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 Basal, DIAGNOSIS. (A) RIGHT AXILLARY SENTINEL LYMPH NODE #1, BLUE,. BIOPSY: Rare cytokeratin positive cell (See comment). (B) RIGHT AXILLARY SENTINEL LYMPH NODE #2, BLUE,. , BIOPSY: One lymph node, negative for tumor. Cytokeratin immunohistochemical stain is negative for metastatic carcinoma. (C) RIGHT AXILLARY SENTINEL LYMPH NODE #3, BLUE, !. , BIOPSY: Rare cytokeratin positive cell (See comment). (D) RIGHT AXILLARY SENTINEL LYMPH NODE #4,. BIOPSY: Rare cytokeratin positive cell (See comment). (E) RIGHT AXILLARY SENTINEL LYMPH NODE #5, NOT BLUE,. I, BIOPSY: One lymph node, negative for tumor. Cytokeratin immunohistochemical stain is negative for metastatic carcinoma. (F) RIGHT AXILLARY SENTINEL LYMPH NODE #6, NOT BLUE,. , BIOPSY: One lymph node, negative for tumor. Cytokeratin immunohistochemical stain is negative for metastatic carcinoma. (G) RIGHT AXILLARY SENTINEL LYMPH NODE #7, NOT BLUE,. BIOPSY: One lymph node, negative for tumor. Cytokeratin immunohistochemical stain is negative for metastatic carcinoma. (H) RIGHT BREAST, SEGMENIAL MASTECTOMY: INVASIVE DUCTAL CARCINOMA WITH EXTENSIVE TUMOR NECROSIS, MODIFIED. BLACK'S NUCLEAR GRADE 3 (HIGH GRADE), NOTTINGHAM HISTOLOGIC GRADE 3, MEASURING 2.5 CM. IN GREATEST SINGLE DIMENSION. (SEE COMMENT). Margins widely free of tumor. Lymphovascular space invasion is not identified. Fibrocystic change including apocrine metaplasia, usual duct epithelial hyperplasia without atypia, and adenosis. Intraductal papilloma. (I) ADDITIONAL LATERAL MARGIN OF RIGHT BREAST, EXCISION: Fibrocystic change including adenosis and usual duct epithelial hyperplasia without atypia. Negative for tumor. COMMENT. In the lymph node samples designated A, C, and D, rare cytokeratin reactive cells are present. These cells do not bear any. resemblance to the patient's invasive tumor and are believed to represent non-specific immunoreactivity. Prognostic and predictive tumor markers have been previously reported, please refer to. : number. GROSS DESCRIPTION. (A) RIGHT AXILLARY SENTINEL LYMPH NODE #1, BLUE,. - Received fresh for frozen section is. light. blue. lymph node measuring 3.0 x 1.5 x 1.0 cm. Sectioned and entirely submitted in A1-A6. Entire lymph node is submitted. for frozen section. FS/DX: ONE LYMPH NODE, NEGATIVE. (B) RIGHT AXILLARY SENTINEL LYMPH NODE #2, BLUE, FOR FROZEN SECTION,. - Received is. a single lymph node measuring 1.2 x 0.8 x 0.6 cm. Cut surface is light blue. Sectioned and entirely submitted. in. blocks. B1,. B2. FS/DX: ONE LYMPH NODE, NEGATIVE. (C) RIGHT AXILLARY SENTINEL LYMPH NODE #3, BLUE,. - Received is a single lymph node, for. frozen section measuring 0.8 x 0.6 cm. Cut surface is light tan. Bisected and entirely submitted for frozen section in C. FS/DX: ONE LYMPH NODE, NEGATIVE. (D) RIGHT AXILLARY SENTINEL LYMPH NODE #4,. - Received for frozen section is a single lymph. node measuring 0.8 x 0.7 cm. Cut surface is light tan. Bisected and entirely submitted in D, for frozen section. FS/DX: ONE LYMPH NODE, NEGATIVE. (E) RIGHT AXILLARY SENTINEL LYMPH NODE #5, NOT BLUE,. - Received is a single light brown. lymph node measuring 0.8 x 0.6 cm. Bisected and entirely submitted for frozen section in E. FS/DX: ONE LYMPH NODE, NEGATIVE. (F) RIGHT AXILLARY SENTINEL LYMPH NODE #6, NOT BLUE,. - Received for frozen section is a. single light brown lymph node measuring 0.7 x 0.4 cm. Bisected and entirely submitted for frozen section in cassette F. FS/DX: ONE LYMPH NODE, NEGATIVE. (G) RIGHT AXILLARY SENTINEL LYMPH NODE #7, NOT BLUE,. - Received for frozen section is a. single light brown lymph node measuring 1.0 x 0.7x 0.7 cm. Sectioned and entirely submitted in cassette G for frozen section. FS/DX: ONE LYMPH NODE, NEGATIVE. (H) RIGHT BREAST SEGMENTAL MASTECTOMY, SHORT SUPERIOR, LONG LATERAL - Received for immediate. intraoperative evaluation is a single fragment of a breast tissue measuring 7.0 x 6.0 x 3.7 cm. The surgical margin is inked. Sectioned from medial to lateral aspects producing six slices. The cut surface of slices 3, 4 and 5 shows a well to ill-defined. indurated light gray tumor measuring 2.5 x 2.2 x 2.0 cm. Grossly, it is 0.5 cm from the lateral surgical margin at inferior aspect, 1.8. 2.0. from. the. deep. surgical. margin,. 1.5. cm. from. the. anterior. surgical. margin. and. 2.0. cm. from. cm. from. inferior. surgical. margin,. cm. the. superior. surgical margin and 1.0 cm from the medial surgical margin. The rest of the tissue is fatty. Representative sections. are submitted. SECTION CODE: H1, perpendicular sections of the lateral surgical margin at the inferior aspect; H2, perpendicular. sections of the lateral surgical margin, midportion; H3, slice #5, superior aspect of the tumor; H4, slice #5, tissue superior to the. tumor including superior surgical margin; H5, slice #5, inferior portion of the tumor; H6, slice #5, tissue inferior to the tumor, slice. #5 including inferior surgical margin; H7, posterior aspect of the tumor, slice #5; H8, slice #5, tissue posterior to the tumor. including posterior surgical margin; H9, slice #5, anterior surgical margin; H10, H11, slice #4, superior aspect of the tumor, mirror. images; H12, H13, slice #4, inferior aspect of the tumor, mirror images; H14, slice #4 anterior surgical margin; H15, slice #4,. inferior surgical margin; H16, slice #4, superior surgical margin; H17, slice #3, dissection of the tumor; H18, slice #2, tissue. medially. to. the tumor; H19, perpendicular sections of medial surgical margin. A small amount of tumor is submitted to tumor bank. (I) ADDITIONAL LATERAL MARGIN OF RIGHT BREAST, CLIPS MARKS TRUE MARGIN - A fragment of breast tissue with clips. indicating. new. margin measuring 7.2 x 2.5 x 0.9 cm. New surgical margin is inked. The cut surface is fibrofatty. Representative. sections is entirely submitted in cassettes I-17. CLINICAL HISTORY. Right breast cancer. SNOMED CODES. T-04050, M-85003, M-85002, M-H0310. "Some tests reported here may have been developed and performance characteristics determined by. These tests have not been. specifically cleared or approved by the U.S. Food and Drug Administration.".

expanded version (tokens=2141) : 
 The breast pathology report reveals the following information:

Histological classification: Invasive ductal carcinoma with extensive tumor necrosis
Subtype: Basal
Description of necrosis: Extensive tumor necrosis
Tumor infiltrating lymphocytes: Not mentioned
Histological grade: Black's nuclear grade 3 (high grade), Nottingham histologic grade 3
Nuclear grade: 3
Lymphovascular invasion: Not identified
Calcification: Not mentioned
Receptor status: Not mentioned
Ancillary testing results: Rare cytokeratin positive cells found in the axillary sentinel lymph nodes A, C, and D. These cells do not resemble the patient's invasive tumor and are believed to represent non-specific immunoreactivity. Prognostic and predictive tumor markers have been previously reported.

Other findings: Fibrocystic change including apocrine metaplasia, usual duct epithelial hyperplasia without atypia, and adenosis were observed, as well as an intraductal papilloma. In an additional lateral margin of the right breast excision, there was fibrocystic change including adenosis and usual duct epithelial hyperplasia without atypia. The margins were widely free of tumor. 

The SNOMED codes associated with the diagnosis are T-04050, M-85003, M-85002, M-H0310. Note that the report includes a disclaimer that some tests reported may not have been specifically cleared or approved

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=2303) : 
 Breast pathology report reveals invasive ductal carcinoma with extensive tumor necrosis of basal subtype, histological grade 3. No lymphovascular invasion or calcification noted. Rare cytokeratin positive cells found in axillary sentinel lymph nodes A, C and D, but not resembling the invasive tumor, thus considered non-specific immunoreactivity. Fibrocystic change including adenosis and usual duct epithelial hyperplasia without atypia observed in additional lateral margin of right breast excision. Patient's receptor status remains unspecified while predictive tumor markers have been previously reported.

