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, F. Pathologic Interpretation: A. LEFT BREAST LUMP MASS (1 STTICH SUPERIOR, 2 STITCHES LATERAL, 3 STITCHES DEEP): - INVASIVE DUCTAL CARCINOMA, MICROPAPILLARY TYPE, MODERATELY DIFFERENTIATED, Nottingham grade 2. (3+2+1=6), 1.9 cm in greatest microscopic dimension. - Lymphovascular invasion is seen. - Resection margins are free of invasive carcinoma, closest margin is the anterior (4 mm). - IN SITU DUCTAL CARCINOMA, INTERMEDIATE NUCLEAR GRADE (DIN: 2) WITH EXTENSIVE NECROSIS,. cribriform type, representing 10% of tissue sampled. - Resection margins are free of DCIS, closest margin is the anterior (10 cm). - Previous biopsy site. - See tumor summary. - AJCC: pTic, pN1a, pMn/a. B. LEFT AXILLARY CONTENTS: - Metastatic carcinoma in one out of twenty-three lymph nodes (1/23). - Largest metastatic deposit is 2.5 mm. Tumor Summary. Specimen: . Partial breast. Procedure: - Excision without wire-guided localization. Lymph Node Sampling: - Axiliary dissection (partial or complete dissection). Specimen Integrity: - Single intact specimen (margins can be evaluated). Specimen Size: - Greatest dimension: 11.5 cm. . Additional dimension: 7.5 x 3.5 cm. Laterality: - Left. Tumor Size: Size of Largest Invasive Carcinoma. - Greatest dimension of largest focus of invasion over 0.1 cm: 2 cm. Tumor Focality: - Single focus of invasive carcinoma. Macroscopic and Microscopic Extent of tumor: - Skin: Skin is not present. - Skeletal muscle: No skeletal muscle present. Ductal Carcinoma In Situ (DCIS): - DCIS is present. Size (Extent) of DCIS: Representing 10% of tumoral surface. Architectural Patterns: Cribriform. Nuclear Grade: Grade II (intermediate). Necrosis: Present, central (expansive "comedo" necrosis). Lobular Carcinoma IN Situ (LCIS): - Not identified. Histologic Type of Invasive Carcinoma: Invasive micropapillary carcinoma. Histologic Grade: Nottingham Histologic Score. Glandular (Acinar)/Tubular Differentiation: Score 3. Nuclear Pleomorphism: Score 2. SURGICAL PATHOL Report. Mitotic Count: Score 1. Overall Grade: Grade 2: score of 6. Margins: - Margins uninvolved by invasive carcinoma. - Distance from closest margin: 4 mm (anterior). - Margins uninvolved by DCIS: - Distance from closest margin: 10 mm (anterior). Treatment Effect: Response to Presurgical (Neoadjuvant) therapy: - In the Breast: No known presurgical therapy. - In the Lymph Nodes: No known presurgical therapy. Lymph-Vascular Invasion: PRESENT. Dermal Lvmph-Vascular Invasion: No skin present. Lymph Nodes: - Number of sentinel lymph nodes examined: 0. - Total number of lymph nodes examined (sentinel and Nonsentinel): 23. - Number of lymph nodes with macrometastases (>0.2 cm): 1. - Number of lymph nodes with micrometastases (>0.2 mm to 0.2 cm and /or >200 cells): 0. - Number of lymph nodes with isolated tumor cells (50.2 mm and <200 cells): 0. - Size of largest metastatic deposit (if present): 2.5 mm. Extranodal Extension: Not identified. Pathologic Staging (pTNM). - Primary Tumor: pTic. - Regional Lymph Nodes: pN1a. - Distant Metastasis: Not applicable. Ancillary Studies: Estrogen Receptor: - Performed on another specimen: Results: Immunoreactive tumor cells present (>1%). Progesterone Receptor: . Performed on another specimen. ; Results: Immunoreactive tumor cells present (1%). Her2: - Performed on another specimen: , Results: Negative. AJCC classification (7th ed) pT1c, pN1a, pMn/a. NOTE: Some immunchistochemical antibodies are analyte specific reagents (ASRs) validated by owr laboratory. These ASRs are clinically useful indicators that do not. regudre. FDA. approval. These clonss are used: ID5-ER,. 636=PR. A485=HER2,. All. immunokinochemical. stains. are. used. with. formalin. or. molecular. fixed. paraffin. embedded. rissue. Detection. is. Envision. Method. Theresults. are. read. a. pathologist as positive or regative. As the attending pathologist, I attest that I: (i) Examined the relevant preparation(s). for the specimen(s); and (li) Rendered the diagnosis(es). Clinical History: None Provided. Operation Performed. Left breast lumpectomy with axillary node dissection. Pre Operative Diagnosis: Breast cancer, female. Specimen(s) Received: A: Left breast lump mass (1 sttich superior, 2 stitches lateral, 3 stitches deep). B: Left axillary contents. SURGICAL PATHOL Report. Gross Description: A. Received in formalin is a 180 gram 11.5 x 7.5 x 3.5 cm left lumpectomy specimen without wire guide. The specimen is. oriented with one stitch superior, two stitches lateral and three stitches deep. Resection margins are inked as follows: Superior blue, inferior green, medial red, lateral orange, deep black, anterior yellow. On serial section through the. specimen, there is a tan-white ill-defined indurated mass with infiltrating borders that measures 2.0 x 2.0 x 1.5 cm. This. mass is present at 0.6 cm from the anterior margin, 2.0 cm from the superior margin, 2.2 cm from the inferior margin, 2.4. cm from the deep margin, 3.8 cm from the lateral margin and 2.7 cm from the medial margin. An area of tan-white. fibrosis is present adjacent to the mass. This area measures 2.8 x 2.0 x 2.0 cm. No other lesions are identified. The breast. parenchyma has a fat to stroma ratio of 80-20. Sections submitted as follows: 1. Anterior margin (closest). 2. Inferior margin. 3. Superior and deep margin. 4. Lateral and deep margins. 5-8. Lesions submitted in toto. 9. Representative section of fibrotic area adjacent to lesion. B. Received in formalin is a segment of tan-yellow fibroadipose tissue, measuring 13.0 x 11.0 x 4.0 cm. Examination of the. specimen reveals multiple possible lymph nodes, measuring up to 2.4 cm. Sections submitted as follows: 1-7. One lymph node bisected per cassette. 8. Four lymph nodes per cassette. 9-12. Three lymph nodes per cassette. MD.

expanded version (tokens=2018) : 
 Histological classification: Invasive ductal carcinoma, micropapillary subtype; in situ ductal carcinoma, cribriform type.

Necrosis: Extensive necrosis present in the in situ ductal carcinoma, central (expansive "comedo" necrosis).

Tumor infiltrating lymphocytes: No mention in the report.

Histological grade: Moderately differentiated, Nottingham grade 2 for invasive ductal carcinoma; intermediate nuclear grade (DIN: 2) for in situ ductal carcinoma.

Nuclear grade: Score 2 for nuclear pleomorphism.

Lymphovascular invasion: Present in invasive ductal carcinoma.

Calcification: Not mentioned in the report.

Receptor status: Estrogen receptor positive (immunoreactive tumor cells present >1%); progesterone receptor positive (immunoreactive tumor cells present 1%); HER2 negative.

IHC and ancillary testing results: Immunohistochemical stains used with formalin or molecular fixed paraffin embedded tissue; detection is Envision method. Analyte specific reagents (ASRs) validated by the laboratory were used for some immunchistochemical antibodies. AJCC classification (7th ed) pT1c, pN1a, pMn/a.

Other information: Metastatic carcinoma present in one out of twenty-three lymph nodes examined, largest metastatic deposit is 2.5 mm. The resection margins are free of invasive carcinoma, closest margin is

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=2172) : 
 The breast pathology report shows an invasive ductal carcinoma of the micropapillary subtype with moderate differentiation and a Nottingham grade of 2. The in situ ductal carcinoma is of the cribriform type and has extensive central necrosis. A lymphovascular invasion is observed, and one out of twenty-three lymph nodes examined shows metastatic carcinoma. Estrogen receptor and progesterone receptor are positive, while HER2 is negative. AJCC classification is pT1c, pN1a, pMn/a.

