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. SLN #1 RIGHT AXILLA. B. RIGHT BREAST. C. RIGHT BREAST UPPER OUTER QUADRANT. D. RIGHT BREAST LATERAL FLAP. E. LEFT BREAST AND AXILLARY TAIL. F. ADDITIONAL AXILLARY CONTENTS. SPECIMEN(S): A. SLN #1 RIGHT AXILLA. B. RIGHT BREAST. C. RIGHT BREAST UPPER OUTER QUADRANT. D. RIGHT BREAST LATERAL FLAP. E. LEFT BREAST AND AXILLARY TAIL. F. ADDITIONAL AXILLARY CONTENTS. GROSS DESCRIPTION: A. SLN #1 RIGHT AXILLA. Received fresh labeled with the patient's identification and "SLN #1 right axilla" is a piece of. fibroadipose tissue, 4.5 x 3.1 x 1 cm. It is searched for lymph nodes. Four lymph nodes are identified. measuring 2.5 x 1.1 x 0 6 cm, 1.5 X 1.1 x 1 cm, 0.6 x 0.4 x 0 .2 cm, and 0.6 x 0.5 x 0.2 cm. The 3. smaller lymph nodes are inked orange, green, and black; the lymph nodes are bisected and half of each. is submitted for frozen section diagnosis. Lymph nodes are submitted entirely: FSA1: frozen section of 2 lymph nodes, bisected (1/2 of each). FSA2: frozen section of 2 lymph nodes, bisected (1/2 of each). A3: remainder of lymph nodes from FSA1. A4: remainder of lymph nodes from FSA2. B. RIGHT BREAST. Received fresh labeled with the patient's identification and "right breast" is an oriented 1697g, 38 x 30 x. 3cm simple mastectomy with 23 x 20cm tan-brown skin ellipse and 1.3cm everted nipple. Ink code: anterior-superior: blue, anterior-inferior: orange, posterior-black. The specimen is serially sectioned into. 19 slices from lateral to medial with nipple in slice 10 revealing a 4cm area of scar tissue, with a 1cm. central previous biopsy site, 4.6cm from the deep margin in the UIQ of slice 12. The specimen is. radiographed and 3 biopsy clips are identified (in the UC of slice 10, and two in the UIQ of slice 12),. 1.5cm from the closest anterior-superior margin in the UIQ of slice 12. A second possible 1 x 0.9 x. 0.7cm previous biopsy site is identified in 3.8cm from the deep margin in the UOQ of slice 7. Representatively submitted: B1: nipple slice 10. B2: UOQ slice 5. B3: UOQ slice 6. B4: UOQ previous bx site UOQ slice 7. B5: LOQ slice 7. B6: UOQ slice 8. B7: LOQ slice 8. B8: UOQ slice 8. B9: UOQ slice 9. B10: LOQ slice 9. B11-B14: UC with clip ID in B13 slice 10. B15: deep margin and skin UC slice 10. B16: LC slice 10. B17-B18: UIQ slice 11. B19: LIQ slice 11. B20: UIQ skin slice 12. B21-B23: UIQ with 2 bx clips slice 12. B24: LIQ slice 12. B25: UIQ slice 13. C. RIGHT BREAST UPPER OUTER QUADRANT. Received fresh labeled with the patient's identification and "upper outer quadrant" is an oriented (suture. at final anterior margin) 30 g, 11.3 x 3.7 x 0.9 cm fibrofatty tissue. Final margin is inked black. Serial. sectioning reveals no discrete lesions. Representatively submitted in cassette C1-C3. D. RIGHT BREAST LATERAL FLAP. Received fresh labeled with the patient's identification and "right breast lateral flap" is an oriented. (suture at final anterior margin) 16 g, 6.6 x 3.9 x 1.2 cm fibrofatty tissue. Final margin is inked black. Serial sectioning reveals no discrete lesions. Representatively submitted in cassettes D1-D3. E. LEFT BREAST AND AXILLARY TAIL. Received fresh labeled with the patient's identification and "left breast and axillary tail" is an oriented. 1844g, 30 x 27 x 5cm modified radical mastectomy with 25 x 21cm tan-brown skin ellipse and 1.5cm. everted nipple. Ink code: anterior-superior: blue, anterior-inferior: orange, posterior-black. The specimen. is serially sectioned into 13 slices from medial to lateral with nipple in slices 5-9 revealing a 4 x 3 x. 2.8cm tan-white firm well-circumscribed mass in the UOQ of slices 9-10, 3cm from the deep margin. A. dense firm ill-defined fibrous area 2cm in greatest dimension is identified in the UC of slice 6, 2.5cm. from the closest posterior margin. The axillary tail is 11 x 10 x 4cm. Dissection reveals 18 lymph nodes. ranging from 0.2 x 0.2 x 0.2cm to 1.4 x 1 x 1cm. A portion of the specimen is submitted for tissue. procurement. Representatively submitted: E1: nipple slice 5. E2: nipple slice 6. E3: LIQ slice 3. E4: UIQ slice 4. E5: UC slice 5. E6: LC slice 5. E7-E8: nodular area UC slice 6. E9: LC slice 6. E10-E11: UOQ slice 7. E12: LOQ slice 7. E13: UOQ slice 8. E14-E16: mass UOQ slice 9. E17: skin and deep margin UOQ slice 9. E18: LOQ slice 9. E19: mass UOQ slice 10. E20: LOQ. E21: 5 lymph nodes. E22: 5 lymph nodes. E23: 3 lymph nodes. E24: 2 lymph nodes. E25: 1 lymph node. E26: 1 lymph node. E27: 1 lymph node. HW. F. ADDITIONAL AXILLARY CONTENTS. Received fresh labeled with the patient's identification and "additional axillary contents" are pieces of. yellow-tan fat in aggregate, 3.6 x 2.8 x 0.6 cm; containing a lymph node, 0.8 x 0.6 x 0.2 cm. Submitted. entirely: F1: 1 lymph node. F2-F3: remainder of soft tissue. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, RIGHT AXILLA, EXCISION: - TWO REACTIVE LYMPH NODES, NEGATIVE FOR METASTATIC CARCINOMA (0/2). B. BREAST, RIGHT, MASTECTOMY: - ADENOID CYSTIC CARCINOMA (3 CM AGGREGATE SIZE). - LOBULAR CARCINOMA- IN- SITU (LCIS), NUCLEAR GRADE 2. - RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA. - FIBROADENOMA (0.35 CM). - SCLEROSING ADENOSIS, USUAL DUCTAL HYPERPLASIA, APOCRINE. METAPLASIA. AND MICROCALCIFICATIONS. C. BREAST, RIGHT UPPER OUTER QUADRANT, EXCISION: - FATTY BREAST TISSUE, NO TUMOR IS SEEN. D. BREAST, RIGHT LATERAL FLAP, EXCISION: - FATTY BREAST TISSUE, NO TUMOR IS SEEN. E. BREAST AND AXILLARY TAIL, LEFT, MASTECTOMY: INVASIVE LOBULAR CARCINOMA, MAINLY PLEOMORPHIC TYPE,. SBR GRADE 3, SOLID GROWTH PATTERN. - TUMOR MEASURES 4CM. - RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA. - RADIAL SCAR. - EIGHTEEN REACTIVE LYMPH NODES, NEGATIVE FOR METASTATIC CARCINOMA (0/18). F. LYMPH NODE, ADDITIONAL AXILLARY CONTENTS, EXCISION: - ONE REACTIVE LYMPH NODE, NEGATIVE FOR METASTATIC CARCINOMA (0/1). SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: A: SLN #1 RIGHT AXILLA. B: RIGHT BREAST. C: RIGHT BREAST UPPER OUTER QUADRANT. D: RIGHT BREAST LATERAL FLAP. Specimen Type: Mastectomy. Needle Localization: Laterality: Right. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Adenoid cystic carcinoma 8200/3. Tumor size: 3cm. Tumor Site: Upper outer quadrant. Margins: Negative. Distance from closest margin: 3.8cm. deep. Necrosis: Absent. Vascular/Lymphati Invasion: Indeterminate. Lobular neoplasia: LCIS. Lymph nodes: Sentinel lymph node. Lymph node status: Negative 0/2. Non-neoplastic areas: Fibroadenoma, extensive sclerosing adenosis, usual ductal hyperplasia, apocrine. metaplasia. DCIS not present. ER/PR/HER2 Results. ER: Negative. PR: Negative. Performed on Case: Pathological staging (pTN): pT 2 NO. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: E: LEFT BREAST AND AXILLARY TAIL. F: ADDITIONAL AXILLARY CONTENTS. Specimen Type: Mastectomy. Needle Localization: Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive lobular carcinoma 8520/3. Tumor size: 4cm. Tumor Site: Upper outer quadrant. Margins: Negative. Distance from closest margin: 3cm. deep. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 3. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Present. Vascular/Lymphatic Invasion: Indeterminate. Lobular neoplasia: LCIS. Lymph nodes: Axillary dissection. Lymph node status: Negative 0/19. Non-neoplastic. areas: Sclerosing adenosis, usual ductal hyperplasia, fibroadenomatoid changes, radial. scar. DCIS not present. ER/PR/HER2 Results. ER: Negative. PR: Negative. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT 2 NO. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY: year African American with history of ADH and LCIS with radial scar of right breast. WLE done 4-. Was followed with imaging and. was found to have right adenocystic carcinoma and ILC. on left. PRE-OPERATIVE DIAGNOSIS: Bilateral breast cancer. INTRAOPERATIVE CONSULTATION: FSA1-FSA2: One focus with atypical cells defer to permanent. Diagnosis called by Dr. to Dr. at. (A). ADDENDUM: SUMMARY OF IMMUNOHISTOCHEMISTRY/SPECIAL STAINS. Material: Block B6. Population: Tumor Cells. Stain/Marker:Result: Comment: HERCEPTIN 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 Department of Pathology. Laboratory at. They have not been cleared or approved by the U.S. Food and Drug Administration. The 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. Microscopic/Diagnusuc. Final Review: Pathologist, ,. Final Review: Pathologist,. Final: Pathologist,. Addendum: Pathoiogisi. Addendum Final: Pathologi.

expanded version (tokens=3282) : 
 Histological classification: The breast pathology report reveals the presence of basal subtype with invasive adenoid cystic carcinoma (3 cm aggregate size) in the right breast and invasive lobular carcinoma (4 cm) in the left breast and axillary tail. Lobular carcinoma in situ (LCIS) nuclear grade 2 is also present in the right breast.
Subtype: Basal subtype is reported. 
Necrosis: No mention of necrosis in the right breast is reported, but in left breast a necrosis is present.
Tumor Infiltrating Lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.
Histological grade: SBR grade 3, solid growth pattern is reported for invasive lobular carcinoma in the left breast. Nuclear grade 3 and modified Scarff Bloom Richardson Grade: 3 is observed in invasive lobular carcinoma. LCIS is nuclear grade 2.
Nuclear Grade: Nuclear grade 3 is reported for invasive lobular carcinoma.
Lymphovascular invasion: The report mentions that Vascular/Lymphatic Invasion is indeterminate.
Calcification: Microcalcifications are observed in the non-neoplastic areas.
Receptor status: ER negative, PR negative, and HER2 negative by FISH.
IHC and other ancillary testing results: HERCEPTIN staining was negative for block B6.
Margins: The resection margins are negative for carcinoma.
Lymph nodes: Sentinel lymph node is present on the right side, while

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=3449) : 
 The breast pathology report shows invasive adenoid cystic carcinoma and LCIS with nuclear grade 2 in the right breast. Invasive lobular carcinoma with necrosis, SBR grade 3, a solid growth pattern, nuclear grade 3, and modified Scarff Bloom Richardson Grade: 3 is discovered in the left breast and axillary tail. ER/PR/HER2 receptors are negative by FISH. Vascular/Lymphatic Invasion is indeterminate, while resection margins are clear for cancer. Axillary dissection of lymph nodes revealed no metastatic carcinoma (0/19).

