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. x. x. Pathologic Interpretation: A. SENTINEL NODE #1. METASTATIC CARCINOMA to one lymph node (1/1). Largest tumoral deposit is 1mm. NOTE: Metastatic deposit is not identified in frozen section slide. B. SENTINEL NODE #2. Negative for carcinoma, one lymph node (0/1). C. SENTINEL NODE #3. Negative for carcinoma, one lymph node (0/1). D. RIGHT BREAST MASS: INVASIVE DUCTAL CARCINOMA, poorly differentiated, Nottingham grade 2 (3+2+2=7), 2.0 cm. Surgical resection margins are negative for invasive carcinoma; the closest one is the anterior at 6mm. DUCTAL CARCINOMA IN SITU, intermediate grade, solid and cribriform type with necrosis and retrolobular. involvement present in five out of 15 slides examined. Surgical resection margins are negative for in situ carcinoma; the closest one is the anterior at 10 mm. Lymphovascular invasion is identified. INVASIVE CARCINOMA OF THE BREAST: Complete Excision (Less Than Total Mastectomy, Including. Specimens. Designated Biopsy, Lumpectomy, Quadrantectomy, and Partial Mastectomy With or Without Axillary. Contents) and. Mastectomy (Total, With or Without Axillary Contents; Modified Radical; Radical). Procedure. Excision without wire-guided localization. Lymph Node Sampling. Sentinel lymph node(s). Specimen Laterality. Right. Tumor Site: Invasive Carcinoma. Upper outer quadrant. Histologic Type of Invasive Carcinoma. Invasive ductal carcinoma (no special type or not otherwise specified). Tumor Size: Size of Largest Invasive Carcinoma. Greatest dimension of largest focus of invasion >1 mm: 20 mm. Additional dimensions: 15.0 x 10.0 mm. Histologic Grade: Nottingham Histologic Score. Glandular (Acinar)/Tubular Differentiation. Score 3: <10% of tumor area forming glandular/tubular structures. Nuclear Pleomorphism. Score 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and. shape. Mitotic Rate. Score 2 (4-7 mitoses per mm2). Overall Grade. Grade 2: scores of 7. Tumor Focality. Single focus of invasive carcinoma. Ductal Carcinoma In Situ (DCIS). DCIS is present. Size (Extent) of DCIS. Present in five out 15 slides examined. Architectural Patterns (select all that apply). Cribriform. Nuclear Grade (see Table 2). Grade Il (intermediate). Necrosis. Present, focal (small foci or single cell necrosis). Lobular Carcinoma In Situ (LCIS). Not identified. Margins. Invasive Carcinoma. Margins uninvolved by invasive carcinoma. Distance from closest margin: 6 mm. Specify margin: Anterior. DCIS. Margins uninvolved by DCIS. Distance from closest margin: 10 mm. + Specify margin: Anterior. Lymph Nodes. Number of sentinel fymph nodes examined: 3. Total number of lymph nodes examined (sentinel and nonsentinel): 3. Number of lymph nodes with macrometastases (>2 mm): 0. Number of lymph nodes with micrometastases (>0.2 mm to 2 mm and/or >200 cells): 1. Number of lymph nodes without tumor cells identified: 2. Extranodal Extension. Not identified. Method of Evaluation of Sentinel Lymph Nodes. Hematoxylin and eosin (H&E), 1 level. Immunohistochemistry pending. Lymph-Vascular Invasion. Not identified. Pathologic Staging (based on information available to the pathologist) (pTNM). Primary Tumor (Invasive Carcinoma) (pT). pT1c: Tumor >10 mm but <20 mm in greatest dimension. Regional Lymph Nodes (pN). Modifier. (sn): Only sentinel node(s) evaluated. Category (pN). pN1mi: Micrometastases (greater than 0.2 mm and/or more than 200 cells, but none greater than 2.0. mm). Distant Metastasis (pM). Not applicable. Ancillary Studies. Performed on another specimen. Specify specimen (accession number): xx. Estrogen Receptor (ER). Results and interpretation: Positive Immunoreactive tumor cells present. Quantitation: 50%. Progesterone Receptor (PgR). Results and interpretation: Positive Immunoreactive tumor cells present. Quantitation: 50%. HER2 (results for invasive carcinoma performed on this specimen or a prior core needle biopsy or incisional biopsy). Immunoperoxidase Studies. Positive (Score 3+). Preliminary AJCC Classification (7th Edition): pT1c pN1mi pMn/a. (Final classification pending evaluation of keratin immunostain on sentinel nodes). Procedures/Addenda. Addendum. Date Complete: Addendum Diagnosis. Parts B-C: Immunohistochemistry for keratin is negative. Final AJCC Classification: pT1c pN1mi pMn/a. Intraoperative Consultation: A. SENTINEL NODE #1 ( ), FS: Negative lymph node. B. SENTINEL NODE #2 ( ), FS: Negative lymph node. C. SENTINEL NODE #3 ( ), FS: Negative lymph node. Reported to OR at. XX, MD. Clinical History: Not provided. Operation Performed: Right breast lumpectomy with sentinel node biopsy. Pre Operative Diagnosis: Right breast carcinoma. Specimen(s) Received/Processing Information: Fee Codes: A: A: SENTINEL NODE #1 (. ), FS Frozen section x 1, FS Perm x. 1. B: C: B: SENTINEL NODE #2 (. ), FS Frozen section x 1, FS Perm x 1, Cytokeratin Cocktail. (KER) x 1. D: C: SENTINEL NODE #3 (. 1, FS Frozen section x 1, FS Perm x 1, FSDeep 1 x 1,. Cytokeratin Cocktail (KER) x. 1. D: RIGHT BREAST MASS (1 STITCH SUPERIOR, 2 STITCHES LATERAL, 3 STITCHES. DEEP) H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1,. H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x. 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E. Gross Description: A. Specimen is received fresh and labeled "Sentinel node #1 (. FS". The specimen consists of one lymph. node measuring 1.6 x 0.9 x 0.4cm. Specimen is bisected and submitted in toto for frozen section. B. Specimen is received fresh and labeled "Sentinel node #2 ( ), FS". The specimen consists of one lymph. node measuring 1.3 x 0.9 x 0.3 cm. Specimen is bisected and submitted in toto for frozen section. C. Specimen is received fresh and labeled "Sentinel node #3 ( ), FS". The specimen consists of one lymph. node measuring 1.1 x 0.6 x 0.3 cm. Specimen is bisected and submitted in toto for frozen section. D. Specimen is received in formalin and labeled "Right breast mass (1 stitch superior, 2 stitches lateral, 3. stitches deep". The specimen consists of an 8.0 x 8.0 x 4.0 cm lumpectomy specimen, oriented with one. stitch at superior, two stitches as lateral and three stitches as deep. The specimen is inked for evaluation of margins: Posterior black. Anterior yellow. Superior blue. Inferior green. Lateral orange. Medial red. Serial sections are white-gray, ill-defined and firm. A mass is identified measuring 2.0 x 1.5 x 1.0 cm; the. mass is 1.0 cm from the superior margin, 2.0 cm from the inferior margin, 1.0 cm from the anterior margin,. 3.0 cm from the lateral margin, 1.5 cm from the medial margin and 1.0 cm from the deep margin. The. remainder of the specimen consists of yellow-white adipose tissue. No other lesions are identified. 90% of. the mass was submitted for microscopic examination. Representative sections are submitted as follows: Cassette #1. Superior margin perpendicular. Cassette #2. Inferior margin perpendicular. Cassette #3. Lateral margin perpendicular. Cassette #4. Medial margin perpendicular. Cassette #5. Anterior margin perpendicular. Cassette #6. Deep margin perpendicular. Cassettes #7-10. Mass and breast tissue adjacent. Cassettes #11-15. Other areas.

expanded version (tokens=2414) : 
 - Histological classification: Invasive ductal carcinoma, poorly differentiated (Nottingham grade 2), with ductal carcinoma in situ (DCIS), intermediate grade, solid and cribriform type with necrosis and retrolobular involvement present in five out of 15 slides examined.

- Subtype: Luminal A.

- Necrosis: Present in the DCIS component, described as focal (small foci or single cell necrosis).

- Tumor infiltrating lymphocytes: Not identified.

- Histological grade:
  - Nottingham histologic score:
    - Glandular (acinar)/tubular differentiation: Score 3 (<10% of tumor area forming glandular/tubular structures).
    - Nuclear pleomorphism: Score 2 (cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape).
    - Mitotic rate: Score 2 (4-7 mitoses per mm2).
    - Overall grade: Grade 2 (scores of 7).

- Nuclear grade: Grade Il (intermediate).

- Lymphovascular invasion: Identified.

- Calcification: Not mentioned.

- Receptor status:
  - Estrogen receptor (ER): Positive immunoreactive tumor cells present, with a quantitation of 50%.
  - Progesterone receptor (PgR): Positive immunoreactive tumor cells present, with a quantitation of 50%.
  - HER2: Positive

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=2579) : 
 Right breast cancer specimen contains invasive ductal carcinoma poorly differentiated, size of largest focus of invasion >1 mm is 20mm, ductal carcinoma in situ present in five out of 15 slides examined, and lymphovascular invasion identified. Nottingham histologic score documented "Glandular (acinar)/tubular differentiation" score 3, "Nuclear pleomorphism" score 2, and "Mitotic rate" score 2 indicating intermediate nuclear grade. Both estrogen and progesterone receptors are positive with a quantitation of 50%. HER2 is positive.

