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 LumA, 0. Pathologic Interpretation: A. Left axiliary lymph node biopsy. - One lymph node (1) negative for carcinoma. - Immunohistochemistry for keratin is negative. B. Left axiliary lymph node biopsy (. Path Site : bruest, lowro outer quadrant 250.5 2/9/11. - One lymph node (1) negative for carcinoma. Immunohistochemistry for keratin is negative. C. Left axiliary lymph node biopsy l. - One lymph node (1) negative for carcinoma. Immunohistochemistry for keratin is negative. D. Left breast mastectomy: INVASIVE CARCINOMA, with lobular features, moderately differentiated Nottingham grade 2 (3 + 3 + 1= 7),. largest extent of tumor grossly measuring 2.0 cm (see note). IN SITU CARCINOMA, with lobular features, high nuclear grade, central comedo necrosis and calcifications is. present in 4 out of 12 slides (see note). Biopsy site is present. - Margins negative for in situ and invasive carcinoma. - No lymphovascular invasion is present. - Immunohistochemical results: Estrogen receptor: Positive. Progesterone receptor: Positive. HER-2: Positive (3+). E-Cadherin: Negative. Note: This is an unusual neoplasm with morphologic features of a lobular in situ and invasive carcinoma that is E-. cadherin negative, with high nuclear grade and necrosis, and positive HER-2. The biological behavior and clinical. course. of such neoplasms, which are sometimes referred to as Pleomorphic Lobular Carcinoma, may be similar to ductal. carcinomas. Surgical Pathology Tumor Summary. Specimen: Total breast. Procedure: Total mastectomy. Lymph node sampling: Sentinel lymph node. Specimen Integrity: Single intact specimen. Specimen Laterality: Left. Tumor Site: Lower outer quadrant. Tumor Size: Greatest dimension of largest focus of invasion over 0.1 cm: 2.0 cm. Tumor Focality: Single focus of invasive carcinoma. Skin: Invasive carcinoma does not invade into the dermis or epidermis without skin. Skeletal muscle: No skeletal muscle present. Lobular carcinoma in situ: Present. Histologic Type of Invasive Carcinoma: Invasive carcinoma with lobular features. Glandular (Acinar)/Tubular Differentiation: Score 3<10% of the tumor are forming glandular/tubular structures. Nuclear Pleomorphism: Score 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in. In size and shape, occasionally with very large and bizarre forms. Mitotic count: Score 1. Overall grade: Grade 2: scores of 6 or 7. Margins: Margins uninvolved by invasive carcinoma. Distance from closest margin: 1.2 cm from deep margin. Lymph-vascular invasion: Not identified. Lymph nodes: Number of sentinel lymph nodes examined: 3. SURGICAL PATHOL Report. Total number of lymph nodes examined (sentinel and nonsentinel): 3. Number of lymph nodes with isolated tumor cells (<0.2 mm and <200 cells): 0. Size of largest metastatic deposit (if present): 0. Extranodal extension: Not identified. Method of evaluation of sentinel lymph nodes: Immunohistochemistry (pending). Pathologic staging: pT1c: Tumor >10 mm but <20 mm in greatest dimension. pNO: (i+): Malignant cells in regional lymph nodes no greater than 0.2 cm and no more than 200 cells (detected by|H & E or IHC. including ITC). Distant Metastasis: Not applicable. Estrogen Receptor: Performed on this specimen. Results: Immunoreactive tumor cells present (>1%). Progesterone Receptor: Performed on this specimen. Results: Immunoreactive tumor cells present (>1%). HER2/neu: Performed on this specimen. Results: Positive (Score 3+). Microcalcifications: Present in situ carcinoma. NOTE: Some antibodies are amalyte specific reagents (ASRs) validated by ow labormary. These ASRs are clinically aseful indicators that do not require FDA approval. These clons are. ID5-ER PgR 636=PR,A485 HER2, H-II-EGFR All stains are used with formalin or molecular fixed, paruffin embeckded tissue. Detection is by Envision Method. The results are read by a. pathologist as positive or regutive. As the attending pathologist. I attest that I: (i) Examined the relevant preparation(s). for the specimen(s): and (ii) Rendered the diagnosis(es). Procedures/Addenda. Addendum. Date Complete: 1. Addendum Diagnosis. D. LEFT BREAST MASTECTOMY: The tumor cells are positive for HER2 gene amplification by CISH (performed at. Intraoperative Consultation. A. Left axilla 1. FS: No obvious malignancy; however, immunostains are pending. B. Left axilla 1. - FS: No obvious malignancy; however, immunostains are pending. C. Left axilla 1. FS: No obvious malignancy; however, immunostains are pending. Clinical History: Page 2 of. SURGICAL PATHOL Report. Patient with biopsy-proven infiltrating lobular carcinoma. Please evaluate margins and if sentinel nodes are H&E negative, do. immunohistochemistry. Operation Performed. Left total mastectomy with sentinel lymph node biopsy, possible axillary node dissection. Pre Operative Diagnosis: Infiltrating lobular carcinoma of left breast. Specimen(s) Rereived: A: Left axilla 1. FS. B: Left axilla 1. -FS. C: Left axilla 1. -FS. D: Left breast. Gross Description: A. Received fresh is a 1 x 1 x 0.2 cm adipose tissue fragment. The specimen is submitted in toto in one block for frozen. section. B. Received fresh is a 2 x 1 x 0.6 cm adipose tissue fragment. The specimen is submitted in toto in one block for frozen. section. C. Received fresh is a 0.5 x 0.4 x 0.1 cm adipose tissue fragment. The specimen is submitted in toto in one block for frozen. section. D. Received in formalin is an 871-gram, 20 x 16 x 6 cm mastectomy specimen. An ellipse of skin is identified it measures. 16 x 9 x 0.2 cm. The nipple and areola measure 1.8 cm and 4.5 cm, respectively. The specimen is orienteld with one. stitch superior and two stitches medial. The specimen is inked and cross sectioned in the frozen room. A 2 x 1.5 x. 1.2. cm, ill-defined lesion was identified in the left lower outer quadrant. This lesion is located 1.2 cm from the deep resection. margin (closest). A 0.2 x 0.1 cm tissue sample was taken by Dr. 0.3 x 0.3 cm tissue sample was taken for tissue. bank. A 0.5 x 0.4 x 0.1 cm tissue sample was taken by Dr. for research. An additional piece of adipose. tissue and skin accompanies the specimen; it measures 7.5 x 4 x 2.5 cm. The skin measures 7 x 2.5 x 0.1 cm. Cross. sections throughout the specimen show a multilobulated adipose tissue. No lesions are identified. The fat to stroma ratio. is 40:60. The specimen is submitted as follows: 1. Section of nipple and areola. 2. Lesion in relation to the deep margin (closest). 3-5. Remainder of lesion in toto. 6. Section of left upper inner quadrant. 7. Section of left lower inner quadrant. 8. Section of central compartment. 9. Section of left upper outer quadrant. 10. Section of left lower outer quadrant. 11&12. Sections of additional breast tissue segment.

expanded version (tokens=2191) : 
 The breast pathology report describes the following:

1. Histological classification: Invasive carcinoma with lobular features, with a subtype of LumA.
2. Description of carcinoma: Moderate differentiation and Nottingham grade 2. The largest extent of the tumor was measured 2.0 cm, with a single focus of invasive carcinoma. 
3. Description of in situ carcinoma: High nuclear grade, with central comedo necrosis and calcifications present in four out of 12 slides.
4. Necrosis: Central comedo necrosis present in in situ carcinoma.
5. Tumor infiltrating lymphocytes: No mention in the report.
6. Histological grade: Overall grade is 2, with scores of 6 or 7. Nuclear pleomorphism scored 3 with vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms. Mitotic count scored 1.
7. Lymphovascular invasion: Not present.
8. Calcification: Present in in situ carcinoma.
9. Receptor status: Estrogen receptor positive, Progesterone receptor positive, HER-2 positive (Score 3+).
10. IHC and ancillary testing results: E-Cadherin negative, HER2 gene amplification by CISH.
11. Sentinel lymph node biopsy: Three lymph nodes negative for carcinoma, and no lymphovascular invasion was present.
12. Extramammary samples: Left axillary lymph

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=2330) : 
 Surgical pathology report identifies Luminal A subtype invasive lobular carcinoma and high-grade lobular in situ carcinoma with central comedo necrosis and calcifications. No tumor-infiltrating lymphocytes present. Positive receptor status for estrogen, progesterone, and HER2. HER2 gene amplification confirmed by CISH. Three sentinel lymph nodes were negative for carcinoma with no lymphovascular invasion identified. Margins were negative for invasive or in situ carcinoma.

