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 - Surgery Date: SPECIMENS: A. RIGHT BREAST AND AXILLARY CONTENTS. B. LEVEL 3 RIGHT AXILLARY LYMPH NODES. C. ADDITIONAL RIGHT BREAST TISSUE. D. ADDITIONAL RIGHT BREAST TISSUE AND SKIN. SPECIMEN(S): A. RIGHT BREAST AND AXILLARY CONTENTS. B. LEVEL 3 RIGHT AXILLARY LYMPH NODES. C. ADDITIONAL RIGHT BREAST TISSUE. D. ADDITIONAL RIGHT BREAST TISSUE AND SKIN. DIAGNOSIS: A. BREAST, RIGHT, AND AXILLARY CONTENTS, MODIFIED RADICAL MASTECTOMY: - THREE FOCI OF INVASIVE LOBULAR CARCINOMA, NOTTINGHAM GRADE 2. - 2.9 CM, 0.6 CM AND 0.2 CM IN SIZE. - FOCALLY PRESENT AT THE ANTERIOR MARGIN AT CENTRAL. INFERIOR AND 0.3 CM FROM THE DEEP MARGIN. - EXTENSIVE LOBULAR CARCINOMA IN SITU (LCIS), CLASSIC AND. PLEOMORPHIC TYPES, WITH NECROSIS AND MICROCALCIFICATIONS. - SKELETAL MUSCLE, NEGATIVE FOR CARCINOMA. - FOCAL GRANULOMAS, FOCALLY NECROTIZING, ARE SEEN IN THE. BREAST AND A FEW OF THE LYMPH NODES. METASTATIC CARCINOMA IN 22 OF 33 LYMPH NODES WITH EXTRANODAL. EXTENSION, LARGEST METASTASIS IS 1.4 CM (22/33). NOTE: The etiology of the granulomas is not entirely clear. Clinical correlation is recommended. B. LYMPH NODES, RIGHT AXILLA, LEVEL 3, DISSECTION: - METASTATIC CARCINOMA IN TWO OF TWO LYMPH NODES (2/2). C. BREAST, RIGHT, ADDITIONAL TISSUE, EXCISION: - METASTATIC CARCINOMA IN ONE OF ONE LYMPH NODE (1/1). D. BREAST, RIGHT, ADDITIONAL TISSUE AND SKIN, EXCISION: - LOBULAR CARCINOMA IN SITU. - BENIGN SKIN. SYNOPTIC REPORT - BREAST. Specimen Type: Mastectomy. Needle Localization: Laterality: Right. Invasive Tumor: Present. Multifocality: Yes. WHO CLASSIFICATION. Invasive lobular carcinoma 8520/3. Tumor size: 2.9cm. Tumor Site: 6:00. Margins: Involved at. anterior inferior at - 6:00. Extent:: less than 0.1 cm. Tubular Score: 3. Nuclear Grade: 2. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: Axillary dissection. Lymph node status: Positive 25 / 36 Extranodal extension. DCIS not present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Positive by FISH. Performed on Case: Pathological staging (pTN): pT 2 N 3. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. SUMMARY OF MMUNOHISTOCHEMISTRY/SPECIAL STAINS. Material: Block A10. Population: Tumor Cells. Stain/Marker:Result: Comment: CYTOKERATIN AE1/3. Positive At inked margin. Material: Block A23. Population: Lymph Node. Stain/Marker:Result: Comment: ACID-FAST BACTERIA STAIN Negative. GOMORI METHENAMINE SILVER STAIN. 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 bv internal review of. staining performance and assay validation within 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 I. They have not been cleared or approved by the U.S. Food and Drug Administration. The. rua nas determined that such clearance or approval is not necessary. Special stains and/or immunohistochemical stains were performed with appropriately stained positive. and negative controls. GROSS DESCRIPTION: A. RIGHT BREAST AND AXILLARY CONTENTS. Received fresh labeled with the patient's identification and designated "right breast and axillary. contents" is an oriented (suture in axilla), 445 g, 26 x 21.5 x 2 cm mastectomy with attached axillary tail. and a pale-tan skin ellipse, 11 x 4.2 cm, and 1 cm in diameter slightly everted nipple. The areolar skin. demonstrates a thickened, slightly puckered appearance. Ink code: Posterior-black, anterior/superior-. orange, anterior/inferior-blue. The specimen is serially sectioned from medial to lateral into 9 slices. (nipple slice 4) revealing 3 separate masses: Mass #1) 2.9 x 2.5 x 1.8 cm, slices 5-6, central inferior, 6:00, 0.6 cm from the posterior margin and 0.7. cm from the anterior margin. Mass #2) 0.7 X 0.5 x 0.5 cm, slice 5, central inferior, extending to anterior margin, 3.5 cm from the. posterior margin, and 0.4 cm from Mass #1. Mass #3), 2.5 x 1.5 x 1 cm, slice 7, LOQ, 8:00, 1 cm from anterior margin and 2.1 cm from posterior. margin and 4.1 cm from Mass #2. The remainder of the specimen shows dense nodular fibroglandular parenchyma. Multiple possible. axillary lymph nodes are identified ranging from 0.2 X 0.2 x 0.2 up to 1.2 x 1 X 0.5 cm. Tissue is. procured, representatively submitted: A1-A2: Nipple. A3: Skin, representative sections. A4-A5: Mass #1 with anterior margin, slice 5, 6:00. A6: Deep margin overlying mass #1, slice 5, 6:00. A7: Mass #1, 6:00, slice 5. A8: Tissue in between Mass #1 and Mass #2, slice 5, central inferior. A9: Mass #2 with anterior margin, slice 5, central inferior. A10: Mass #1, slice 6. A11: Slice 6, possible Mass #3. A12-A14: Mass #3, 8:00, LOQ, slice 7, A12 demonstrates anterior margin. A15: Deep margin overlying mass #3, slice 7. A16-A17: Representative sections, UOQ, intramammary fold, slice 8. A18: Representative section, UIQ, slice 3. A19: Representative section, LIQ, slice 3. A20: 4 possible fymph nodes. A21: 4 possible lymph nodes. A22: 4 possible lymph nodes. A23: 2 possible lymph nodes. A24: 2 possible lymph nodes. A25: 3 possible lymph nodes. A26: 3 possible lymph nodes. A27: 2 possible lymph nodes. A28: One lymph node. B. LEVEL 3 RIGHT AXILLARY LYMPH NODES. Received in formalin labeled with the patient's identification and designated "level 3 right axillary lymph. node" is a 2.5 x 2 x 0.4 cm fibroadipose tissue. One lymph node is identified measuring 1.5 x 1.2 x 0.5. cm. The specimen is entirely submitted: B1: Lymph node. B2: Remainder of the specimen. C. ADDITIONAL RIGHT BREAST TISSUE. Received in formalin labeled with the patient's identification and designated "additional right breast. tissue" is a fragment of pale tan soft tissue measuring 0.5 x 0.3 x 0.2 cm. Entirely submitted, C1. D. ADDITIONAL RIGHT BREAST TISSUE AND SKIN. Received in formalin labeled with the patient's identification and designated "additional right breast. tissue and skin" is an unoriented, irregular "V" shaped portion of pale tan skin measuring 7 x 2.5 x 0.5. cm. The surface of the specimen appears grossly unremarkable. Serially sectioned, representatively. submitted, D1. CLINICAL HISTORY: year-old female, biopsy proven invasive lobular carcinoma, right breast with axillary metastasis. PRE-OPERATIVE DIAGNOSIS: Right breast ca. Final Review: Final Review: M.D., Pathologist,. Final: , M.D., Pathologist,.

expanded version (tokens=2410) : 
 Histological classification: 
1. Invasive lobular carcinoma, Nottingham grade 2 (three foci, 2.9 cm, 0.6 cm and 0.2 cm in size)
2. Extensive lobular carcinoma in situ (LCIS), classic and pleomorphic types, with necrosis and microcalcifications
3. Lobular carcinoma in situ (additional right breast tissue and skin excision)

Subtype: Not mentioned.

Necrosis: Present in LCIS.

Tumor infiltrating lymphocytes: Not mentioned.

Histological grade: Nottingham grade 2, nuclear grade 2, mitotic score 1, Modified Scarff Bloom Richardson grade 2.

Lymphovascular invasion: None identified.

Calcification: Microcalcifications in LCIS.

Receptor status: 
1. ER: Positive
2. PR: Positive
3. HER2: Positive by FISH

IHC and other ancillary testing results:
1. Cytokeratin AE1/3 was positive at the inked margin.
2. Acid-fast bacteria stain and Gomori methenamine silver stain were negative.
3. Pathological staging: pT2 N3
4. Multiple lymph nodes were positive for metastatic carcinoma with extranodal extension.
5. Granulomas with unclear etiology.
6. The use of immunohistochemistry stains is regulated as an analyte-specific reagent (ASR) and has not been cleared or approved

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=2591) : 
 A 29-year-old female underwent a right mastectomy, which showed extensive lobular carcinoma in situ (LCIS) with necrosis and microcalcifications. Three foci of invasive lobular carcinoma measured 2.9 cm, 0.6 cm, and 0.2 cm in size and were present at the anterior margin at central, inferior, and 0.3 cm from the deep margin. Granulomas were seen in the breast and some of the lymph nodes with unclear etiology but suggested clinical correlation. Multiple lymph nodes were positive for metastases with extranodal extension, resulting in a pathological staging of pT2 N3.

