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 - SPECIMEN(S): A. LEFT BREAST AND AXILLARY CONTENTS. B. ADDITIONAL AXILLARY CONTENTS. C. LEFT BREAST SKIN AND TISSUE. D. RIGHT BREAST NEEDLE LOCALIZATION. E. ADDITIONAL RIGHT BREAST RETROAREOLAR TISSUE. MARGIN. CLINICAL HISTORY: yo female with left clinical T2N1 IDC, 3.5 cm retroareolar (note ER + primary and ER. negative axillary mets) here for L MRM. Also, right breast mass bx shows ADH. Here. for R excisional biopsy. PRE-OPERATIVE DIAGNOSIS: Left - IDC, Right - ADH. INTRAOPERATIVE CONSULTATION. FSD: Right breast needle localization- Representative section of mass-no invasive. carcinoma on frozen. At least atypical ductal hyperplasia-cannot rule out DCIS-lesion. near anterior margin. Diagnosis called to Dr. at by Dr. DIAGNOSIS: A. BREAST, LEFT, AND AXILLARY CONTENTS, MODIFIED RADICAL. MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, NOTTINGHAM GRADE 2, WITH. LOBULAR FEATURES, INVOLVING THE NIPPLE DERMIS. - 3.4 CM IN SIZE. - DUCTAL CARCINOMA IN SITU (DCIS), CRIBRIFORM AND SOLID. TYPES,. NUCLEAR GRADE 2, WITH NECROSIS AND MICROCALCIFICATIONS. - MARGINS, NEGATIVE FOR CARCINOMA. METASTATIC CARCINOMA IN SEVEN OF EIGHT LYMPH NODES. WITH. EXTRANODAL EXTENSION (7/8). B. ADDITIONAL AXILLARY CONTENTS, LEFT, DISSECTION: - METASTATIC CARCINOMA IN ONE OF FIVE LYMPH NODES (1/5). C. BREAST, LEFT, SKIN AND TISSUE, EXCISION: - SKIN AND ADIPOSE TISSUE, NEGATIVE FOR CARCINOMA. D. BREAST, RIGHT, NEEDLE LOCALIZATION EXCISIONAL BIOPSY: - DUCTAL CARCINOMA IN SITU (DCIS), CRIBRIFORM AND PAPILLARY. TYPES, NUCLEAR GRADE 1. - DCIS IS WITHIN 0.2 CM OF THE DESIGNATED RETROAREOLAR. MARGIN AND 0.3 CM FROM THE ANTERIOR MARGIN. - SEVERAL FOCI OF ATYPICAL DUCTAL HYPERPLASIA (ADH). - COLUMNAR CELL CHANGE, COMPLEX SCLEROSING LESION WITH. USUAL DUCTAL HYPERPLASIA, INTRADUCTAL PAPILLOMAS,. CYSTIC. APOCRINE METAPLASIA, MICROCALCIFICATIONS AND PREVIOUS. BIOPSY SITE CHANGES. NOTE: DCIS is present in two slides and measures 0.4 cm on a single slide. E. BREAST, RIGHT, ADDITIONAL RETROAREOLAR TISSUE MARGIN,. EXCISION: SMALL INTRADUCTAL PAPILLOMA WITH USUAL DUCTAL. HYPERPLASIA. AND FOCAL PREVIOUS BIOPSY SITE CHANGES. SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: A: LEFT BREAST AND AXILLARY CONTENTS. B: ADDITIONAL AXILLARY CONTENTS. C: LEFT BREAST SKIN AND TISSUE. Specimen Type: Mastectomy. Needle Localization: Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 3.4cm. Tumor Site: Central. Margins: Negative. Distance from closest margin: Greater than 2cm. deep. Tubular Score: 3. Nuclear Grade: 2. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Axillary dissection. Lymph node status: Positive 8 / 13 Extranodal extension. Non-neoplastic areas: complex sclerosing lesion, intraductal papillomas, usual ductal hyperplasia. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 10%. DCIS Type: Solid. Cribriform. DCIS Location: Both associated and separate from invasive tumor mass. Nuclear grade: Intermediate. Necrosis: Present. Location of CA++: DCIS. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative. Performed on Case: Pathological staging (pTN): pT 2 N 2. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimens Involved. Specimens: A: LEFT BREAST AND AXILLARY CONTENTS. Specimen: Surgical Excision. Block Number: A21 (lymph node). ER: Positive. Allred Score: 8 = Proportion Score 5 + Intensity Score 3. PR: Positive. Allred Score: 3 = Proportion Score 2 + Intensity Score 1. 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 using the mouse anti-human ER (ER 1D5, 1:100) and PR. (PGR 136, 1:100) provided by. bllowing 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. Specimens Involved. Specimens: D: RIGHT BREAST NEEDLE LOCALIZATION. E: ADDITIONAL RIGHT BREAST RETROAREOLAR TISSUE MARGIN. Specimen Type: Excision. Needle Localization: Laterality: Right. Invasive Tumor: Absent. Multifocality: N/A. WHO CLASSIFICATION. Intraductal proliferative lesions. Ductal carcinoma in situ 8500/2. DCIS present. Margins uninvolved by DCIS : see above. DCIS Type: Cribriform. Papillary. Nuclear grade: Low. Necrosis: Absent. Location of CA++: Benign epithelium. Pathological staging (pTN): pT is N X. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. GROSS DESCRIPTION: A. LEFT BREAST AND AXILLARY CONTENTS. Received fresh with the patient's identification and designated "left breast and axillary. contents" is an oriented 1143g, 19 x 19 x 3.6 cm mastectomy with 14 X 6 cm attached. tan-brown skin ellipse and a centrally located, non-retracted 1.2 x 1.4 cm nipple. Ink. code: posterior-black, anterior superior-blue, anterior inferior-orange. Serial sectioning. from medial to lateral into 14 slices reveals two lesions: Lesion 1: 3.4 x 3 x 2 cm white-tan, firm, irregular mass at 12:00 in slices 5 and 6, 3 cm. from the deep margin. Lesion 2: 8 x 7 X 3 cm ill-defined nodular and cystic area, involving the LIQ, mid to LOQ. and central area in slices 4-9, 2 cm from the deep margin, and inferior and adjacent to. lesion 1. In the axillary tail, there is a 4 x 3.2 x 2 cm mass consistent with tumor involving lymph. node(s) as well as several other grossly positive lymph nodes. Representatively submitted. as per the attached diagram: A1-A2: lesion 1 (mass), slice 5, 12:00. A3-A5: lesion 1 (mass), slice 6, 12:00 (biopsy clip in cassette A3). A6: deep margin, slice 5. A7: lesion 2, slice 4, LIQ. A8: lesion 2, slice 5, central lower. A9: lesion 2, slice 6, central lower. A10: lesion 2, slice 7, LOQ. A11: lesion 2, slice 8, LOQ. A12: lesion 2, slice 8, mid outer quadrant. A13: lesion 2, slice 9, LOQ. A14: deep margin, slice 9. A15: UIQ. A16: UOQ. A17-A19: nipple. A20: skin. A21-A22: representative sections of largest lymph node. A23: one lymph node, representative section. A24: one lymph node, bisected. A25: one possible lymph node, bisected. A26: two lymph nodes. A27: one lymph node, bisected. A28: two lymph nodes. A29-A32: additional axillary tissue. B. ADDITIONAL AXILLARY CONTENTS. Received fresh labeled with patient identification and designated "additional axillary. contents" is a tan-pink to tan-red and hemorrhagic, fibrofatty soft tissue fragment, 3.5 x. 2.5 x 1 9 cm. Examination reveals 8-10, firm, tan-white to tan-pink possible lymph nodes. ranging in size from 0.2 x 0.2 x 0.2 cm to 0.4 x 0.2 x 0.2 cm. The specimen is entirely. submitted as follows: B1: Possible lymph nodes. B2-B3: The remaining soft tissue. C. LEFT BREAST SKIN AND TISSUE. Received fresh with patient's identification and designated "left breast skin and tissue" are. 1) an unoriented, tan-pink to tan-yellow, partially skin covered soft tissue fragment. measuring 9.5 x 6.5 x 1.8 cm, serial sectioning reveals no grossly visible/possible. masses/lesions. The deep surface of the specimen is inked in black and representatively. submitted in C1-C3. 2) A fragment of tan-brown skin (the central part is missing), 2-1.5 x 7.5 x 1 cm,. examination reveals no grossly visible lesions, representatively submitted in C4-C5. D. RIGHT BREAST NEEDLE LOCALIZATION. Received fresh labeled with the patient's identification and "right breast needle. localization" is an oriented 31g, 7 x 5 x 3cm needle localized lumpectomy with. radiograph. Ink code: retroareolar - purple, anterior-yellow, posterior-black, superior-. blue, inferior-orange, medial-green, lateral-red. Specimen is serially sectioned from. lateral to medial into 7 slices revealing a 1.4 x 1 x 1cm tan white irregular mass, 0.1cm. from the anterior-retroareolar margin in slices 3-4. A 0.5 x 0.5 x 0.3cm tan white firm. area is also identified, at the anterior-lateral-inferior margin of slice 1. A biopsy clip is. identified in slice 2 adjacent to the firm area in slice 1. A portion of the 1.4 cm mass is. submitted for frozen section in FSD. Representatively submitted: FSD: 1.4 cm mass slice 3. D2-D4: lateral margin with 0.5 cm firm area in D4. D5-D8: slice 2 with clip ID in D8. D9: superior margin slice 3. D10: posterior margin slice 3. D11-D12: inferior margin slice 3. D13-D14: superior margin slice 4. D15: mass with anterior margin slice 4. D16: posterior margin slice 4. D17: inferior margin slice 4. D18-D19: anterior margin slice 5. D20-D21: posterior margin slice 5. D22: superior margin slice 6. D23: anterior margin slice 6. D24: posterior margin slice 6. D25: inferior margin slice 6. D26-D27: medial margin slice 7. E. ADDITIONAL RIGHT BREAST RETROAREOLAR TISSUE MARGIN. Received fresh labeled with the patient's identification and 'additional right breast. retroareolar tissue' is an oriented 5g, 4.5 x 3.8 x 1.4cm tan pink fibrofatty tissue. Final. margin is inked blue. Serial sectioning reveals no discrete lesions. Entirely submitted in. E1-E4.

expanded version (tokens=3392) : 
 This is a report of a breast pathology examination carried out on a  yo female who was diagnosed with a left clinical T2N1 invasive ductal carcinoma (IDC) that was 3.5 cm retroareolar in size. The report contains the results of various tests and examinations carried out on the patient's breast tissue. Here are the main points extracted from the report:

- Histological Classification: 
   - Left breast and axillary contents - Modified radical mastectomy: Invasive ductal carcinoma, Nottingham grade 2, with lobular features, involving the nipple dermis and ductal carcinoma in situ (DCIS) comprising cribriform and solid types, nuclear grade 2 with necrosis and microcalcifications.
   - Additional axillary contents, left, dissection: Metastatic carcinoma in one of five lymph nodes (1/5).
   - Left breast skin and tissue, excision: Skin and adipose tissue, negative for carcinoma.
   - Right breast needle localization excisional biopsy: Ductal carcinoma in situ (DCIS), comprising cribriform and papillary types, nuclear grade 1. Atypical ductal hyperplasia (ADH) is seen with USUAL DUCTAL HYPERPLASIA, INTRADUCTAL PAPILLOMAS, CYSTIC APOCRINE METAPLASIA, MICROCALCIFICATIONS and PREVIOUS BIOPSY SITE CHANGES.
   - Right breast additional retroare

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=3578) : 
 The report describes a 3.5 cm retroareolar T2N1 invasive ductal carcinoma (IDC) in the left breast of a female patient who underwent modified radical mastectomy. Invasive ductal carcinoma comprises Nottingham grade 2 with lobular features, involving nipple dermis and DCIS comprising cribriform and solid types of nuclear grade 2 with necrosis and microcalcifications. ADH is present along with usual ductal hyperplasia and intraductal papillomas in the right breast needle localization excisional biopsy. One out of five possible lymph nodes was positive for metastatic carcinoma during the dissection process undertaken on the left axillary contents.

