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, : XXX. Examination result. Clinical diagnosis (suspicion): Cancer of the left breast. Date of admission: (urgency: Standard). Material: 1) Material: left breast and axillary tissue. Method of collection: Total organ resection. Histopathological diagnosis: Invasive, multifocal labular carcinoma of the left breast. Cancer metastases to axillary lymph nodes (19/22) (NHG2, pT3, pN3a). Macroscopic description: Left breast, sized 27.4 x 15.4 x 6.8 cm, removed without axillary tissues sized 10x11x5 cm and with a skin flap of. 20.2 x 8.2 cm. Tumour sized 6.2 x 3.6 x 4.8 cm found in the central part, placed 1.4 cm from the upper boundary, 0.8 cm from the. base and 0.6 cm from the skin. State after removal of a tumour fragment. Lymph nodes of 3.3 cm in length. Microscopic description: Invasive multifocal lobular carcinoma (histocytoid type) - NHG2 (3 + 3 + 1/5 mitoses/ 10 HPF - vision area 0,55. mm). Ductal carcinoma in situ (solid type, with high nuclear atypia and comedo necrosis, 10% of the tumour). The nipple. without pathological lesions. Glandular tissue showing fibrocytoid lesions adenosis. Axillary lymph nodes: Cancer metastases to axillary lymph nodes. (19/22). Signs of perilymphatic invasion.

expanded version (tokens=767) : 
 Histological classification: Invasive multifocal lobular carcinoma of the left breast with ductal carcinoma in situ (DCIS) and cancer metastases to axillary lymph nodes (NHG2, pT3, pN3a). 
Subtype: LumA, XXX (details of the subtype are not provided in the report). 

Description of necrosis: Comedo necrosis is described in the DCIS component of the tumor as seen under microscopic examination. 

Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

Histological grade: NHG2 (Nottingham Histologic Grade 2) is mentioned which is a measure of the tumor differentiation based on nuclear pleomorphism, tubule formation, and mitotic count. 

Nuclear grade: Nuclear grade in the report is mentioned as 3+3+1/5 mitoses/10 HPF. This is a measure of the tumor's histologic appearance which describes the size, shape, and staining pattern of the nuclei of tumor cells, as well as the number of cells that are dividing.

Lymphovascular invasion: The report mentions signs of perilymphatic invasion which indicates lymphovascular invasion, a process in which tumor cells invade lymphatic or vascular channels.

Calcification: There is no mention of calcification in the report.

Receptor status: No information regarding hormone receptor status (ER/PR) or HER2/neu receptor is provided in the

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=902) : 
 Left breast total organ resection biopsy revealed invasive multifocal lobular carcinoma (histocytoid type) with ductal carcinoma in situ and cancer metastases to axillary lymph nodes. Necrosis was observed in the DCIS component. The tumor is NHG2 with 3+3+1/5 mitoses/10 HPF. Perilymphatic invasion was detected, but calcification and receptor status were not reported.

