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 Basal, SPECIMENS: A. RIGHT BREAST LESION. B. ADDITIONAL POSTERIOR MARGIN. C. LEFT BREAST CANCER. D. ADDITIONAL POSTERIOR -LATERAL MARGIN. E. SENTINEL L.N. LEFT AXILLA #1. F. SENTINEL L.N. LEFT AXILLA #2. G. SENTINEL L.N. LEFT AXILLA #3. H. SENTINEL L.N. LEFT AXILLA #4. I. SENTINEL L.N. LEFT AXILLA #5. J. ADDITIONAL INFERIOR MARGIN. K. ADDITIONAL POSTERIOR MARGIN. SPECIMEN(S): A. RIGHT BREAST LESION. B. ADDITIONAL POSTERIOR MARGIN. C. LEFT BREAST CANCER. D. ADDITIONAL POSTERIOR -LATERAL MARGIN. E. SENTINEL L.N. LEFT AXILLA #1. F. SENTINEL L.N. LEFT AXILLA #2. G. SENTINEL L.N. LEFT AXILLA #3. H. SENTINEL L.N. LEFT AXILLA #4. I. SENTINEL L.N. LEFT AXILLA #5. J. ADDITIONAL INFERIOR MARGIN. K. ADDITIONAL POSTERIOR MARGIN. INTRAOPERATIVE CONSULTATION DIAGNOSIS: A. Right breast: An ill-defined firm area about 0.3cm from posterior margin, additional margin B received. (gross only). C. Left breast: 1.7 x 1.5 x 1.3 cm nodule located 0.1-cm from posterior and inferior junction. Sentinel lymph nodes, left axilla, #1-5: Lymph nodes, negative for tumor on touch preparation. Diagnoses called to Dr. at. 1. (A),. (C). (E-I) by Dr. GROSS DESCRIPTION: A. RIGHT BREAST LESION. Received fresh labeled with matching patient identifiers is an oriented (single-anterior, double-lateral,. triple-superior) 20g, 5.2 x 4.9 x 1.6 cm lumpectomy with 1.4 x 0.3 cm skin ellipse accompanied by. mammograms. The specimen is inked as follows: Anterior-blue, posterior-black, superior-red, inferior-. orange, medial-green, lateral-yellow. The specimen is serially sectioned from medial to lateral into 5. slices revealing a 1 x 0.5 x 0.5 cm ill-defined firm hemorrhagic area approaching the closest posterior. margin at 0.3cm. The entire specimen is submitted for microscopic evaluation: A1: Medial margin. A2-A3: Section 2 entirely submitted. A4-A6: Section 3, A6 demonstrates ill-defined firm area. A7-A9: Section 4 entirely submitted. A10-A13: Lateral margin. B. ADDITIONAL POSTERIOR MARGIN. Received in formalin in a container labeled with matching patient identifiers is a 2.6 x 2.4 x 1.1cm breast. tissue with orientation, the suture designating the final posterior margin. This area is inked black. The. specimen is serially sectioned and submitted entirely in cassettes B1-B4. C. LEFT BREAST. Received fresh labeled with matching patient identifiers is an oriented (single-anterior, double-lateral,. triple-superior, quadruple-posterior) 94g, 9.6 (anterior to posterior) x 7.5 x 4.4 cm lumpectomy. The. specimen is inked as follows: Anterior-blue, posterior-black, superior-red inferior-orange, medial-green,. lateral-yellow. The specimen is serially sectioned from anterior to posterior into 7 slices revealing a 1.7 x. 1.5 X 1.3 cm firm tan circumscribed round mass closest to the posterior/inferior margin at 0.1cm. A. second possible 0.5 x 0.3 x 0.3 cm nodule is palpated 0.5cm from the main mass that approaches the. posterior margin at 0.2cm. A portion of the specimen is submitted for tissue procurement. Representatively submitted as follows: C1: Representative sections anterior margin, slice 1. C2: Representative section, slice 2 superior. C3-C4: Representative sections, slice 3, lateral and inferior. C5-C6: Representative sections, slice 4, medial and inferior. C7-C13: Slice 5 entirely submitted, C10-C11, mass, C12-C13, possible nodule. C14-C19: Slice 6 entirely submitted, C14-C17, mass (procured), C18-C19 posterior. C20-C21: Posterior margin submitted entirely, slice 7. D. ADDITIONAL POSTERIOR LATERAL MARGIN. Received in formalin in a container labeled with matching patient identifiers is a 4.2 x 2.7 X 1.6 cm. breast tissue with orientation, the suture designates the final posterior lateral margin. This area is inked. black. The specimen is serially sectioned and submitted entirely in D1-D6. E. SENTINEL LYMPH NODE LEFT AXILLA #1. Received fresh labeled with matching patient identifiers is a fragment of adipose tissue measuring 2.5 x. 2.4. x 0.5 cm. A possible lymph node is identified measuring 1.2 x 0.5 X 0.5 cm. Touch preparation is. performed. The lymph node is submitted entirely in cassette E1. F. SENTINEL LYMPH NODE LEFT AXILLA #2. Received fresh labeled with matching patient identifiers is a fragment of adipose tissue measuring 3.3 x. 2.5 x 0.7 cm. A possible lymph node is identified measuring 1.3 x 0.5 x 0.5 cm. Touch preparation is. performed. The lymph node is submitted entirely in cassette F1. G. SENTINEL LYMPH NODE LEFT AXILLA #3. Received fresh labeled with matching patient identifiers is a fragment of adipose tissue measuring 2.9 X. 2.5 x 0.4 cm. A possible lymph node is identified measuring 0.5 x 0.5 x 0.5 cm. Touch preparation. is. performed. The entire specimen is submitted in cassettes G1-G2. H. SENTINEL LYMPH NODE LEFT AXILLA #4. Received fresh labeled with matching patient identifiers is a portion of tan-yellow possible lymphoid. tissue measuring 0.9 x 0.5 x 0.5 cm. The specimen is bisected. Touch preparation is performed. The. entire specimen is submitted in cassette H1. 1. SENTINEL LYMPH NODE LEFT AXILLA #5. Received fresh labeled with matching patient identifiers is a portion of tan-yellow possible lymphoid. tissue measuring 1.6 x 1 x 0.3 cm. The specimen is bisected. Touch preparation is performed. The. entire specimen is submitted in cassette I1. J. ADDITIONAL INFERIOR MARGIN. Received in formalin in a container labeled with matching patient identifiers is a portion of resected. breast tissue measuring 3.2 x 2.6 x 0.6 cm. The specimen is received with orientation, the suture. designates the final inferior margin. This area is inked black. The specimen is serially sectioned and. submitted entirely in cassettes J1-J3. K. ADDITIONAL POSTERIOR MARGIN. Received in formalin in a container labeled with matching patient identifiers is a portion of resected. breast tissue measuring 4.1 x 1.9 x 0.8 cm. The specimen is received with orientation, the suture. designates the final posterior margin. This area is inked black. The specimen is serially sectioned and. submitted entirely in cassettes K1-K3. SUMMARY OF IMMUNOHISTOCHEMISTRY/SPECIAL STAINS. Material: Block. Population: Tumor Cells. Stain/Marker:Result: Comment: CYTOKERATIN AE1/3. Positive. Material: Block E1. Population: Tumor Cells. Stain/Marker:Result: Comment: CYTOKERATIN AE1/3. Negative. Material: Block F1. Population: Tumor Cells. Stain/Marker:Result: Comment: CYTOKERATIN AE1/3. Negative. The interpretation of the above immunohistochemistry stain or stains is guided by published results in. the medical literature, provided package information from the manufacturer and by internal review of. staining performance and assay validation within the Immunohistochemistry Laboratory of the The use. of one or more reagents in the above tests is regulated as an analyte specific reagent (ASR). These. tests were developed and their performance characteristic determined by the. ny. it. They have not been cleared or approved by the U.S. Food and Drug Administration. line FDA has determined that such clearance or approval is not necessary. Special stains and/or immunohistochemical stains were performed with appropriately stained positive. and negative controls. DIAGNOSIS: A. BREAST, RIGHT, NEEDLE LOCALIZED WIDE LOCAL EXCISION: - FOCAL ATYPICAL DUCTAL HYPERPLASIA. - FOCAL HEMORRHAGE, COLUMNAR CELL CHANGE, AND INTRADUCTAL. MICROCALCIFICATIONS. - BENIGN SKIN. B. BREAST, RIGHT, ADDITIONAL POSTERIOR MARGIN, EXCISION: - BREAST TISSUE WITH FOCAL HEMORRHAGE AND USUAL DUCTAL. HYPERPLASIA. C. BREAST, LEFT, NEEDLE LOCALIZED WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, POORLY DIFFERENTIATED. (SBR GRADE 3), WITH MARKED LYMPHOCYTIC INFILTRATE. - TUMOR MEASURES 1.7 CM IN GREATEST DIMENSION. - TUMOR IS WITHIN 1 MM OF THE POSTERIOR AND INFERIOR. MARGINS (SEE NOTE). NOTE: The final posterior and inferior margins are negative for tumor (see specimens J and K). D. BREAST, LEFT, ADDITIONAL POSTERIOR-LATERAL MARGIN, EXCISION: - BREAST TISSUE, NEGATIVE FOR CARCINOMA. E. SENTINEL LYMPH NODE #1, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR CARCINOMA (0/1) (SEE NOTE). F. SENTINEL LYMPH NODE #2, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR CARCINOMA (0/1) (SEE NOTE). NOTE FOR E AND F: Cytokeratin AE1/3 stains were performed and are negative showing no evidence. of metastases. G. SENTINEL LYMPH NODE #3, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR CARCINOMA (0/1). H. SENTINEL LYMPH NODE #4, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR CARCINOMA (0/1). I. SENTINEL LYMPH NODE #5, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR CARCINOMA (0/1). J. BREAST, LEFT, ADDITIONAL INFERIOR MARGIN, EXCISION: - BREAST TISSUE WITH USUAL DUCTAL HYPERPLASIA,. NEGATIVE FOR CARCINOMA. K. BREAST, LEFT, ADDITIONIAL POSTERIOR MARGIN, EXCISION: - BREAST TISSUE WITH USUAL DUCTAL HYPERPLASIA,. NEGATIVE FOR CARCINOMA. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Yes - For mass. Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 1.7cm. Tumor Site: 3:00. Margins: Negative. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 2. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/5. DCIS not present. ER/PR/HER2 Results. ER: Negative. PR: Positive. HER2: Negative by IHC. Pathological staging (pTN): pT 1c N 0. SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimen: Surgical Excision. Block Number: ER: Negative. Allred Score: 0 = Proportion Score 0 + Intensity Score. 0. PR: Negative Allred Score: 4 = Proportion Score 2 + Intensity Score 2. COMMENT: The Allred score for estrogen and progesterone receptors is calculated by adding the sum of the. proportion score (0 = no staining, 1 = <1% of cells staining, 2 = 1 - 10% of cells staining, 3 = 11-30%. of. cells staining, 4 = 31-60% of cells staining, 5 = >60% of cells staining) to the intensity score (1 = weak. intensity of staining, 2 = intermediate intensity of staining, 3 = strong intensity of staining), with a scoring. range from 0 to 8. ER/PR positive is defined as an Allred score of >2 and ER/PR negative is defined as an Allred score. of less than or equal to 2. METHODOLOGY: Tissue was fixed in 10% neutral buffered formalin for no less than 8 and no longer than 24 hours. Immunohistochemistry was performed usina the mouse anti-human ER (ER 1D5, 1:100) and PR (PGR. 136, 1:100) provided by. following the manufacturer S instructions. This. assay was not modified. interpretation of the ER/PR immunohistochemical stain is guided by published. results in the medical literature, information provided by the reagent manufacturer and by internal. review of staining performance. SYNOPTIC REPORT - BREAST HER-2 RESULTS. Specimen: Surgical Excision. Block Number: Interpretation: NEGATIVE. Intensity: 1+. % Tumor Staining: 5%. Fish Ordered: METHODOLOGY: Tissue was fixed in 10% neutral buffered formalin for no less than 8 and no longer than 24 hours. Her2 analvsis was performed using the FDA approved Dako HercepTest (TM) test kit. using rabbit anti-human HER2. This assay was not modified. External kit-slides. provided by the manufacturer (cell lines with high, low and negative HER2 protein expression) and in-. house known HER2 amplified control tissue were evaluated along with the test tissue. Adequate, well. preserved, clear-cut invasive carcinoma was identified for HER2 evaluation. Interpretation of the HER2. immunohistochemical stain is guided by published results in the medical literature, information provided. by the reagent manufacturer and by internal review of staining performance. This assay has been validated according to the 2007 joint recommendations and guidelines from. ASCO and CAP and from the NCCN HER2 testing in Breast Cancer Task Force. Pathology. Department takes full responsibility for this test's performance. CLINICAL HISTORY: Lesion on core biopsy, right breast; Left breast carcinoma. PRE-OPERATIVE DIAGNOSIS: Breast carcinoma. ADDENDUM: ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 52. CLINICAL EXPERIENCE: Patients with a recurrence score of: 52 in the clinical validation study. had an average rate of Distant Recurrence at 10 years of 34%. ER Score: 3.7 Negative. PR Score: 3.3 Negative. Her2 Score: 7.6 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. Microscopic/Diagnostic Dictation: M.D., Pathologist. Final Review: M.D., Pathologist,. Final: , M.D., Pathologist,. Addendum: M.D., Pathologist,. Addendum Final: , M.D., Pathologist.

expanded version (tokens=4042) : 
 Histological Classification:
- Right Breast Lesion: Focal Atypical Ductal Hyperplasia; Focal Hemorrhage, Columnar Cell Change, and Intraductal Microcalcifications; Benign Skin.
- Right Additional Posterior Margin: Breast Tissue with Focal Hemorrhage and Usual Ductal Hyperplasia.
- Left Breast: Invasive Ductal Carcinoma, Poorly Differentiated (SBR Grade 3) with Marked Lymphocytic Infiltrate, measuring 1.7 cm. 
- Left Additional Posterior-Lateral Margin: Breast Tissue Negative for Carcinoma.
- Sentinel Lymph Node #1-5, Left Axilla: Negative for Carcinoma (0/1).
- Left Additional Inferior Margin: Breast Tissue with Usual Ductal Hyperplasia, Negative for Carcinoma.

Subtype: Basal

Necrosis: Absent

Tumor Infiltrating Lymphocytes: Marked lymphocytic infiltrate observed.

Histological Grade: Poorly Differentiated (SBR Grade 3)

Nuclear Grade: 3

Lymphovascular Invasion: None identified

Calcification: Focal Hemorrhage, Columnar Cell Change, Intraductal Microcalcifications

Receptor Status:
- ER: Negative
- PR: Positive
- HER2: Negative by IHC

Ancillary Testing Results:
- Cytokeratin AE

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=4194) : 
 Histological Classification: Basal subtype. Right breast lesion shows focal atypical ductal hyperplasia, hemorrhage, and intraductal microcalcifications. Left breast exhibits invasive ductal carcinoma (SBR Grade 3) with marked lymphocytic infiltrate, measuring 1.7 cm. No necrosis or lymphovascular invasion observed. Receptor status: ER negative, PR positive, HER2 negative by IHC. Ancillary testing shows negative cytokeratin AE1/3 staining in lymph nodes.

