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. NEEDLE LOCALIZATION LEFT BREAST. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. C. SENTINEL LYMPH NODE #2 RIGHT AXILLA. D. RIGHT BREAST. E. ADDITIONAL ANTERIOR FLAP RIGHT BREAST UPPER OUTER QUADRANT. SPECIMEN(S): A. NEEDLE LOCALIZATION LEFT BREAST. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. C. SENTINEL LYMPH NODE #2 RIGHT AXILLA. D. RIGHT BREAST. E. ADDITIONAL ANTERIOR FLAP RIGHT BREAST UPPER OUTER QUADRANT. GROSS DESCRIPTION: A. NEEDLE LOCALIZATION LEFT BREAST. Received fresh labeled with the patient's identification and "needle localization left breast" is an oriented. 18g, 6 x 3.5 x 2.4cm needle localized lumpectomy with radiograph. Ink code: anterior-yellow, posterior-. black, superior-blue, inferior-orange, medial-green, lateral-red. Specimen is serially sectioned from. medial to lateral into 12 slices revealing unremarkable breast parenchyma. Entirely submitted: A1: medial margin slice 1. A2-A3: slice 2. A4-A5: slice 3. A6-A7: slice 4. A8-A9: slice 5. A10-A11: slice 6. A12-A13: slice 7. A14-A15: slice 8. A16-A17: slice 9. A18-A19: slice 10. A20-A21: slice 11. A22: lateral margin slice 12. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. Received fresh is a tan pink lymph node 2.8 x 2.4 x 1cm. The specimen is sectioned and two touch. preps are taken. Toto B1-B2. C. SENTINEL LYMPH NODE #2 RIGHT AXILLA. Received fresh are two tan pink lymph nodes 1.2 x 1 x 0.8cm and 0.6 x 0.4 x 0.4cm. Two touch preps. are taken. C1: one lymph node. C2: one lymph node. D. RIGHT BREAST. Received fresh labeled with the patient's identification and "right breast" is an 1129g, 29 x 24 x 5cm. oriented (stitch in axilla) simple mastectomy with 23 x 9cm tan pink skin ellipse with 0.5 cm scar, 3.5cm. from the nipple in the UIQ, and 0.8cm flattened nipple. Ink code: anterior-superior-blue, anterior-inferior-. orange, posterior-black. The specimen is serially sectioned from medial to lateral into 14 slices with. nipple in slice 10, revealing a 1.8 x 1.7 x 1.7cm tan white firm well circumscribed mass, 1.4cm from the. deep margin in the UOQ of slices 11-12. Also seen is a 0.7 x 0.5 x 0.5cm previous biopsy site with. surrounding fat necrosis, 2.4cm from the mass and corresponding to the scar on the skin surface in the. UC of slice 10. A portion of the specimen is submitted for tissue procurement. Representatively. submitted: D1: nipple slice 10. D2: UIQ slice 5. D3: LIQ slice 7. D4: UIQ slice 9. D5: LIQ slice 9. D6-D7: biopsy site UC slice 10. D8: area next to mass UC slice 10. D9: deep margin UC slice 10. D10: LC slice 10. D11: next to biopsy site UOQ slice 11. D12: mass UOQ slice 11. D13: deep margin UOQ slice 11. D14: scar UOQ slice 11. D15: LOQ slice 11. D16: mass UOQ slice 12. D17: deep margin UOQ slice 12. D18: anterior margin UOQ slice 12. D19: LOQ slice 12. D20: UOQ slice 13. E. ADDITIONAL ANTERIOR FLAP RIGHT BREAST UPPER OUTER QUADRANT. Received fresh is an oriented (suture at final margin) 18g, 8.4 x 3.9 x 2cm fibrofatty tissue. Final margin. is inked blue. Serial sectioning reveals no discrete lesions. Representatively submitted in E1-E2. DIAGNOSIS: A. BREAST, LEFT, NEEDLE LOCALIZATION EXCISION: ATYPICAL LOBULAR HYPERPLASIA (ALH) AND PREVIOUS BIOPSY SITE. CHANGES. B. SENTINEL LYMPH NODE 1, RIGHT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). C. SENTINEL LYMPH NODE 2, RIGHT AXILLA, BIOPSY: - TWO LYMPH NODES, NO TUMOR SEEN (0/2). NOTE: Cytokeratin AE1/3 stains were performed on B1 and C1 and are negative. D. BREAST, RIGHT, MASTECTOMY: - MULTIFOCAL INVASIVE LOBULAR CARCINOMA, SBR GRADE 2. - LARGEST TUMOR MEASURES 2.2 CM. - MARGINS, FREE OF TUMOR. - DUCTAL CARCINOMA IN SITU (DCIS), MICROPAPILLARY TYPE,. NUCLEAR GRADE 2, WITH NECROSIS. - LOBULAR CARCINOMA IN SITU (LCIS). - SKIN AND NIPPLE, NO TUMOR SEEN. NOTE: The tumor is present in the upper inner and upper outer quadrants with the largest focus of. invasive carcinoma measuring 2.2 cm that is associated with previous biopsy site changes. In addition,. a few small foci (the largest of the small foci is 0.3 cm) of invasive carcinoma are seen, with one focus. associated with previous biopsy site changes. E. BREAST, RIGHT, ADDITIONAL ANTERIOR UPPER OUTER QUADRANT, EXCISION: - NO TUMOR SEEN. SYNOPTIC REPORT - BREAST. Specimen Type: Mastectomy. Needle Localization: Laterality: Right. Invasive Tumor: Present. Multifocality: Yes. WHO CLASSIFICATION. Invasive lobular carcinoma 8520/3. Tumor size: 2.2cm. Margins: Negative. Tubular Score: 3. Nuclear Grade: 2. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: Sentinel lymph node. Lymph node status: Negative 0/3. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 10%. DCIS Type: Micropapillary. DCIS Location: Associated with invasive tumor. Nuclear grade: Intermediate. Necrosis: Present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT2NO. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY: Right invasive lobular carcinoma and left atypical lobular hyperplasia. year-old post menopausal female noted a right breast mass. Mammogram performed. showed 1.8 x 2cm mass in right breast, solid in nature on ultrasound. Repeat imaging also showed. left breast nodule at 9 o'clock. Biopsy of both lesions showed right invasive lobular carcinoma. Left. breast atypical lobular hyperplasia. PRE-OPERATIVE DIAGNOSIS: Right invasive lobular carcinoma, left atypical lobular hyperplasia. INTRAOPERATIVE CONSULTATION: TPB1-TPB2-TPC1-TPC2: SLN #1-#2 Right axilla-No definitive tumor cells identified. Diagnoses called. to Dr at. (B) and. (C) by Dr. ADDENDUM: ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 8. CLINICAL EXPERIENCE: Patients with a recurrence score of: 8 in the clinical validation study had. an average rate of Distant Recurrence at 10 years of 6%. ER Score: 10.6 Positive. PR Score: 9 Positive. Her2 Score: 9.3 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. h report for further information. Microscopic/Diagnostic Dictation: Final Reviev. Final Review: Pathologist. Final: Pathologist,. Addendum: Pathologist, (. Addendum Final: Pathologist, I.

expanded version (tokens=2442) : 
 The breast pathology report includes information on multiple specimens from the left and right breasts. Here are the main points:

Histological classification:
- Left breast: Atypical Lobular Hyperplasia (ALH) and previous biopsy site changes
- Right breast: Multifocal Invasive Lobular Carcinoma (ILC), Ductal Carcinoma In Situ (DCIS) (Micropapillary type, nuclear grade 2, with necrosis), Lobular Carcinoma In Situ (LCIS)

Subtype: Luminal A

Nuclear grade: 2

Histological grade (modified Scarff Bloom Richardson grade): 2

Tumor size: Largest tumor measures 2.2 cm

Lymphovascular invasion: None identified

Calcification: None mentioned

Receptor status: 
- ER: Positive
- PR: Positive
- HER2: Negative by FISH

Ancillary testing results:
- Oncotype Dx breast cancer assay: Recurrence score of 8, ER score of 10.6 (positive), PR score of 9 (positive), Her2 score of 9.3 (negative)
- Cytokeratin AE1/3 stains on sentinel lymph node 1 and 2 were negative

Additional notable information:
- Margins free of tumor
- Invasive carcinoma is present in the upper inner and upper outer quadrants, and is associated with previous biopsy site changes
- A few small foci of

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=2590) : 
 Report: The breast pathology report indicates luminal A subtype with multifocal invasive lobular carcinoma (ILC), DCIS and LCIS in the right breast. Atypical lobular hyperplasia (ALH) and previous biopsy site changes are present in the left breast. ER and PR are both positive, whereas HER2 is negative by FISH. Oncotype Dx assay showed a recurrence score of 8. No evidence of lymphovascular invasion was found, and margins are free of tumor.

