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. SENTINEL LYMPH NODE BX #1 RIGHT AXILLA. B. SENTINEL LYMPH NODE BX #2 RIGHT AXILLA. C. WIDE EXCISION RIGHT BREAST. D. RIGHT BREAST CYST. E. RE-EXCISION INFERIOR LATERAL MARGIN-RIGHT BREAST. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, RIGHT AXILLA, EXCISION: ONE LYMPH NODE, NEGATIVE FOR TUMOR (0/1). B. LYMPH NODE, SENTINEL #2, RIGHT AXILLA, EXCISION: ONE LYMPH NODE, NEGATIVE FOR TUMOR (0/1). C. BREAST, RIGHT, WIDE EXCISION: -INVASIVE POORLY DIFFERENTIATED DUCTAL CARCINOMA WITH LOBULAR EXTENSION OF. RIGHT BREAST (SBR GRADE 3). -SIZE OF TUMOR: 1.5x1.5x1.2cm. -MARGINS OF RESECTION: FREE OF TUMOR. -BLUNT DUCT ADENOSIS AND FOCAL SCLEROSING ADENOSIS. -FOCAL DUCT ECTASIA. D. RIGHT BREAST CYST, EXCISION: -CONISITENT WITH RUPTURED APOCRINE RETENTION CYST WITH REACTIVE ATYPIA; AND. PERIDUCTAL FIBROSIS WITH GRANULATION TISSUE. -CYSTIC AND PAPILLARY APOCRINE CHANGE. -FOCAL BLUNT DUCT ADENOSIS. -FOCAL PERIDUCTAL DUCT ECTASIA (NEGATIVE FOR TUMOR). E. RIGHT BREAST, RE-EXCISION-INFERIOR LATERAL MARGIN: -DUCTAL CARCINOMA IN SITU WITH LOBULAR EXTENSION (SOLID. PATTERN) ,HIGH NUCLEAR GRADE see note. STROMAL FIBROSIS FOCAL PERIDUCTAL MASTITIS. -CYSTIC APOCRINE CHANGE WITH MICRO AND COARSE CALCIFIACTION. Note: Slide#E1-represents section from new margin that shows extension of DCIS involving. 3 lobular acini. There is no stromal invasion. Slide#E6-focus of DCIS measures 8x5 mm, and in#E4-6x4 mm. Invasive Breast Cancer Template. INVASIVE TUMOR: Histologic type: ductal. Tumor Size (cm): 1.5x1.5x1.2cm. Size of Invasive Focus: 1.5x1.5x1.2cm. Grade, Histologic: 3. Grade, Nuclear: 3. Mitoses (Olympus 40x): 3. Scarff Bloom Richardson grade: III. Necrosis: absent. Invasion Vasc/Lymphatic: absent. DCIS component. DCIS Quantity: <25%. DCIS Type: solid. DCIS Location: inside and outside main mass. Nuclear grade: high. Necrosis: present. Margins: see note. Lymph nodes: negative (0/2) sentinel lymph nodes. Stage, Pathology : pT1c. Non-neoplastic areas: Hormone receptor status (by IHC): ER: pending. PR: pending. HERCEPTEST (by IHC): pending. ADDENDUM. The ER/PR/HER2 status of the invasive breast carcinoma was determined by immunohistochemistry. and quantitated via ACIS (image analysis). Results are as follows: ER. 0%. PR. 0%. HER2. 0.0%. A separate ACIS report has been generated. NOTE: FISH analysis for HER2 gene amplification has not been ordered. SPECIMEN(S): A. SENTINEL LYMPH NODE BX #1 RIGHT AXILLA B. SENTINEL LYMPH NODE BX #2 RIGHT. AXILLA C. WIDE EXCISION RIGHT BREAST D. RIGHT BREAST CYST E. RE-EXCISION INFERIOR. LATERAL MARGIN-RIGHT BREAST. CLINICAL HISTORY: Right breast ca. FROZEN SECTION DIAGNOSIS: A. SENTINEL LYMPH NODE #1 RIGHT AXILLA. Touch prep: No tumor seen on touch prep. B. SENTINEL LYMPH NODE BIOPSY #2 RIGHT AXILLA. Touch prep: No tumor seen on touch prep, reported to Dr. by Dr. a. C. WIDE EXCISION RIGHT BREAST. Gross only: Tumor about 0.8cm. from anterior margin, reported to Dr. by Dr. GROSS DESCRIPTION: A. SENTINEL LYMPH NODE BIOPSY #1 RIGHT AXILLA. Received fresh in a single container labelled and designated "sentinel lymph node bx #1 right axilla". and consists of a single 1.5x1.1x0.4cm. lymph node with tan cut surfaces and associated unremarkable. adipose tissue. A touch preparation is made from the lymph node. The entire specimen is submitted in. a single cassette labelled A1. B. SENTINEL LYMPH NODE BIOPSY #2 RIGHT AXILLA. Received fresh in a single container labelled and designated "sentinel lymph node bx #2 right axilla". and consists of a single 1.3x1.3x0.4cm. lymph node with tan cut surfaces and associated unremarkable. adipose tissue. Touch preparations are made from the lymph node. The entire specimen is submitted. in a single cassette labelled B1. C. WIDE EXCISION RIGHT BREAST. Received fresh in a single container labelled and designated "wide excision right breast cancer with. needle localization" and consists of a single 8.5x7.5x3.0cm. resected portion of breast tissue. A single. stitch of suture indicates the anterior aspect and a double stitch indicates the lateral aspect. A. localization wire is present within the specimen. A radiograph is also received with the specimen and. shows a radiographic density in the region of the tip of the wire. The margins of resection is inked as. follows: inferior orange, superior red, lateral yellow, anterior blue, medial green, posterior black. The. specimen is serially sectioned from superior to inferior and a 1.5x1.5x1.2cm. tan grey well. circumscribed tumor is identified. The tumor does not approach any of the margins grossly. However,. it is within approximately 0.8cm. of the anterior (blue) margin. The tumor is at least 1.5cm. away from. all the other margins. A small portion of tumor is submitted for tissue procurement as well as a portion. of uninvolved breast parenchyma. The remainder of the cut surfaces are remarkable only for multiple. small cystic nodules all 0.3cm. in diameter or less. Multiple sections including approximately 95% of the. tumor are submitted and labelled as follows:,. Code of sections: C1-C2: tumor approaching anterior margin. C3: tumor. C4-C5: tissue adjacent to medial margin. C6-C9: breast with cystic nodules. D. RIGHT BREAST CYST,excision. Received in formalin in a single container labelled and designated "right breast cyst" and consists of a. single portion of firm tan yellow fibrofatty tissue measuring 3.7x2.7x2.2cm. No orientation is given. The. resection margin is inked. The specimen is serially sectioned and located centrally is a 1.2cm. diameter. cyst. The inner lining is smooth and tan. The remainder of the cut surfaces are composed of. unremarkable adipose tissue with streaks of breast parenchyma. All of the cyst is submitted in. cassettes D1 through D6. E. RE-EXCISION INFERIOR LATERAL MARGIN RIGHT BREAST. Received in formalin in a single container labelled and designated "re-excision inferior lateral margin. right breast" and consists of a portion of tissue measuring 2.0x1.7x1.5cm. A short stitch of suture. indicates the inferior aspect of the specimen and a long stitch indicates the lateral aspect which is the. new margin. The new margin submitted in a single cassette labelled E1 en face. The remainder of the. specimen is serially sectioned and the cut surfaces show unremarkable adipose tissue and breast. parenchyma.Remainder of specimen submitted and labelled E2-E9. Microscopic/Diagnostic Dictation: Pathologist, 1. Final Review: Pathologis. Final: Pathologist,. Addendum: Pathologist,. Addendum Review: Pathologist,. Addendum Final: Pathologis.

expanded version (tokens=2306) : 
 Histological classification: The breast pathology report indicates the presence of invasives ductal carcinoma with lobular extension of SBR grade 3 as well as DCIS (ductal carcinoma in situ) with lobular extension (solid pattern) high nuclear grade. The subtype identified is basal.

Nuclear grade: Nuclear grading for both invasive ductal carcinoma and ductal carcinoma in situ is 3.

Histological grade: The histological grade for invasive ductal carcinoma is Scarff Bloom Richardson grade III.

Tumor size: The size of the invasive focus is 1.5x1.5x1.2 cm.

Lymphovascular invasion: There is no invasion of vessels or lymph nodes. Lymph nodes were negative for tumor (0/2).

Calcification: There is micrcalcification as well as coarse calcification seen in the cystic apocrine change of the right breast.

Margins: The margins of resection for the wide excision right breast are free of tumor.

DCIS: The DCIS component is less than 25% and it is of the solid type, present both inside and outside the main mass.

Receptor status: The ER status, PR status, and HER2 status were pending initially but were later determined by immunohistochemistry (IHC). The results were negative for ER (0%), PR (0%), and HER2 (0.0%).

Ancillary Testing: FISH analysis for HER2 gene amplification was not ordered

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=2480) : 
 The pathology report indicates basal subtype invasive ductal carcinoma with lobular extension of SBR grade 3 and high-grade nuclear DCIS. Tumor size is 1.5x1.5x1.2 cm with no lymphovascular invasion. Margins are free of tumor, while lymph nodes are negative (0/2). ER(0%), PR(0%), HER2(0%) expression via IHC showed negative results, and FISH analysis was not ordered for HER2 gene amplification. Microcalcification and coarse calcification in cystic apocrine change were seen in the right breast on ancillary testing.

