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 Normal, F. Pathologic Interpretation: A. Sentinel node #1 (. right FS: - Metastatic carcinoma into one lymph node (1/1). B. Sentinel node #2 I. ) FS: - Metastatic carcinoma into theree out of four lymph nodes (3/4). C. Sentinel node #3 (. FS: - One benign lymph node (0/1). D. Right breast lumpectomy, long - lateral, short - superior: - In situ and invasive carcinoma. - The entire tumor mass measures 2.3 cm in greatest dimensions. - The invasive component represents the majority of the tumor mass and is of Nottingham grade of 3 +3 +3=9/9. - Foci of vascular invasion are noted. - The in-situ component is of ductal type, high nuclear grade with central necrosis and calcifications (comedocarcindma). - All margins of resection appear free of invasive and intraductal carcinoma. - The closest margins of resection are the medial and anterior at 4 mm from the tumor. - The non-neoplastic breast tissue shows fibroproliferative disease, radial scar, atypical ductal hyperplasia and changes consistent. with previous biopsy site. D. Right axillary content: - Metastatic carcinoma into six out of twenty-thre lymph nodes (6/23). E. Level 3 (right) permanent: - Metastatic carcinoma into one out of three lymph nodes (1/3). Tumor Summary: Specimen Type Lumpectomy. Lymph Node Sampling: Axillary dissection. Specimen Size (for excisions less than total mastectomy): 6 cm in greatest dimensions. Laterality: Right. Tumor Site: Not specified. Size of Invasive Component: 2.3 cm in greatest dimensions. Histologic Type: Ductal. Histologic Grade (any grading system may be used; mitotic count is also required independent of the grading system): 3 +3 +3=9/9. Total Nottingham Score:9/9. Margins: Free. Pathologic Staging (pTNM). pT 2, N3, MX. SURGICAL PATHOL Report. NOTE: IDS-ER. Some PgR immunokissochemical 636-PR, A4RS-HER2. antibodies H-II=EGFR. are analyte All immunohistochemical specific reagents (ASRs) stains validated are used by with our formalin laborasory. or molecular These ASRs fixed. are paraffis clinically embedded useful indicators tissue. Derection that do not is by require Envision FDA Method. approval. the These results ciones are read are used: by a. pathologist as positive or negative. As the attending pathologist, / attest that I: (i) Examined the relevant preparation(s). for the specimen(s); and (ii) Rendered the diagnosis(es). Intraoperative Consultation. A. Sentinel node #1 (. right FS: Metastatic adenocarcinoma to one lymph node (1/1). B. Sentinel node #2 (. ) FS: Metastatic adenocarcinoma to three of four lymph nodes (3/4). C. Sentinel node #3 (. 1 FS: One lymph node, no tumor seen (0/1). 1 MD. Clinical History: None provided. Operation Performed. Right breast lumpectomy with sentinei node blopsy, possible axiliary node dissection; possible left breast reduction. Pre Operative Diagnosis: Breast cancer. Specimen(s) Received: A: Sentinel node #1. 1) right FS. B: Sentinel node #2 (. ) FS. C: Sentinel node #3 (. FS. D: Right breast lumpectomy, long - lateral, short - superior. E: Right axillary content. F: Level 3 (right) permanent. Gross Description: A. Received fresh is an irregular fragment of fibroadipose tissue, measuring 2.3 x 1.2 x 0.7 cm. One lymph node is ill-. defined. The lymph node is submitted in toto in one cassette for frozen section. B. Received fresh is an irregular fragment of fibroadipose tissue, measuring 3.2 x 1.7 x 0.9 cm. Four lymph nodes are. grossly identified. The lymph nodes are submitted in toto as follows: 1. One lymph node for frozen. 2. Lymph node for frozen section. C. Received fresh is an irregular fragment of fibroadipose tissue, measuring 1.9 x 1.1 x 0.7 cm. One lymph node is grossly. identified. The lymph node is submitted in toto in one cassette for frozen section. D. Received in formalin is a lumpectomy specimen measuring 6 cm from medial to lateral, 5.4 cm from superior to inferior. and 4.4 cm from anterior to posterior. The specimen has an ellipse of skin in the anterior surface measuring 3.8 x 0.9 cm. The specimen is labelled as follows: long stitch lateral; short stitch superior. The margin is inked as follows: Anterior. yellow, posterior black, superior blue, inferior green, medial red, lateral orange. Upon sectioning ill-defined fiem white and. SURGICAL PATHOL Report. tan mass is identified measuring 2.3 x 2 x 1.5 cm. The mass is 1 cm from the lateral margin up to 1.6 cm from. the. superior margin, 0.5 cm from the inferior margin, 0.5 cm from the posterior margin, 0.4 cm from the medial. margin and 0.4. cm from the anterior margin from the skin. Other areas of the mastectomy specimen show unremarkable ibroadipose. tissue. Representative sections are submitted as follows: 1. Lateral margin. 2. Superior margin. 3. Anterior margin and skin in relation with the tumor. 4. Medial margin in relation with the tumor. 5. Posterior margin in relation with the tumor. 6. Inferior margin in relation with the tumor. 7-8. Other areas of the mass. E. Received in formalin are multiple irregular fragments of fibroadipose tissue measuring 9 x 7.5 x 2.2 cm in aggregate. Five-. possible lymph nodes are identified. The lymph nodes are submitted in toto-. as follows: 1-2. One lymph node bisected per cassette. 3-4. Lymph node bisected per cassette. 5-6. Three lymph nodes bisected per c assette. 7-8. Four lymph nodes per cassette. F. Received in formalin are four irregular fragments of soft tan brown and yellow tissue measuring 1 x 0.5 x 0.4 cm in. aggregate. Submitted in toto in one cassette.

expanded version (tokens=1772) : 
 Histological classification: Invasive ductal carcinoma and in situ ductal carcinoma (comedocarcinoma). The tumor is of Nottingham grade 3 +3 +3=9/9.

Subtype: Not specified.

Description of any necrosis: The in-situ component is high nuclear grade with central necrosis and calcifications (comedocarcinoma).

Any mention of tumor infiltrating lymphocytes: Not mentioned.

Histological grade: Nottingham grade 3 +3 +3=9/9.

Nuclear grade: High nuclear grade.

Lymphovascular invasion: Foci of vascular invasion are noted.

Calcification: The in situ component has central necrosis and calcifications (comedocarcinoma).

Receptor status: IDS-ER. Some PgR immunohistochemical antibodies. H-II=EGFR. All immunohistochemical specific reagents (ASRs) stains validated are used by the laboratory.

Ancillary testing results: None mentioned, except for the immunohistochemical results.

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=1897) : 
 The report shows in situ and invasive ductal carcinoma, of Nottingham grade 3 +3 +3=9/9 with foci of vascular invasion. The tumor has high nuclear grade and central necrosis with calcifications (comedocarcinoma). Receptor status includes IDS-ER and some PgR immunohistochemical antibodies, but no other ancillary testing was conducted.

