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. CLUSTER OF SENTINEL NODES RIGHT BREAST. B. RIGHT BREAST MASS. SPECIMEN(S): A. CLUSTER OF SENTINEL NODES RIGHT BREAST. B. RIGHT BREAST MASS. GROSS DESCRIPTION: A. CLUSTER OF SENTINEL NODES RIGHT BREAST. Received fresh are four tan pink lymph nodes ranging from 0.7 x 0.6 x 0.3cm to 1.1 x 0.7 x 0.6cm. A touch prep. is. taken. Toto A1. B. RIGHT BREAST MASS. Received fresh labeled with the patient's identification and "right breast mass" is a previously inked 23g, 7.5 x 5. x. 2cm needle localized lumpectomy with radiograph. Ink code: anterior-yellow, posterior-black, superior-blue, inferior-. orange, medial-green, lateral-red. Specimen is serially sectioned from superior to inferior into 7 slices revealing a 1.5. x 1.5 x 1cm tan white firm well circumscribed mass, 0. 1cm from the closest posterior margin in slices 4-5. A portion. of the specimen is submitted for tissue procurement. Representatively submitted: B1: superior margin slice 1. B2: slice 2. B3-B4: slice 3. B5-B6: slice 4 with mass in B6. B7-B9: slice 5 with mass in B8. B10-B12: slice 6. B13-B15: inferior margin slice 7. DIAGNOSIS: A. LYMPH NODES, SENTINEL, RIGHT AXILLA, EXCISION: - MEATASTATIC CARCINOMA TO ONE OF FOUR LYMPH NODE (1/4), MEASURING 0.1-CM. (MICROMETASTASES), WITH NO EXTRANODAL EXTENSION, SEE NOTE. B. BREAST, RIGHT, WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 2, MEASURING 1.1-CM. HIGH NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID AND CRIBRIFORM TYPES WITH CENTRAL. NECROSIS AND MICROCALCIFICATIONS. - INVASIVE TUMOR PRESENT AT ANTERIOR SURGICAL RESECTION MARGIN. - DCIS PRESENT AT ANTERIOR AND MEDIAL, WITHIN 1 MM FROM POSTERIOR AND 2 MM FROM SUPERIOR. MARGINS. - LYMPHOVASCULAR INVASION PRESENT. - BIOPSY SITE CHANGES WITH FIBROSIS. - SEE SYNOPTIC REPORT. NOTE: A small cluster of tumor cells is identified in the touch preparation. Dr. concurs. 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: 1.1cm. Tumor Site: Not specified. Margins: Involved at. anterior. Extent:: focal. Tubular Score: 2. Nuclear Grade: 3. Mitotic Score: 2. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: Present. Extent: focal. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Positive 1/4. Micrometastases: DCIS present. Margins involved by DCIS: anterior and medial. DCIS Quantity: Estimate 10%. DCIS Type: Solid. Cribriform. DCIS Location: Both associated and separate from invasive tumor mass. Nuclear grade: High. Necrosis: Present. Location of CA++. DCIS. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Positive by FISH. Performed on Case: OUTSIDE SLIDES I. Pathological staging (pTN): pT 1c N 1a. CLINICAL HISTORY: None provided. PRE-OPERATIVE DIAGNOSIS: Right breast mass. INTRAOPERATIVE CONSULTATION: TPA: Cluster of sentinel nodes right breast- Negative for carcinoma: Diagnosis called to Dr. at. by Dr. B. GROSS EXAMINATION: Right breast mass: 1.5cm tumor, <1mm from deep margin. Diagnosis called to Dr. at. by Dr. ADDENDUM: ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 44. CLINICAL EXPERIENCE: Patients with a recurrence score of: 44 in the clinical validation study had an average. rate of Distant Recurrence at 10 years of 30%. ER Score: 8.9 Positive. PR Score: 6.1 Positive. Her2 Score: 12.1. Positive. Interpretation: ER. Negative < 6.5. Positive >= 6.5. PR. Negative < 5.5. Positive >= 5.5. Her2 Negative <10.7. Positive =11.5. Equivocal = 10.7 - 11.4. See separate. report for further information. Microscopic/Diagnostic Dictation; Pathologist,. Final Review: Pathologist,. Final: Pathologist,. Addendum: Pathologist, I. Addendum Final: Pathologist,.

expanded version (tokens=1606) : 
 The breast pathology report reveals the following information:

1. Histological classification: 
- Invasive ductal carcinoma (IDC), Subtype LumA
- Ductal carcinoma in situ (DCIS), solid and cribiform types with central necrosis and microcalcifications

2. Histological grade: 
- IDC: SBR grade 2, high nuclear grade, mitotic score 2 and modified Scarff Bloom Richardson grade 2
- DCIS: High nuclear grade

3. Necrosis:
- Present in DCIS and invasive tumor

4. Tumor infiltrating lymphocytes:
- Not mentioned

5. Lymphovascular invasion:
- Present

6. Calcification:
- Microcalcifications present in the DCIS

7. Receptor status, IHC and ancillary testing results:
- ER/PR: Positive
- HER2: Positive by FISH
- Oncotype DX Breast Cancer Assay: Recurrence Score - 44, ER score: Positive, PR score: Positive, HER2 score: Positive

Additionally, the report mentions that there is lymph node involvement in one out of four sentinel nodes, with micrometastases identified. The margins were involved by DCIS anteriorly and medially, within a distance of 1mm from posterior and 2mm from superior margins. Lymphovascular invasion is also present, and biopsy site changes with fibrosis are noted. Overall, these findings suggest early stage breast cancer with

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=1799) : 
 The breast pathology report corresponds to a right breast mass that was surgically removed. The mass displays a ductal carcinoma in situ with solid and cribiform types that has central necrosis and microcalcifications, along with invasive ductal carcinoma (subtype LUMA) present, measuring 1.1cm in diameter, exhibiting SBR grade 2 and high nuclear grade. Lymphovascular invasion is present. ER/PR is positive and HER 2 is positive by FISH. One of the four sentinel lymph nodes shows micrometastases. Further testing was done showing recurrence score: 44 for Oncotype DX Breast Cancer Assay indicating an average rate of distant recurrence at 30% after ten years.


