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 - surgical Pathology Report. (Age. F. Pathologic Interpretation: A. SENTINEL NODE COUNT 0 AXILLA, FS: No malignancy seen in one lymph node (0/1). Immunohlstochemistry for keratin to follow. B. SENTINEL NODE COUNT 609 AXILLA, FS: No malignancy seen in one lymph node (0/1). Immunohistochemistry for keratin to follow. c. LEFT BREAST MASTECTOMY SINGLE SUTURE SUPERIOR, DOUBLE SUTURE MEDIAL: INVASIVE LOBULAR CARCINOMA, high nuclear grade, 7.0 cm (gross examination). Previous biopsy site. No lymphovascular invasion identified. Specimen margins are negative for tumor. See Tumor Summary. D. ADDITIONAL MASTECTOMY SKIN: No malignancy seen. Pathology Cancer Case Summary. Specimen: Total breast (Including nipple and skin). Procedure: Total mastectomy (including nipple and skin). Lymph Node Sampling: Sentinel lymph nodes. Specimen Integrity: Single intact specimen (margins can be evaluated). Specimen Laterality: Left. Tumor Site: Invasive Carcinoma: Upper outer quadrant. Central. Tumor Size: Size of Largest Invasive Carcinoma: Greatest dimension of largest focus of invasion over 0.1 cm: 7.0 cm. Tumor Focality: Single focus of invasive carcinoma. Macroscopic and Microscopic Extent of Tumor: Skln: Invasive carcinoma does not invade into the dermis or epidermis. Lobular Carcinoma in Situ (LCIS): Present. Histologic Type of Invasive Carcinoma: Invasive lobular carcinoma. Histologic Grade: Nottingham Histologic Score: Glandular (Acinar)/Tubular Differentiation. Score 3: < 10% of tumor area forming glandular/ubular structures. Nuclear Pleomorphism. Score 3: Vesicular nuclei, often with prominent nucleoli. exhibiting marked variation in size and shape,. occasionally with very large and bizarre forms. Mitotic Count. Score 1. Overall Grade: Grade 3: scores of 8 or 9. Margins: Margins uninvolved by invasive carcinoma. Lymph-Vascular Invasion: Not identified. Lymph Nodes: Number of sentinel lymph nodes examined: 2. Number of lymph nodes with macrometastases (> 0.2 cm): 0. Method of Evaluation of Sentinel Lymph Nodes: Hematoxylin and eosin (H&E), one level. Immunohistochemistry. Pathologic Staging (pTNM): Primary Tumor (pT): pT3: Tumor > 50 mm in greatest dimension. Regional Lymph Nodes (pN): pNO: No regional lymph node metastasis identified histologically. Distant Metastasis (pM): Not applicable. Anciliary Studies: Estrogen Receptor: Pending. Progesterone Receptor: Pending. HER2/neu: Pending. MOTE: Some anabodies are analyte specific reagents (ASRs) validated by our laboratory. These ASRs are chrecally usejui indicators that to not require FDA approval. These clones are used: IDS=ER, P8R 636=PR, A485=HER2, H-11=80PR. All staus are used with formalive or molecular fixed, paraffin embedded assue. Detection. resultsure rand by a. pathologist as positive or regative. As the cattending pathologist, I attest that I: (i) Examined the relevant preparation(s). for the specimen(s); and (ii) Rendered the diagnosis(es). Addendum Diagnosis. A. SENTINEL NODE COUNT 0 AXILLA: Immunohistochemistry for keratin is negative. B. SENTINEL NODE COUNT 609 AXILLA: Immunohistochemistry for keratin is negative. C. LEFT BREAST MASTECTOMY SINGLE SUTURE SUPERIOR, DOUBLE SUTURE MEDIAL: The tumor cell are positive for ER (>90%) and PR (>90%) and negative for HER2 (0+) by immunohistochemistry. Intraoperative Consultation. A. Sentinel node count 0 axilla, FS: No obvious malignancy. Final pending permanent section and perhaps IHC as original tumor was a lobular carcinoma. B. Sentinel node count 609 axilla, FS: No obvious malignancy. Final pending permanent section and perhaps IHC as original tumor was a lobular carcinoma. Clinical History: Biopsy proven multifocal carcinoma left breast. Please evaluate margins and if sentinel nodes are H&E (-), do serial sections and IHC. Operation Performed. Left total mastectomy, Sentinel node biopsy, possible axillary node dissection. Pre Operative Diagnosis: Infiltrating lobular carcinoma left breast. Specimen(s) Received: A: SENTINEL NODE COUNT 0 AXILLA, FS. B: SENTINEL NODE COUNT 609 AXILLA, FS. C: LEFT BREAST MASTECTOMY SINGLE SUTURE SUPERIOR, DOUBLE SUTURE MEDIAL. D: ADDITIONAL MASTECTOMY SKIN. Gross Description: A. Received fresh labeled "Sentinel node count 0 axilla" is a tan piece of tissue measuring 2.5 x 2.0 x 0.3 cm. Submitted in. toto in one cassette for frozen section. B. Received fresh labeled Sentinel node count 609 axilla" is a piece of soft tissue with areas of adipose tissue that. measures 3.0: 2.5x 0.4 cm. Submitted in toto in one cassette for frozen section. C. Received fresh labeled "Left breast mastectomy, single suture superior, double suture medial" is a one kelo left modified. radical mastectomy that measures 18.0 x 12.0 6.0 cm. There is a white skin ellipse that measures 7.0 x 3.0 cm and a. nipple that measures 1.8 cm in diameter. There are two sutures. The single suture is superior and the double suture is. medial. The specimen is inked in black. Upon sectioning, there are diffuse areas of white nodularities throughout the. parenchyma. There is a firm, white nodular lesion that extends 2.0 cm away from the lateral margin to the midline. It. measures 7.0 x 6.0 x 4.0 cm and it is 1.0 cm away from the deep margin, 4.0 cm from upper margin, 5.0 cm from the. lower margin. Adjacent to the upper pole of the lesion previously described, there is another irregular shaped lesion,. probably from a previous biopsy site that measures 6.0 x 5.0 x 3.0 cm. It is located 2.0 cm away from the superior. margin, 1.5 cm from the deeper margin, 5.0 cm from the inferior margin, 2.0 cm from the anterior margin. No other lesions are. grossly identified. There are 2/3 of stroma and 1/3 of adipose tissue. Sections submitted as follows: Cassette #1. Nipple. Cassettes #2-6. Several sections of tumor. Cassette #7. Sections of tumor in relation to the superior margin. Cassette #8. Deeper margin. Cassette #9. Portion of retro-areolar area. Cassettes #10&11. Superior inner quadrant. Cassettes #12&13. Inferior inner quadrant. Cassettes #14&15 Superior outer quadrant. Cassettes #16&17 Inferior outer quadrant. D. Received in formalin labeled "Additional mastectomy skin" is an irregular piece of skin tissue measuring 14.0 x 7.0x 1.2. cm. The specimen is white, pink and there were no abnormal lesions grossly identified. The specimen is not oriented. Representative sections are submitted in two cassettes.

expanded version (tokens=2098) : 
 Histological Classification: Invasive lobular carcinoma, high nuclear grade, size of largest invasive carcinoma is 7.0 cm, accompanied by Lobular Carcinoma in Situ (LCIS) and no lymphovascular invasion identified.

Subtype: Invasive lobular carcinoma

Description of any necrosis: N/A

Tumor infiltrating lymphocytes: Not mentioned

Histological grade: Nottingham Histologic Score: Glandular (Acinar)/Tubular Differentiation. Score 3: <10% of the tumor area forming glandular/ubular structures. Nuclear Pleomorphism. Score 3: Vesicular nuclei, often with prominent nucleoli. exhibiting marked variation in size and shape,. occasionally with very large and bizarre forms. Mitotic Count. Score 1. Overall Grade: Grade 3: scores of 8 or 9.

Nuclear grade: High grade

Lymphovascular Invasion: Not identified.

Calcification: Not mentioned

Receptor status: ER positive (>90%), PR positive (>90%), and negative for HER2 (0+)

IHC and any other ancillary testing results: Pending results for Estrogen Receptor, Progesterone Receptor, HER2/neu, and MOTE. Immunohistochemistry for keratin is negative in both sentinel nodes (0 axilla and 609 axilla). Pathologic Staging includes pT3: Tumor >50 mm in greatest dimension. Regional Lymph Nodes (

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=2238) : 
 The histological classification shows invasive lobular carcinoma with high nuclear grade and no lymphovascular invasion. Size of the largest invasive tumor is 7.0 cm, accompanied by Lobular Carcinoma in Situ (LCIS). Immunohistochemistry reveals ER and PR positive (>90%) and HER2 negative (0+). Sentinel nodes were negative for malignancy. Pending results for other receptor tests and MOTE with pathology staging of pT3.

