of the left breast with DCIS and a peritumoral lymphocytic reaction. Additionally, they have the Luminal B subtype of breast cancer with estrogen receptors found in over 75% of neoplastic cell nuclei and progesterone receptors found in 10-75% of neoplastic cell nuclei. There is also a mention of comedo necrosis within the DCIS portion of the tumor. Notably, metastatic cancer was observed in axillary lymph nodes (No. III/XIV).

