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 Normal, SPECIMENS: A. SENTINEL LYMPH NODE #1 RIGHT AXILLA. B. SENTINEL LYMPH NODE #2 RIGHT AXILLA. C. RIGHT BREAST LUMPECTOMY. D. RIGHT AXILLARY CONTENTS LEVELS 1 AND 2. E. SUPERIOR MARGIN. F. MEDIAL MARGIN. G. INFERIOR MARGIN. SPECIMEN(S): A. SENTINEL LYMPH NODE #1 RIGHT AXILLA. B. SENTINEL LYMPH NODE #2 RIGHT AXILLA. C. RIGHT BREAST LUMPECTOMY. D. RIGHT AXILLARY CONTENTS LEVELS 1 AND 2. E. SUPERIOR MARGIN. F. MEDIAL MARGIN. G. INFERIOR MARGIN. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA1: LN positive for carcinoma (SLN #. TPB1 and TPB2: LY negative for carcinoma (SLN #2). C: Gross: Right breast, 1st lesion 2.2 cm, at distance from all margins (1.5 from closest superior margin). 2nd lesion 3.0 cm from the 1st lesion, size 0.8 cm, 0.4 cm from the closest inferior margin. By Dr. called to Dr. at. (A, B) and. C). GROSS DESCRIPTION: A. SENTINEL LYMPH NODE #1 RIGHT AXILLA. Received fresh labeled with the patient identification and "sentinel lymph node #1", is a 2.0 X 1.0 x 0.8-. cm fatty lymph node displaying a 0.5 x 0.4 x 0.4-cm firm white tumor nodule. Touch preparations are. performed. The lymph node is representatively submitted in cassette A1. B. SENTINEL LYMPH NODE #2 RIGHT AXILLA. Received fresh labeled with the patient identification and "sentinel lymph node #2, right axilla", are 2. tan-pink to fatty lymph nodes, 0.5 cm (B1) and 1.2 X 0.6 X 0.5 cm (B2). A touch preparation on each. lymph node is performed and the lymph nodes are entirely submitted as follows: B1: Smaller lymph node. B2: Largest lymph node. C. RIGHT BREAST LUMPECTOMY. Received fresh labeled with the patient identification and "right breast lumpectomy", is an oriented. (single - anterior, double - lateral, triple - superior), 153.0-gram, 11.5 X 8.5 X 3.0-cm needle localized. lumpectomy with radiograph. Ink code: Anterior - yellow, posterior - black, medial - green, lateral - red,. superior - blue, inferior - orange. The specimen is serially sectioned into 9 slices revealing a 2.2 x 1.8 X. 1.8-cm infiltrative firm gritty white tumor (mass #1 - 12 o'clock). Mass #1 is closest to the anterior and. superior margins at 1.5 cm each. Tissue is procured. There is a second mass/biopsy site, 0.8 cm. which is closest to the inferior margin at 0.4 cm and 3.0 cm from the first mass. The remaining fibrous. tissue is finely lobulated with interspersed clear fluid-filled 0.2-cm cysts. No additional nodules are. identified. A gross evaluation is performed. Representatively submitted: C1: Slice 1, medial margin, perpendicular. C2-C3: Slice 4, tumor to closest anterior superior margins. C4-C6: Slice 6, tumor to superior posterior margins. C7: Slice 6, anterior margin. C8: Slice 6. C9: Slice 6, posterior margin. C10: Slice 6, anterior margin. C11: Slice 6. C12: Slice 6, posterior margin. C13: Slice 7, superior margin. C14: Slice 7, anterior margin. C15: Slice 7, posterior margin. C16: Slice 7, anterior margin. C17: Slice 7. C18: Slice 7, posterior margin. C19: Slice 7, anterior margin. C20: Slice 7, mass #2/biopsy cavity. C21: Slice 7, posterior margin. C22: Slice 9, lateral margin, perpendicular. D. RIGHT AXILLARY CONTENTS LEVELS 1 AND 2. Received in formalin labeled with the patient identification and "right axillary contents levels 1 and 2", is. a. 9.0 x 5.0 x 1.8-cm portion of adipose tissue, within which 20 possible lymph nodes are identified. ranging from 0.2 to 3.5 cm. There are 2 tan-pink to fatty lymph nodes exhibiting infiltrative tumor, 0.4. and 0.5 cm. Also identified are 3 matted lymph nodes with an overall dimension of 2.2 cm. The. specimen is representatively submitted as follows: D1: Four whole lymph nodes. D2: Four whole lymph nodes. D3: Three whole lymph nodes. D4: One lymph node bisected. D5: One lymph node bisected. D6: Two whole lymph nodes. D7: Two positive lymph nodes. D8: Three possible matted lymph nodes. D9-D20: Remaining soft tissue. E. SUPERIOR MARGIN. Received in formalin labeled with the patient identification and "new superior margin", is a 5.0-gram, 6.0. x 2.0 x 0.8-cm oriented portion of breast (suture at final margin). The final margin is inked black and on. serial sectioning, no discrete lesions are identified. Entirely submitted in cassettes E1-E4. F. MEDIAL MARGIN. Received in formalin labeled with the patient identification and "medial margin", is an oriented (suture at. final margin) 5.0-gram, 4.5 x 2.8 x 1.7-cm fibrofatty tissue. The final margin is inked black and on. serially sectioning, no discrete lesions are identified. Entirely submitted in cassettes F1-F4. G. INFERIOR MARGIN. Received in formalin labeled with the patient identification and "inferior margin", is an oriented (suture at. final margin) 4.0-gram, 4.0 X 1.5 x 1.3-cm fibrofatty tissue. The final margin is inked black and on. serially sectioning, no discrete lesions are identified. Entirely submitted in cassettes G1-G3. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, RIGHT AXILLA, EXCISION: - METASTATIC CARCINOMA TO ONE OF ONE LYMPH NODE (1/1), MEASURING 0.4-CM WITH NO. EXTRANODAL EXTENSION. B. LYMPH NODES, SENTINEL #2, RIGHT AXILLA, EXCISION: TWO LYMPH NODES, NEGATIVE FOR METASTASES (0/2). C. BREAST,(RIGHT) WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 3, MEASURING 2.2-CM. - AIGH NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID TYPE WITH CENTRAL. NECROSIS AND LOBULAR EXTENSION. - SURGICAL RESECTION MARGINS NEGATIVE FOR TUMOR. - BIOPSY SITE CHANGES WITH FIBROSIS AND GRANULATION TISSUE. - SEE SYNOPTIC REPORT AND SEE NOTE. D. LYMPH NODES, RIGHT AXILLARY CONTENTS, LEVELS 1 AND 2, DISSECTION: - METASTATIC CARCINOMA TO FOUR OF TWENTY FOUR LYMPH NODES (4/24), LARGEST. MEASURING 1.0-CM WITH FOCAL EXTRANODAL EXTENSION. E. BREAST, SUPERIOR MARGIN, EXCISION: - BREAST TISSUE, NO TUMOR SEEN. F. BREAST, MEDIAL MARGIN, EXCISION: - BREAST TISSUE, NO TUMOR SEEN. G. BREAST, INFERIOR MARGIN, EXCISION: - BREAST TISSUE, NO TUMOR SEEN. NOTE: Grossly, two tumor masses are identified, one larger located in the superior anterior and one. smaller located in the inferior lateral aspect of the specimen. The larger mass is composed of invasive. ductal carcinoma measuring 2.2-cm. The smaller tumor is composed of biopsy site changes with. granulation tissue intermixed with clusters of neoplastic ducts located only in the lymphatic channels. (CD31 and D2-40 mark involved spaces). Located in the same level (slice #7) more towards the center. of the specimen is a microscopic focus of DCIS. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Laterality: Right. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 2.2cm. Tumor Site: Not specified. Margins: Negative. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 3. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Absent. Vascular/Lymphatic Invasion: Present. Extent: at 9:00 position. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node and axillary dissection. Lymph node status: Positive 5 /27 Extranodal extension. Micrometastases: DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 2%. DCIS Type: Solid. DCIS Location: Separate from invasive tumor mass. Nuclear grade: High. Necrosis: Present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative. Performed on Case: Pathological staging (pTN): pT 2NNa. CLINICAL HISTORY: -year-old female multifocal IDC right breast, 2 areas at 12 and 9 o'clock. Now for lumpectomy/SNB. PRE-OPERATIVE DIAGNOSIS: None given. Microscopic/Diagnostic Dictation: Pathologist,. Final Review:., Pathologist,. Final: Pathologist,.

expanded version (tokens=2724) : 
 The breast pathology report shows that:

- Histological classification: Invasive ductal carcinoma (IDC), not otherwise specified (NOS)
- Subtype: Normal
- Description of necrosis: Central necrosis and lobular extension in ductal carcinoma in situ (DCIS) component
- Tumor infiltrating lymphocytes: Not mentioned
- Histological grade: SBR Grade 3
- Nuclear grade: AIGH (American Joint Committee on Cancer International Union for Cancer Control, Histological Grade) Grade 3
- Lymphovascular invasion: Present at 9:00 position
- Calcification: Not mentioned, but DCIS is present
- Receptor status: Estrogen receptor (ER) and progesterone receptor (PR) positive, human epidermal growth factor receptor 2 (HER2) negative
- IHC and ancillary testing results: CD31 and D2-40 showed lymphatic channel involvement in the smaller tumor, sentinel lymph node #1 showed metastatic carcinoma measuring 0.4 cm, axillary dissection showed metastatic carcinoma to four of 24 lymph nodes with a focus of extranodal extension.

Overall, the report describes a case of multifocal IDC in the right breast with two masses, one larger and invasive with central necrosis and lobular extension of DCIS, and a smaller one with biopsy site changes and lymphatic channel involvement of DCIS. The tumor is ER/PR positive and HER2 negative

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=2913) : 
 75-word report: Multifocal invasive ductal carcinoma NOS in the right breast with two masses, ER/PR-positive and HER2-negative. Histological grade SBR 3 with AIGH nuclear grade 3. Central necrosis and lobular extension in DCIS component; tumor infiltrating lymphocytes not reported. Lymphovascular invasion present at the 9:00 position. CD31 and D2-40 show lymphatic involvement in a smaller tumor; sentinel lymph node #1 exhibits metastatic carcinoma measuring 0.4cm. Axillary dissection shows four of 24 lymph nodes affected with extranodal extension and DCIS present. Margins negative; extent not specified.

