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 LumB, SPECIMENS: A. SENTINEL LYMPH NODE #1 LEFT AXILLA. B. SENTINEL LYMPH NODE #2 LEFT AXILLA. C. LEFT BREAST. D. LEFT BREAST SKIN. E. RIGHT BREAST TISSUE. SPECIMEN(S): A. SENTINEL LYMPH NODE #1 LEFT AXILLA. B. SENTINEL LYMPH NODE #2 LEFT AXILLA. C. LEFT BREAST. D. LEFT BREAST SKIN. E. RIGHT BREAST TISSUE. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA/TPB-SLN #1, #2: Negative for carcinoma. Diagnosis called by Dr. to Dr. at. (A,B). GROSS DESCRIPTION: A. SENTINEL LYMPH NODE #1 LEFT AXILLA. Received fresh labeled with the patient's identification and "sentinel LN #1" is a fragment of yellow fibroadipose. tissue, 5 x 3 x 1 cm containing a lymph node measuring 2 x 1 x 0.9 cm. The lymph node is sectioned and a touch. prep performed; lymph node submitted entirely in A1. B. SENTINEL LYMPH NODE #2 LEFT AXILLA. Received fresh labeled with the patient's identification and "sentinel LN #2" is a fragment of yellow fibroadipose. tissue measuring 2.5 x 1.5 x 1 cm containing a 1.5 x 1 x 0.9 cm lymph node. It is sectioned, a touch prep is. performed, and lymph node is submitted entirely in B1. C. LEFT BREAST. Received fresh labeled with the patient's identification and "left breast" is an oriented 1408 g, 28 x 20 x 4 cm. mastectomy with 17 x 7 cm skin ellipse and a 0.9 cm everted nipple. Ink code: Anterior/superior-blue,. anterior/inferior-orange, posterior-black. Specimen is serially sectioned into 12 slices from lateral to medial with. nipple in slice 7 revealing a 7.2 x 5.8 x 3.2 cm ill-defined infiltrating mass extending from the 12 to 3 o'clock positions. in the upper outer quadrant in slices 3-7 that is closest to the anterior margin at 1.2 cm. In the axillary region is a. possible lymph node, 2.3 x 1.5 x 0.6 cm. Representatively submitted: C1: slice 2, UOQ lateral to lesion. C2-C3: slice 3, UOQ lesion (bisected). C4: slice 4, UOQ superior portion of lesion. C5-C6: slice 4, UOQ lesion (bisected). C7: slice 4, LOQ inferior lesion. C8: slice 5, UOQ superior to lesion. C9: slice 5, posterior margin (grossly closest deep margin). C10: slice 6, mid section including lesion. C11: slice 7, mid section. C12: slice 8, medial to lesion. C13: slice 9, UIQ. C14: slice 11, LIQ. C15: slice 2, LOQ. C16: slice 1, UOQ. C17: possible lymph node. C18-C19: skin and nipple (bisected perpendicular sections). D. LEFT BREAST SKIN. Received in formalin labeled with the patient's identification and "left breast skin" is an unoriented tan pink skin. excision 32 x 1cm excised to a depth ranging from 0.4cm to 1.8cm. The skin surface is grossly unremarkable. Representatively submitted in D1-D2. E. RIGHT BREAST TISSUE. Received in formalin labeled with the patient's identification and "right breast tissue" is a 236g, 27 x 12 x 5.4cm. aggregate of fibrofatty tissue with attached unremarkable tan pink skin 10.5 x 4.3cm. The specimen is serially. sectioned to reveal unremarkable breast parenchyma. Representatively submitted in B1-B2. DIAGNOSIS: A. SENTINEL LYMPH NODE 1, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). B. SENTINEL LYMPH NODE 2, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). C. BREAST, LEFT SIMPLE MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 2, WITH MUCINOUS. FEATURES. - INVASIVE CARCINOMA MEASURES AT LEAST 3 CM. - MARGINS, FREE OF TUMOR. - DUCTAL CARCINOMA IN SITU (DCIS), MICROPAPILLARY, PAPILLARY,. CRIBRIFORM, AND SOLID TYPES, NUCLEAR GRADE 2, WITH NECROSIS. - SKIN, NIPPLE, AND SKELETAL MUSCLE, NO TUMOR SEEN. NOTE: The tumor involves the upper outer quadrant and consists of multiple foci of invasive carcinoma admixed with. DCIS. On a single. slide, the largest focus of invasive carcinoma measures at least 3 cm. Invasive carcinoma spans. an area - 7 cm. D. SKIN, LEFT BREAST, EXCISION: - SKIN, NO TUMOR SEEN. E. BREAST, RIGHT, EXCISION: - APOCRINE METAPLASIA AND STROMAL FIBROSIS. - BENIGN SKIN. SYNOPTIC REPORT - BREAST. Specimen Type: Mastectomy. Needle Localization: Laterality: Left. Invasive Tumor: Present. Multifocality: Yes. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 3cm. Tumor Site: Upper outer quadrant. Margins: Negative. Tubular Score: 3. Nuclear Grade: 2. Mitotic Score: 2. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node. Lymph node status: Negative 0/2. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 35%. DCIS Type: Solid. Cribriform. Micropapillary. Papiliary. 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): pT2N0. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY;. Multicentric cancer left breast; two areas were core biopsy showed invasive cancer. ADDENDUM: ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 21. CLINICAL EXPERIENCE: Patients with a recurrence score of: 21 in the clinical validation study had an average. rate of Distant Recurrence at 10 years of 14%. ER Score: 12.1 Positive. PR Score: 5.5 Positive. Her2 Score: 10.3 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. report for further information. Final Review: Pathologist, (. Final: Pathologist,. Addendum: Pathologist,. Addendum Final: Pathologis.

expanded version (tokens=2143) : 
 The breast pathology report reveals the following information:

1. Histological classification: The left breast has invasive ductal carcinoma with mucinous features and the right breast has apocrine metaplasia and stromal fibrosis. The breast cancer is classified as Subtype LumB.

2. Subtype: LumB

3. Necrosis: There is necrosis present in the ductal carcinoma in situ (DCIS).

4. Tumor Infiltrating Lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

5. Histological Grade: The invasive carcinoma is classified as SBR grade 2. The nuclear grade of the DCIS is 2.

6. Lymphovascular Invasion: There is none identified.

7. Calcification: There is no mention of calcifications in the report.

8. Receptor Status: The ER/PR/HER2 results show that the ER and PR are positive. The HER2 is negative by FISH.

9. IHC and Ancillary Testing Results: The Oncotype DX Breast Cancer Assay had a recurrence score of 21, ER score of 12.1 (positive), PR score of 5.5 (positive), and HER2 score of 10.3 (negative).

10. Margins: The margins are free of tumor.

11. Multifocality: There is multifocality of the invasive ductal carcinoma.

12. DCIS: There is DCIS 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=2315) : 
 A 1408 g, 28 x 20 x 4 cm left breast mastectomy specimen with possible lymph node underwent pathological analysis. The upper outer quadrant mass was found to be a luminal B subtype invasive ductal carcinoma with mucinous features, SBR grade 2 and measured at least 3cm. DCIS was present in multiple foci, amounting to approximately 35% of the lesion, with nuclear grade 2 and necrosis present. ER/PR were positive and HER2 status was negative by FISH testing. The margins were free of tumor with no lymphovascular invasion identified.

