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. SENTINEL LYMPH NODE #1 LEFT AXILLA. B. SENTINEL LYMPH NODE #2 LEFT AXILLA. C. SENTINEL LYMPH NODE #3 LEFT AXILLA. D. SENTINEL LYMPH NODE #4 LEFT AXILLA. E. LEFT BREAST. SPECIMEN(S): A. SENTINEL LYMPH NODE #1 LEFT AXILLA. B. SENTINEL LYMPH NODE #2 LEFT AXILLA. C. SENTINEL LYMPH NODE #3 LEFT AXILLA. D. SENTINEL LYMPH NODE #4 LEFT AXILLA. E. LEFT BREAST. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA/TPB/TPC/TPD1/TPD2/TPD3/TPD4-SLN #1, #2, #3, #4: No tumor seen. Diagnoses called a Dr to Dr. at. (A, B, C, D). GROSS DESCRIPTION: A. SENTINEL LYMPH NODE #1 LEFT AXILLA. Received fresh labeled with the patient's identification and "SLN: #1" is a 1.1 x 0.7 x 0.5-cm lymph node; sectioned, a. touch prep is performed, and lymph node is submitted entirely in cassette A1. B. SENTINEL LYMPH NODE #2 LEFT AXILLA. Received fresh labeled with the patient's identification and "SLN #2" is a 0.8 x 0.6 x 0.4 cm lymph node; sectioned,. touch prep is performed, submitted entirely in cassette B1. C. SENTINEL LYMPH NODE #3 LEFT AXILLA. Received fresh labeled with the patient's identification and "SLN##" is a 1 x 0.8 x 0.6 cm lymph node; sectioned, a. touch prep is performed, and lymph node is submitted entirely in cassette C1. D. SENTINEL LYMPH NODE #4 LEFT AXILLA. Received fresh labeled with the patient's identification and "SLN #4" are 4 lymph nodes, 0.4 x 0.4 x 0.2 cm, 0.3 x 0.3. x 0.2 cm, 0.3 x 0.2 x .2 cm, and 0.3 x 0.2 x 0.2 cm; 4 touch preps are performed, and lymph nodes are submitted. respectively and entirely in cassettes D1-D4. E. LEFT BREAST. Received fresh labeled with the patient's identification and "left breast" is an oriented 574 g, 24 x 19 x 4.5 cm. mastectomy with 10.5 x 4 cm skin ellipse and 1.3-cm everted nipple. Ink code: Anterior/superior-blue,. anterior/inferior-orange, and posterior-black. Specimen is serially sectioned from lateral to medial into 10 slices with. nipple in slice 7 revealing: 1) 3.5 x 3.4 x 2.2 cm area of hemorrhage and containing a biopsy site in the lower outer quadrant to the lower mid. section in slices 4-6 at is closest to the anterior margin at 2.3 cm. 2) 5.5 cm superior to the biopsy site, in slice 6, is a 1.5 x 1.4 x 1.4 cm irregularly shaped firm tan mass in the upper. inner quadrant that is closest to the anterior margin at 0.2 cm. Within the axillary region is a 1 cm firm tan lymph node. Representatively submitted: E1: slice 4, LOQ granular region lateral to biopsy site. E2: slice 5, most lateral aspect of area of hemorrhage and biopsy site. E3: slice 6, most inferior aspect of biopsy site extending to the anterior margin/skin. E4: slice 6, most inferior aspect of biopsy site extending to the posterior margin. E5: slice 6, mid anterior region of biopsy site. E6: slice 6, mid posterior region of biopsy site. E7-E8: slice 6, fibrous tissue connecting biopsy site of lesion. E9-E11: slice 6, upper inner quadrant mass including posterior margin (trisected). E12: slice 7, fibrous tissue medial to biopsy site. E13: slice 7, fibrous tissue medial to mass. E14: slice 10, LIQ. E15: slice 9, UIQ. E16: slice 3, UOQ. E17: slice 2, LOQ. E18-E19: nipple, perpendicular sections. E20: skin and bisected lymph node. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, LEFT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). B. LYMPH NODE, SENTINEL #2, LEFT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). C. LYMPH NODE, SENTINEL #3, LEFT AXILLA, EXCISION: ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). D. LYMPH NODE, SENTINEL #4, LEFT AXILLA, EXCISION: - FOUR LYMPH NODES, NEGATIVE FOR METASTASES (0/4). E. BREAST, LEFT, MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 1, MEASURING 1.7-CM. - INTERMEDIATE NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID, CRIBRIFORM, MICROPAPILLARY. AND PAPILLARY TYPES WITH CENTRAL NECROSIS, MICROCALCIFICATIONS AND LOBULAR EXTENSION. - SURGICAL RESECTION MARGINS NEGATIVE FOR TUMOR. - FIVE LYMPH NODES, NEGATIVE FOR METASTASES (0/5). - LOW GRADE AND HIGH GRADE (PLEOMORPHIC) LOBULAR CARCINOMA IN SITU. - TWO BIOPSY SITES WITH FIBROSIS ABD GRANULATION TISSUE. - SEE SYNOPTIC REPORT AND SEE NOTE. NOTE: Two lesions are grossly identified, both located in slice #6 (outer quadrants/central). The upper lesion is. DCIS extending from slice #4 to slice #6, measuring approximately 3-cm. The second lesion is located centrally. showing invasive ductal carcinoma, measuring 1.7-cm. The tissue sections between two lesions (slides #7 and #8). show no invasive or in situ ductal carcinoma. 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: 1.7cm. Tumor Site: Upper outer quadrant. Central. Margins: Negative. Tubular Score: 2. Nuclear Grade: 2. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 1. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/12. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 60%. DCIS Type: Solid. Cribriform. Micropapillary. Papillary. DCIS Location: Both associated and separate from invasive tumor mass. Nuclear grade: Intermediate. Necrosis: Present. Location of CA++: DCIS. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT 1c N 0. CLINICAL HISTORY: Left breast invasive cancer with extensive surrounding DCIS. PRE-OPERATIVE DIAGNOSIS: Left breast cancer. ADDENDUM: ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 20. CLINICAL EXPERIENCE: Patients with a recurrence score of: 20 in the clinical validation study had an average. rate of Distant Recurrence at 10 years of 13%. ER Score: 8.9 Positive. PR Score: 7.6 Positive. Her2 Score: 9.9 Negative. 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,. Addendum Final: Pathologist, l.

expanded version (tokens=2386) : 
 Here are the requested information extracted from the pathology report:

- Histological classification: 
	- Invasive ductal carcinoma, subtype LumA
	- DCIS, solid, cribriform, micropapillary, and papillary types with central necrosis
	- Low-grade and high-grade (pleomorphic) lobular carcinoma in situ

- Necrosis:
	- Central necrosis present in DCIS

- Tumor infiltrating lymphocytes: 
	- Not mentioned

- Histological grade and nuclear grade:
	- Invasive ductal carcinoma: SBR grade 1, modified Scarff Bloom Richardson grade 1, intermediate nuclear grade (tubular score 2, nuclear grade 2, mitotic score 1)
	- DCIS: intermediate nuclear grade

- Lymphovascular invasion:
	- None identified

- Calcification:
	- Microcalcifications present in DCIS

- Receptor status:
	- ER positive
	- PR positive
	- HER2 negative by FISH

- IHC and other ancillary testing results:
	- Oncotype DX Breast Cancer Assay: recurrence score 20, ER score 8.9 positive, PR score 7.6 positive, HER2 score 9.9 negative.
	- Margins negative for tumor.
	- Four sentinel lymph nodes and one lymph node from breast are negative for metastases (0/5).
	- Lobular extension present.
	-

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=2555) : 
 Pathology report indicates a LumA subtype invasive ductal carcinoma measuring 1.7cm in the upper outer quadrant of the left breast. Intermediate nuclear grade DCIS coexists with the invasive cancer, showing central necrosis and microcalcifications. Surgical margins are negative, no tumor infiltrating lymphocytes or lymphovascular invasion identified. ER/PR positive and HER2 negative by FISH. No metastases detected in sentinel and breast lymph nodes for a total of five nodes examined (0/5). Lobular extension is present with low-grade and high-grade lobular carcinoma in situ identified as well.

