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. WLE RIGHT BREAST NEEDLE LOC. B. ADDITIONAL MARGIN RIGHT BREAST. C. WLE LEFT BREAST NEEDLE LOCALIZATION. SPECIMEN(S): A. WLE RIGHT BREAST NEEDLE LOC. B. ADDITIONAL MARGIN RIGHT BREAST. C. WLE LEFT BREAST NEEDLE LOCALIZATION. GROSS DESCRIPTION: A. WLE RIGHT BREAST NEEDLE LOC. Received fresh labeled with the patient's identification and "WLE right breast needle loc" is an oriented (short/1 clip-. superior, long/2 clips-lateral, air knot-anterior) needle localized lumpectomy with radiograph. Ink code: Anterior-. yellow, posterior-black, medial-green, lateral-red, superior-blue, inferior-orange. The specimen is serially sectioned. from lateral to medial into 8 slices revealing a 2.4 x 1.9 x 1.6 cm firm tan stellate mass that is closest to the superior. margin at 0.2 cm. Tissue is procured. Representatively submitted: A1-A2: lateral margin, perpendicular resection. A3: slice 2, anterior/superior. A4: slice 2, posterior superior (mass). A5: slice 3, anterior/superior (mass). A6: slice 3, posterior superior (mass). A7: slice 3, anterior/inferior (mass). A8: slice 3, posterior inferior (mass). A9: slice 4, anterior/superior (mass). A10: slice 4, mid superior (mass). A11: slice 4, posterior superior (mass). A12: slice 4, anterior inferior (mass). A13: slice 4, posterior inferior (mass). A14: slice 5, anterior superior (mass). A15: slice 5, mid superior (mass). A16: slice 5, anterior inferior (mass). A17: slice 5, mid inferior (mass). A18: slice 6, anterior superior. A19: slice 6, mid superior (mass). A20: slice 6, posterior superior. A21: slice 6, mid inferior. A22: medial margin, perpendicular sections. B. ADDITIONAL MARGIN RIGHT BREAST. Received fresh labeled with the patient's identification and "additional margin right breast" is in a oriented (short-. superior, long-lateral) 11 g, 0.2 x 3.4 x 1.1 cm fibrofatty tissue. Margins are inked black. Serial sectioning reveals no. discrete lesions. Inked margin submitted entirely in cassettes B1-B7. NOTE: specimen was received with only 1 suture. C. WLE LEFT BREAST NEEDLE LOCALIZATION. Received fresh labeled with patient's identification and "WLE left breast needle localization" is an oriented (short/1. clip-superior, long/2 clips-lateral, loop-anterior) 42 g, 4 x 4 x 3.5 cm needle localized lumpectomy with radiograph. Ink code: Anterior-yellow, posterior-black, medial-green, lateral-red, superior-blue, inferior-orange. Specimen is. serially sectioned from lateral to medial into 6 slices revealing a 2.4 x 1.9x1.8 cm firm tan stellate mass that. is. closest to the superior margin at 0.1 cm. Tissue is procured. Representatively submitted: C1-C2: lateral margin, perpendicular sections. C3: slice 2, anterior superior (mass). C4: slice 2, posterior superior (mass). C5: slice 2, anterior inferior (mass). C6: slice 2, posterior inferior (mass). C7: slice 3, mid superior (mass). C8: slice 3, posterior superior (mass). C9: slice 3, mid inferior (mass). C10: slice 3, posterior inferior (mass). C11: slice 4, anterior superior. C12: slice 4, mid superior (mass). C13: slice 4, posterior superior. C14: slice 5, anterior inferior. C15: slice 5, mid anterior. C16: slice 5, anterior superior. C17-C18: medial margin, perpendicular sections. DIAGNOSIS: A. BREAST, RIGHT, WIDE LOCAL EXCISION: INVASIVE DUCTAL CARCINOMA, SBR GRADE 2, MEASURING 2.4-CM. - INTERMEDIATE NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID AND CRIBRIFORM TYPES WITH. CENTRAL NECROSIS AND MICROCALCIFICATIONS. - INVASIVE TUMOR PRESENT WITHIN 1-MM FROM SUPERIOR/MEDIAL SURGICAL RESECTION MARGIN. - LOBULAR CARCINOMA IN SITU. - BIOPSY SITE CHANGES WITH FIBROSIS. - SEE SYNOPTIC REPORT AND SEE NOTE. B. BREAST, RIGHT, ADDITIONAL SUPERIOR MARGIN, EXCISION: - INVASIVE DUCTAL CARCINOMA INVOLVES NEW INKED SURGICAL RESECTION MARGIN, SEE NOTE. C. BREAST, LEFT, WIDE LOCAL EXCISION: INVASIVE DUCTAL CARCINOMA, SBR GRADE 2, MEASURING 1.8-CM. - SURGICAL RESECTION MARGIN NEGATIVE FOR TUMOR. - LOBULAR CARCINOMA IN SITU. - BIOPSY SITE CHANGES WITH FIBROSIS. - SEE SYNOPTIC REPORT. NOTE: Part B. was designated as superior by Dr. Therefore, invasive tumor is present at superior (part B) and within. 1-mm from medial (part A) surgical resection margin. E-cadherin is negative in LCIS component. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Laterality: Right. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 2.4cm. Margins: Involved at. superior. and within 1-mm from medial. Extent:: focal. Tubular Score: 2. Nuclear Grade: 2. Mitotic Score: 3. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: Non-sentinel lymph node. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 10%. DCIS Type: Solid. Cribriform. DCIS Location: Associated with invasive tumor. Nuclear grade: Intermediate. Necrosis: Present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by IHC. Performed on Case: Pathological staging (pTN): pT 2Nx. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Laterality: Left). Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 1.8cm. Margins: Negative. Distance from closest margin: 0.3cm. superior. Tubular Score: 2. Nuclear Grade: 2. Mitotic Score: 2. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: No lymph node sampling. DCIS not present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT 1c N x. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY: female found with left breast lump. She had bilateral mammogram done showing bilateral breast. masses. Bilateral core needle biopsies done on. showed bilateral invasive ductal carcinoma.y Bilateral. needle localization scheduled and no sentinel lymph nodes will'be taken as her axilla are clinically negative and it. would not change post op management she will likely received radiation and endocrine therapy. PRE-OPERATIVE DIAGNOSIS: Bilateral invasive ductal carcinoma. Right-ER/PR+, Her2/neu SBR grade 2. Left-ER/PR+, SBR grade 1. ADDENDUM: The right breast excision (Part A) measures 5x5x4.5-cm and weighs 63 gms. Microscopic/Diagnostic Dictation: Pathologist,. Final Review: Pathologist. Final: Pathologist,. Addendum: Pathologist, r. Addendum Final: Pathologist.

expanded version (tokens=2357) : 
 According to the breast pathology report, the following information can be obtained:

1. Histological Classification: The patient has been diagnosed with invasive ductal carcinoma in both breasts, with Lobular Carcinoma In Situ (LCIS).

- The right breast shows SBR grade 2, intermediate nuclear grade, with the presence of both solid and cribiform type DCIS, central necrosis, and microcalcifications. The invasive tumor is present within 1mm from the surgical resection margin.
- The left breast shows SBR grade 2, nuclear grade 2, and the surgical resection margin is negative for the tumor.

2. Subtype: The subtype of cancer is LumA.

3. Necrosis: Necrosis is present in the DCIS component of the right breast.

4. Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes.

5. Histological Grade: The SBR grade for the right and left breast is 2.

6. Nuclear Grade: The nuclear grade for the right and left breast is 2.

7. Lymphovascular Invasion: None identified.

8. Calcification: Multiple microcalcifications are seen in the right breast.

9. Receptor status: The patient’s ER/PR status is positive in both breasts. HER2 is negative by IHC in the right breast, and negative by FISH in the left breast.

10. Ancillary testing results: No additional ancillary testing results were

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=2519) : 
 Surgical excisions of both breasts revealed invasive ductal carcinoma with Lobular Carcinoma In Situ (LCIS). The SBR grade for the right and left breast is 2. Necrosis present in DCIS component but no tumor infiltrating lymphocytes identified. ER/PR positive, HER2 negative by IHC in the right breast, and negative by FISH in the left breast. Surgical margin is involved at superior side for part B and within 1-mm from medial resection margin for part A of right breast. No lymph node sampling done.

