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 Her2, SPECIMENS: A. WLE RIGHT BREAST. B. SLN 1 RIGHT AXILLA. C. SLN 2 RIGHT AXILLA. D. SLN 3 RIGHT AXILLA. SPECIMEN(S): A. WLE RIGHT BREAST. B. SLN 1 RIGHT AXILLA. C. SLN 2 RIGHT AXILLA. D. SLN 3 RIGHT AXILLA. GROSS DESCRIPTION: A. WLE RIGHT BREAST. Received fresh labeled with the patient's identification and "right breast needle localization" is a previously inked 99g,. 9 x 8.5 x 3.4cm needle localized lumpectomy with 2 radiographs. Ink code: anterior-yellow, posterior-black, superior-. blue, inferior-orange, medial-green, lateral-red. Specimen is serially sectioned from lateral to medial into 10 slices. revealing a 1.7 x 1.6 x 1.5cm tan pink well circumscribed mass at the posterior margin in slices 4-7. A second 0.5 x. 0.5 x 0.5cm tan pink firm ill defined mass is identified, 0.3cm from the anterior-medial margin in slice 8, 1.9cm from. the main mass. A portion of the specimen is submitted for tissue procurement. Representatively submitted: A1-A2: lateral margin slice 1. A3: deep margin slice 2. A4-A5: next to mass with deep margin slice 3. A6-A8: deep margin with mass 1 in A6 slice 4. A9-A12: slice 5 with mass in A9. A13-A16: slice 6 with mass in A14-A15. A17: mass with deep margin slice 7. A18: anterior margin slice 7. A19-A21: slice 8 with mass 2 in A21. A22: next to mass 2 slice 9. A23: medial margin slice 10. B. SLN 1 RIGHT AXILLA. Received fresh is a tan pink lymph node 1.3 x 1.2 x 1cm. The specimen is serially sectioned and a touch prep is. taken. Toto B1. C. SLN 2 RIGHT AXILLA. Received fresh is a tan pink lymph node 1.8 x 1.5 x 1.3cm. The specimen is serially sectioned and a touch prep is. taken. Toto C1. D. SLN 3 RIGHT AXILLA. Received fresh is a tan pink lymph node 0.6 x 0.5 x 0.5cm. The specimen is serially sectioned and a touch prep is. taken. Toto D1. DIAGNOSIS: A. BREAST, RIGHT, WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 3, MEASURING 1.8-CM. - HIGH NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID. AND CRIBRIFORM TYPES WITH. CENTRAL NECROSIS AND MICROCALCIFICATIONS. - INVASIVE TUMOR PRESENT 0.15-CM FROM POSTERIOR SURGICAL RESECTION MARGIN. - BIOPSY SITE CHANGES WITH FIBROSIS. - SEE SYNOPTIC REPORT AND SEE NOTE. B. LYMPH NODE, SENTINEL #1, RIGHT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). C. LYMPH NODE, SENTINEL #2, RIGHT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). D. LYMPH NODE, SENTINEL #3, RIGHT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). NOTE: Two nodules are grossly identified, larger located superior posterior and smaller located inferior anterior and. more medial. Both tumors have the same histomorphology. The larger nodule extends from slice #4 to slice #7. The smaller nodule is located in slice #8. The tissue in between these two nodules shows DCIS. Therefore, given. the presence of DCIS between these two tumors and having the same histomorphology, these tumors are. considered connected. The largest confluent tumor size is 1.8-cm. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Yes For mass. Laterality: Right. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 1.8cm. Tumor Site: Not specified. Margins: Negative. Distance from closest margin: 0.15cm. deep. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 2. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/3. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 15%. DCIS Type: Solid. Cribriform. DCIS Location :Associated with invasive tumor. Nuclear grade: High. Necrosis: Present. Location of CA++: DCIS. ER/PR/HER2 Results. ER: Positive. PR: Negative. HER2: Positive by IHC. Performed on Case: Pathological staging (pTN): pT 1c N 0. CLINICAL HISTORY: Biopsy of proven cancer at wire- possible second lesion 2cm, medial to premarked tumor at triple stitch. PRE-OPERATIVE DIAGNOSIS: Right breast cancer. INTRAOPERATIVE CONSULTATION: A. GROSS EXAMINATION: Mass abuts the posterior margin, 2nd lesion is 0.3cm from the medial margin. Diagnosis. called to Dr. at. by Dr.. TPB-TPC-TPD: No tumor seen. Diagnosis called to Dr. at. / Dr. Final Review: Pathologist,. Final: Pathologist,.

expanded version (tokens=1769) : 
 The breast pathology report indicates the following information:

1. Histological classification: The patient has invasive ductal carcinoma, subtype Her2, with a size of 1.8cm. Additionally, there is ductal carcinoma in situ (DCIS) with solid and cribriform types and central necrosis observed between the tumors.

2. Necrosis: Central necrosis is observed in DCIS.

3. Tumor infiltrating lymphocytes: The report does not mention any tumor infiltrating lymphocytes.

4. Histological grade: The SBR grade of the invasive ductal carcinoma is 3, and the nuclear grade is high, graded as 3. The mitotic score is 2, and the modified Scarff-Bloom-Richardson (SBR) grade is 3.

5. Lymphovascular invasion: The report indicates no evidence of vascular or lymphatic invasion.

6. Calcification: Microcalcifications are mentioned with DCIS, which are identified in the specimen.

7. Receptor status: The estrogen receptor is positive, and the progesterone receptor is negative. The HER2 status is positive by immunohistochemistry (IHC), performed on Case.

8. Ancillary testing results: Sentinel lymph nodes from all three right axillary regions are examined and have no metastases detected.

Overall, the report highlights the presence of invasive ductal carcinoma with Her2 subtype and additional DCIS with a high nuclear grade, central necrosis, and micro

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=1914) : 
 The patient is diagnosed with invasive ductal carcinoma, subtype Her2, and ductal carcinoma in situ (DCIS) with solid and cribriform types and central necrosis. The tumor is 1.8cm in size, with no evidence of vascular or lymphatic invasion. Microcalcifications are detected with DCIS and the HER2 status is positive while the progesterone receptor status is negative by IHC. All three sentinel lymph nodes examined are negative for metastases.

