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, SPECIMENS: A. RIGHT BREAST NEEDLE LOCALIZATION LUMPECTOMY. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. C. LEFT BREAST LUMPECTOMY NEEDLE LOCALIZATION. D. SENTINEL LYMPH NODE #1 LEFT AXILLA. SPECIMEN(S): A. RIGHT BREAST NEEDLE LOCALIZATION LUMPECTOMY. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. C. LEFT BREAST LUMPECTOMY NEEDLE LOCALIZATION. D. SENTINEL LYMPH NODE #1 LEFT AXILLA. INTRAOPERATIVE CONSULTATION DIAGNOSIS: A. Right breast, needle localization (Gross Examination only): Tumor 0.8cm from nearest anterior. margin. By Dr., called to Dr. at. C: Left breast, needle localization (Gross Examination only): Tumor 1.0cm from nearest anterior. margin. By Dr., called to at. TPD: Sentinel lymph node #1, left breast (Smears only): Lymph node, negative for tumor. By Dr., called to Dr. at. GROSS DESCRIPTION: A. RIGHT-BREAST NEEDLE LOCALIZATION LUMPECTOMY. The specimen, received fresh in a container labeled with patient name and designated as "right breast. needle localization right breast lumpectomy" is a segment of breast tissue weighing 72gm and. measuring 9.0x8.0x3.5cm. The specimen is oriented per Dr. as follows: single stitch-anterior, long. double stitch-lateral, short double stitch-superior. A metallic wire penetrates through the breast tissue. from medial to lateral direction. On serial section, a .1x1.1x1.0cm firm, stellate mass is identified. This. mass is 0.8cm from the anterior margin, 1.5cm from lateral margin, 2.0cm from the posterior margin. The exterior surface of the specimen is inked as follows: anterior-blue, inferior-orange, superior-red,. lateral-yellow, medial-green, posterior-black. Representative sections of the specimen are submitted. from cassette A1 to cassette A26. Block summary: A1-A7: the mass and the anterior margin. A8-A11: mass and the posterior border (A8 and A9 are 2 consecutive sections connected by the red. dot). A12-A17: mass and the lateral margin. A18-A17: representative section from the superior border. A20-A21: representative section from the inferior border. A22-A23: representative section from the medial border. A24: representative section from the firm area adjacent to the lateral border. A25: representative section from the firm area adjacent to the posterior border. A26: representative section at the area adjacent to the inferior margin. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. The specimen, received fresh in a container labeled with patient name and designated as "sentinel. lymph node #1 right axilla" consists of 2 firm lymph node measuring 1.0x0.5x0.3cm and 2.0x1.0x0.5cm. The lymph node is submitted in toto in cassette B1 and B2. C./LEFT BREAST LUMPECTOMY NEEDLE LOCALIZATION. The specimen, received fresh in a container labeled with patient name and designated as "left needle. localization lumpectomy" is a segment of breast tissue weighing 75 grams and measuring 8.5 x 5.5 x. 3.4 cm. The specimen is oriented as follows: single stitch, anterior; double stitch, lateral; triple stitch,. superior. The specimen is inked as follows: superior, red; inferior, orange; medial, green; lateral,. yellow; anterior, blue; posterior, black. The specimen is serially sectioned and it reveals a firm, white. stellate mass measuring 3 x 2.5 x cm. Grossly, the tumor is 1 cm from the anterior margin, 1.6 cm. from the posterior margin, 2.3 cm from the inferior margin, 2.6 cm from the superior margin, 1.3 cm from. the medial margin and 1 cm from the lateral margin. The rest of the section of the specimen are. submitted in cassettes C1 - C27. Block summary: C1-C3: tumor and the anterior margin. C4-C8: tumor and the lateral margin. C9-C12: tumor and the medial margin. C13-C20: posterior margin adjacent to the tumor. C21-C23: representative section from the inferior margin. C24-C27: representative section from the posterior lateral area of the breast. D. SENTINEL LYMPH NODE #1 LEFT AXILLA. The specimen, received fresh in a container labeled with patient name and designated as "sentinel. lymph node #1 left axilla" consists of a fibroadipose fragment of tissue measuring 6.0x3.0x1.0cm. Within the tissue, 1 lymph node is identified measuring 1.3x1.2x1.0cm. Touch prep is prepared. The. specimen is submitted in toto in cassette D1-D3. DIAGNOSIS: A. RIGHT BREAST, NEEDLE LOCALIZED EXCISIONAL BIOPSY: - INVASIVE MAMMARY CARCINOMA, TUBULOLOBULAR TYPE, MODIFIED. SBR GRADE I. - TUMOR IS 1.8 CM IN MAXIMUM DIMENSION MEASURED. MICROSCOPICALLY. - FINAL SURGICAL MARGINS ARE FREE OF TUMOR. - SEE SYNOPTIC TEMPLATE AND COMMENT. DUCTAL CARCINOMA IN SITU, LOW NUCLEAR GRADE, SOLID TYPE. - FINAL SURGICAL MARGINS ARE FREE OF DCIS. - DUCTAL HYPERPLASIA (USUAL TYPE), AND COLUMNAR CELL CHANGE. WITH COLUMNAR CELL HYPERPLASIA. - FIBROSIS, FAT NECROSIS AND HEMOSIDERIN CONSISTENT WITH PRIOR. BIOPSY SITE CHANGE. B. SENTINEL LYMPH NODE, #1 RIGHT AXILLA, BIOPSY: - ONE LYMPH NODE NEGATIVE FOR CARCINOMA (0/1). C. LEFT BREAST, NEEDLE LOCALIZED EXCISIONAL BIOPSY: - INVASIVE DUCTAL CARCINOMA, MODIFIED SBR GRADE Il. - TUMOR IS 3.0 CM IN MAXIMUM DIMENSION. - FINAL SURGICAL MARGINS ARE FREE OF TUMOR. - SEE SYNOPTIC TEMPLATE. DUCTAL CARCINOMA IN SITU, INTERMEDIATE NUCLEAR GRADE,. SOLID TYPE. - SURGICAL MARGINS ARE FREE OF DCIS. FIBROCYSTIC CHANGES WITH DUCTAL HYPERPLASIA (USUAL TYPE). - COLUMNAR CELL CHANGE AND COLUMNAR CELL HYPERPLASIA. - BENIGN INTRADUCTAL PAPILLOMA. - FIBROSIS SUGGESTIVE OF PRIOR BIOPSY SITE CHANGE. D. SENTINEL LYMPH NODE, #1 LEFT AXILLA, BIOPSY: - ONE LYMPH NODE NEGATIVE FOR CARCINOMA (0/1). COMMENT: The invasive tumor present in e-right breast (specimen) shows a morphology that is. predominantly that of lobular carcinoma. In many areas, however, and particularly on slide A5 the. tumor shows small tubular structures with angulated contours and apocrine snouting. This combined. morphology is that of tubulolobular carcinoma. This tumor was e-cadherin positive on the original. biopsy, a finding that normally favors ductal carcinoma. Tubulolobular carcinoma, however, has been. reported to be e-cadherin positive also. Since the WHO currently includes tubulolobular carcinoma as. a variant of lobular carcinoma, that is how it is listed on the synoptic template since there is no option for. tubulolobular carcinoma in that template. SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: A: RIGHT BREAST NEEDLE LOCALIZATION LUMPECTOMY. Specimen Type: Excision. Needle Localization: Laterality: Right. Invasive tumör: Present. Multifocality: No. WHO CLASSIFICATION. Invasive lobular carcinoma 8520/3. Specimen size: Size of Invasive focus 1.8cm. Additional dimensions: 1.1cm X 1cm. Tumor Site: Not specified. Margins: Negative. Distance from closest margin: 0.3cm. Margin: anterior. Tubular score: 3 (<10% tubule). Nuclear grade: 1. Mitotic score (Olympus 40x): 1 (0-6/10. Modified Scarff Bloom Richardson Grade: I (3-5 points). Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/1. Non-neoplastic areas: Ductal hyperplasia. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate % 5. DCIS type: Solid. DCIS location: Associated with invasive tumor. Nuclear grade: Low. Necrosis: Absent. Location of CA++: Benign epithelium. Pathological staging (pTN): pT 1c N 0. Comment(s). Tubulolobular type carcinoma is not listed as a separate entity in this template. It is considered a. variant of lobular carcinoma in the WHO classification system, despite frequently being e-cadherin. positive. SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: C: LEFT BREAST LUMPECTOMY NEEDLE LOCALIZATION. Specimen Type: Excision. Needle Localization: Laterality: Left. Invasive tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Specimen size: Size of Invasive focus 3cm. Additional dimensions: 2.5cm X 2cm. Tumor Site: Not specified. Margins: Negative. Distance from closest margin: 0.4cm. Margin: Lateral, medial and anterior. Tubular score: 3 (<10% tubule). Nuclear grade: 2. Mitotic score (Olympus 40x): 2 (7-13/10. Modified Scarff Bloom Richardson Grade: Il (6-7 points). Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/1. Non-neoplastic areas: Papilloma, fibrocystic changes with ductal hyperplasia. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate % 10. DCIS type: Solid. DCIS location: Associated with invasive tumor. Nuclear grade: Intermediate. Necrosis: Present. Location of CA++: Benign epithelium. Pathological staging (pTN): pT 2 N 0. CLINICAL HISTORY: None given. PRE-OPERATIVE DIAGNOSIS: Bilateral breast ca. Microscopic/Diagnostic Dictation:. Pathologist,. Microscopic/Diagnostic Dictation:., Pathologist,. Final Review:., Pathologist,. Final Review: Pathologist,. Final: Pathologist,.

expanded version (tokens=2911) : 
 The pathology report describes a luminal A subtype breast cancer in a female patient, with the following findings:

- Histological classification and subtype: invasive mammary carcinoma (tubulolobular type) with modified SBR grade I in the right breast, and invasive ductal carcinoma with modified SBR grade II in the left breast. Ductal carcinoma in situ (DCIS) was also present in both breasts, with low nuclear grade and solid type in the right breast, and intermediate nuclear grade and solid type in the left breast.

- Necrosis: absent in the invasive tumors, present in the DCIS of the left breast.

- Tumor infiltrating lymphocytes: not mentioned.

- Histological grade: modified Scarff Bloom Richardson grade I in the right breast, and grade II in the left breast.

- Nuclear grade: low in the DCIS of the right breast, intermediate in the DCIS of the left breast, and not mentioned for the invasive tumors.

- Lymphovascular invasion: none identified.

- Calcification: present in the DCIS of both breasts, with location in benign epithelium in the right breast and not specified in the left breast.

- Receptor status: not mentioned.

- IHC and ancillary testing results: not mentioned, except for the comment that e-cadherin was positive in the original biopsy of the tubulolobular carcinoma in the right breast.

The report includes detailed gross descriptions and block summaries for each specimen

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=3071) : 
 The report indicates LumA subtype with invasive mammary carcinoma (tubulolobular type) in the right and invasive ductal carcinoma in the left breast. Ductal carcinoma in situ is present in both. Necrosis is absent in invasive tumors; DCIS of the left breast shows necrosis. Lymph nodal involvement is negative. No tumor infiltrating lymphocytes are mentioned, neither receptor status nor ancillary testing results. The histological grades for the tumors are modified SBR grade I for the right breast and grade II for the left.

