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 - SPECIMENS: A. SLN #1. B. SLN #2. C. LEFT BREAST. D. SLN #3. E. UPPER OUTER QUANDRANT LEFT BREAST. F. SLN #4. G. INFERIOR MEDIAL LEFT BREAST MARGIN. SPECIMEN(S): A. SLN #1. B. SLN #2. C. LEFT BREAST. D. SLN #3. E. UPPER OUTER QUANDRANT LEFT BREAST. F. SLN #4. G. INFERIOR MEDIAL LEFT BREAST MARGIN. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA/TPB - SLN #1/SLN #2: Negative for tumor cells. TPD/TPF - SLN #3/SLI #4: Negative for tumor. Called by Dr to Dr. at. I (A, B). (D) and. (F). C - left breast: (gross exam only) 2.5 x 2 x 1.5 cm tumor located 1.2 cm from the closest/deep margin; tumor extends. to the nipple and areola, called by Dr. to Dr. at. GROSS DESCRIPTION: A. SLN #1. Received fresh is a tiny piece of lymphoid tissue within fibroadipose tissue, 0.4 x 0.2 x 0.2 cm. A touch prep is. performed; submitted entirely in cassette A1. B. SLN #2. Received fresh is a piece of lymphoid tissue within fibroadipose tissue, 0.4 x 0.2 x 0.2 cm. A touch prep is performed;. submitted entirely in cassette B1. C. LEFT BREAST, STITCH AT AXILLARY TAIL. Received fresh labeled with the patient's identification and "left breast, stitch in axillary tail" is an oriented 392g, 20. x. 14.5 x 2 cm mastectomy with 11.5 x 5.2 skin ellipse and 1.6cm inverted and ulcerated nipple. Ink code: Anterior/superior-blue, anterior/inferior-orange, posterior-black. The specimen is serially sectioned into 18 slices. from medial to lateral with the nipple in slice 5 revealing a 2.5 x 2 x 1.5 cm white-tan firm well-circumscribed mass. beneath the nipple, present in slices 5 to 7 that is 1.2 cm from the deep margin. A gross diagnosis was conveyed to. OR and tissue is procured. Representatively submitted: C1-C2: slice 5, mass and extension to nipple. C3: slice 5, mass and deep margin. C4: slice 6, superior posterior mass. C5: slice 6, anterior inferior mass. C6: slice 6, inferior posterior mass. C7: slice 7, mass and normal appearing parenchyma. C8: slice 8, normal appearing parenchyma adjacent to mass. C9: slice 3, upper inner quadrant. C10: slice 9, upper outer quadrant. C11: slice 10, lower outer quadrant. C12: slice 4, lower inner quadrant. C13: skin. C14-C17: nipple. C18: 1 axillary lymph node. D. SLN #3. Received fresh is a lymph node, 0.3 x 0.3 x 0.2 cm. A touch prep is performed and the lymph node is submitted. entirely for cassette D1. E. UPPER OUTER QUADRANT LEFT BREAST; STITCH AT NEW UPPER OUTER MARGIN. Received fresh labeled with the patient's identification and "upper outer quadrant left breast; stitch at new upper. outer margin" is an oriented 37g, 9 x 6.3 x 0.8 cm fibrofatty tissue. Final margin is inked black. Serial sectioning. reveals no discrete lesions. Representatively submitted in cassettes E1-E6. F. SLN #4. Received fresh is a lymph node, 0.3 x 0.3 x 0.2 cm. A touch prep is performed; submitted entirely in cassette F1. G. INFERIOR MEDIAL BREAST-LEFT; STITCH AT DEEP MARGIN. Received fresh labeled with the patient's identification and "inferior medial breast-left; stitch at deep margin" is an. oriented 3g, 4.1 x 2.5 x 0.6 cm fibrofatty tissue. Final margin is inked black. Serial sectioning reveals no discrete. lesions. Entirely submitted in cassettes G1-G4. DIAGNOSIS: A. SENTINEL LYMPH NODE #1, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). B. SENTINEL LYMPH NODE #2, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). C. BREAST, LEFT, MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, POORLY DIFFERENTIATED. (SBR GRADE 3), WITH ULCERATION OF THE NIPPLE. - TUMOR MEASURES 2.5 CM IN GREATEST DIMENSION. - MARGINS, NO TUMOR SEEN. - ONE LYMPH NODE WITH NON-NECROTIZING GRANULOMAS, NO TUMOR. SEEN (0/1) (SEE NOTE). NOTE: Special stains have been ordered on the lymph node and those results will be reported in an addendum. A. CD31 stain has been ordered for evaluation of lymphvascular invasion and those results will be reported in an. addendum. D. SENTINEL LYMPH NODE #3, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). E. BREAST, LEFT, UPPER OUTER QUADRANT, EXCISION: - FIBROADIPOSE TISSUE, NO TUMOR SEEN. F. SENTINEL LYMPH NODE #4, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). G. BREAST, LEFT, INFERIOR MEDIAL MARGIN, EXCISION: - FIBROADIPOSE TISSUE, NO TUMOR SEEN. SYNOPTIC REPORT - BREAST. Specimen Type: Mastectomy. Needle Localization: Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 2.5cm. Tumor Site: Central. Margins: Negative. Distance from closest margin: Greater than 1cm. deep. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 3. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Absent. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/5. DCIS not present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Positive by FISH. Pathological staging (pTN): pT2N0. CLINICAL HISTORK. year-old. recent dx of left breast cancer in. core biopsy. -IDC ER/PR positive, Her2. (illegible) Now for left mastectomy and sentinel lymph node biopsy-2 cm retroareolar mass. PRE-OPERATIVE DIAGNOSIS: Left breast cancer. ADDENDUM: NOTE: A CD31 stain was performed on C4 and is negative showing no evidence of lymphvascular invasion. Special. stains (GMS, AFB, PAS) were performed on the lymph node (C18) and are negative showing no evidence of fungal. or acid fast organisms. The non-necrotizing granulomas would be consistent with the patient's history. Microscopic/Diagnostic Dictation: Pathologist,. Final Review: Pathologist,. Final: Pathologist,. Addendum: Pathologist,. Addendum Final: Pathologist,.

expanded version (tokens=2185) : 
 The breast pathology report includes the following information:

1. Histological classification: 
- Invasive ductal carcinoma, poorly differentiated (SBR Grade 3).
- No DCIS was present.

2. Subtype:
- Not mentioned.

3. Necrosis: 
- Absent.

4. Tumor infiltrating lymphocytes:
- Not mentioned.

5. Histological grade: 
- SBR Grade 3.

6. Nuclear grade:
- 3.

7. Lymphovascular invasion: 
- Evaluation with CD31 stain was ordered to assess this feature and was reported as negative.

8. Calcification: 
- Not mentioned.

9. Receptor status:
- ER/PR: Positive.
- HER2: Positive by FISH.

10. IHC and other ancillary testing results:
- CD31 stain: negative for lymphovascular invasion.
- GMS, AFB, PAS special stains: negative for fungal or acid-fast organisms in lymph node.
- Multigene signature testing (such as Oncotype DX) was not mentioned.

Other important points:
- Surgical specimens received include SLN biopsy samples and excised breast tissue from various quadrants and margins.
- All four SLN biopsy samples (nodes #1-4) were negative for tumor cells.
- The invasive carcinoma is 2.5 cm in size, centrally located, and extends to the nipple and areola, with ulceration of the nipple.
- Margins are negative for tumor.


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=2346) : 
 A 2.5 cm central poorly-differentiated invasive ductal carcinoma, ER/PR-positive and HER2-positive by FISH was found in a left mastectomy. The tumor shows no necrosis or lymphovascular invasion. No DCIS is present, and margins are clear. Four sentinel lymph nodes were negative for tumor cells, with one lymph node showing non-necrotizing granulomas consistent with the patient's history. The report includes no information on subtype, tumor infiltrating lymphocytes, histological grade or multigene signature testing results.

