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. SLN 1 RIGHT AXILLA. B. SLN 2 RIGHT AXILLA. C. SLN 3 RIGHT AXILLA. D. SLN 4 RIGHT AXILLA. E. RIGHT BREAST. SPECIMEN(S): A. SLN 1 RIGHT AXILLA. B. SLN 2 RIGHT AXILLA. C. SLN 3 RIGHT AXILLA. D. SLN 4 RIGHT AXILLA. E. RIGHT BREAST. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA, Lymph node, sentinel, right axilla, biopsy: Negative for carcinoma. TPB, Lymph node, sentinel, right axilla, biopsy: Negative for carcinoma. TPC, Lymph node, sentinel, right axilla, biopsy: Negative for carcinoma. TPD, Lymph node, sentinel. right axilla, biopsy: Negative for carcinoma. Diagnoses called at. by Dr. GROSS DESCRIPTION: A. SLN 1 RIGHT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number one right axilla". is a tan lymph node measuring 2.2 x 1 x 0.8 cm. Touch preparation is performed. Entirely submitted, A1. B. SLN 2 RIGHT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number two right axilla". is a tan lymph node measuring 1.5 x 1 x 0.8 cm. Touch preparation is performed. Entirely submitted, B1. C. SLN 3 RIGHT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number three right axilla". is a tan lymph node measuring 0.6 x 0.4 x 0.3 cm. Touch preparation is performed. Entirely submitted, C1. D. SLN 4 RIGHT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number four right axilla". is a tan lymph node measuring 1 x 0.6 x 0:4 cm. Touch preparation is performed. Entirely submitted, D1. E. RIGHT BREAST. Received fresh labeled with the patient's identification and designated "right breast" is an oriented, 27 g, 5.3 x 4.5 x 3. cm lumpectomy specimen. The short suture designates superior, long-lateral. Ink code: Anterior-yellow, posterior-. black, medial-green, lateral-red, superior-blue, inferior-orange. The specimen is serially sectioned from superior to. inferior into 5 slices to reveal a firm lobulated tan mass, 2.2 x 1.5 x 0.9 cm, located 0.1-cm from the nearest anterior. margin. The entire specimen is submitted: E1-E3: Perpendicular sections superior margin. E4-E7: Slice 2, E5 demonstrating mass and nearest anterior margin. E8-E11: Slice 3, E9, E11 demonstrating mass and nearest anterior margin. E12-E15: Slice 4, submitted entirely. E16-E18: Perpendicular sections inferior margin. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, RIGHT AXILLA, EXCISION: - METASTATIC CARCINOMA TO ONE OF ONE LYMPH NODE (1/1), MEASURING 0.3-CM WITH EXTRANODAL. EXTENSION, SEE NOTE. B. LYMPH NODE, SENTINEL #2, RIGHT AXILLA, EXCISION: - METASTATIC CARCINOMA TO ONE OF ONE LYMPH NODE (1/1), MEASURING 0.1-CM WITH EXTRANODAL. EXTENSION, SEE NOTE. C. LYMPH NODE, SENTINEL #3, RIGHT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). D. LYMPH NODE, SENTINEL #4, RIGHT AXILLA, EXCISION: - METASTATIC CARCINOMA TO ONE OF ONE LYMPH NODE (1/1), MEASURING 0.6-CM WITH EXTRANODAL. EXTENSION, SEE NOTE. E. BREAST, RIGHT, WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 2, MEASURING 1.9-CM. INTERMEDIATE NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID TYPE. - INVASIVE TUMOR PRESENT 0.15-CM FROM MEDIAL AND 0.1-CM FROM ANTERIOR SURGICAL RESECTION. MARGINS. - FOCAL LYMPHOVASCULAR INVASION IDENTIFIED. - BIOPSY SITE CHANGES WITH FIBROSIS,. - SEE SYNOPTIC REPORT AND SEE NOTE. NOTE: The touch preparation of SLN #1 and 2 shows no tumor cells. Therefore the false negativity is due to. sampling error. The touch preparation of SLN #4 shows two clusters of atypical cells. Dr. concurs. A few clusters branching out and focally separated from the main tumor mass are identified in a close proximity to. the medial margin (0.15-cm). The main tumor mass is 0.1-cm from the anterior surgical resection margin. 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: 1.9cm. Margins: Negative. Distance from closest margin: Less than 0.15cm. medial and anterior. Tubular Score: 3. Nuclear Grade: 2. 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. Lymph node status: Positive 3 / 4 Extranodal extension. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 5%. DCIS Type: Solid. DCIS Location:Associated with invasive tumor. Nuclear grade: Intermediate. Necrosis: Absent. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT 1c N 1. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY: year-old female right breast mass, invasive ductal carcinoma on core bx. Right needle localization excision with. sentinel lymph node biopsy. PRE-OPERATIVE DIAGNOSIS: Carcinoma, right breast. Microscopia/Diagnostic Dictation: Pathologist,. Final Review: Pathologist,. Final: Pathologist,.

expanded version (tokens=1821) : 
 Histological classification: Invasive ductal carcinoma with ductal carcinoma in situ (DCIS)

Subtype: Luminal A

Necrosis: Absent

Tumor infiltrating lymphocytes: Not mentioned

Histological grade: SBR Grade 2, intermediate nuclear grade

Nuclear grade: 2

Lymphovascular invasion: Present, focal extent

Calcification: Not mentioned

Receptor status: ER/PR positive, HER2 negative by FISH

Ancillary testing results: Sentinel lymph node biopsy showed metastatic carcinoma in 3 of 4 nodes, with extranodal extension in all 3 positive nodes. Biopsy site changes with fibrosis were noted. Margins were negative, but invasive tumor was present 0.15 cm from medial and anterior surgical resection margins. Lobular neoplasia was not present. Pathological staging is pT 1c N1 according to AJCC Cancer Staging Manual, 7th edition.

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=2008) : 
 A 27g, 5.3 x 4.5 x 3 cm, oriented lumpectomy specimen of right breast revealed a 1.9 cm invasive ductal carcinoma, SBR grade 2 with focal lymphovascular invasion and accompanying ductal carcinoma in situ. FISH was negative for HER2; ER and PR were positive. Sentinel lymph node biopsy showed extranodal extension in all three positive nodes out of a total of four sampled. Margin examination yielded negative results although the tumor was found to be close (0.15cm) to anterior and medial margins. AJCC Cancer Staging Manual designated pathological staging as pT1c N1 for given diagnosis.

