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 - RUN DATE. RUN TIME. Specimen Inquiry. RUN USER. LOC: U #. AGE/SX: ROOM: REG DR: BED: DIS: TLOC: SPEC # : RECD: PERFORMED A. COLL: TIME IN FORMALIN: CLINICAL INFORMATION: Pre-op Diagnosis: Right breast cancer. Remarks: Specimen (s) : A. Right breast needle localized lumpectomy. B. Axillary contents. C. Sentinel node. MICROSCOPICI DIAGNOSIS. A. RIGHT BREAST TISSUE, NEEDLE LOCALIZED LUMPECTOMY: INFILTRATING DUCTAL CARCINOMA. MODIFIED NOTTINGHAM HISTOLOGIC GRADE 3 OF 3: TUBULAR FORMATION SCORE 3 OF 3,. MITOTIC SCORE 3 OF 3 (10 MITOTIC FIGURES PER SQ MM). DUCTAL CARCINOMA IN SITU, HIGH-GRADE WITH SOLID PATTERN, NOT EXTENSIVE. INVASIVE TUMOR MEASURES 12 MM (pT1c). SURGICAL MARGINS FREE OF INVASIVE CARCINOMA WITH NEAREST MARGIN 3 MM, SUPERIOR. MARGIN. DUCTAL CARCINOMA IN SITU IS FOCALLY PRESENT AT SUPERIOR MARGIN. SEE COMMENT FOR SYNOPTIC REPORT. B. RIGHT AXILLARY CONTENTS, LYMPHADENECTOMY: NO TUMOR SEEN IN ANY OF TWO LYMPH NODES. c. RIGHT AXILLARY SENTINEL LYMPH NODES, LYMPHADENECTOMY: NO TUMOR SEEN IN ANY OF TWO LYMPH NODES. COMMENT (S). SURGICAL PATHOLOGY CANCER CASE SUMMARY - CAP APPROVED. Procedure: Excision with wire-guided localization. Lymph Node Sampling: Sentinel lymph node (s), axillary dissection. Special Laterality: Right. Histologic Type of Invasive Carcinoma : Invasive ductal carcinoma. Tumor Size: Greatest dimension of largest focus of invasion: 12. mm. Histologic Grade (Nottingham) : Glandular/Tubular Differentiation: Score 3. Nuclear Pleomorphism: Score 3. Mitotic Rate: Score 3. Overall Grade: Grade 3. RUN DATE : RUN TIME: Specimen Inquiry. RUN USER: PCI User: SPEC #: COMMENT (s). Tumor Focality: Single focus of invasive carcinoma. Ductal Carcinoma In Situ: DCIS is present. Margins: Invasive Carcinoma: Margins uninvolved by invasive. carcinoma. Distance from closest margin: 3 mm; superior. DCIS: Margins positive for DCIS; superior. Lymph Nodes: Number of sentinel lymph nodes examined: 2. Total number of lymph nodes examined (sentinel and. nonsentinel) : 4. 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) : 0. Number of lymph nodes with isolated tumor cells. 100.2 mm and <200 cells) : 0. Number of lymph nodes without tumor cells. identified: 4. Pathologic Staging: Primary Tumor: pT1c. Regional Lymph Nodes: pNO. Distant Metastasis: Not applicable. Ancillary Studies: ER: Negative (<1% of tumor cells with nuclear. positivity). PR: Negative (<1% of tumor cells with nuclear. positivity). Immunoperoxidase Studies: Negative (Score 1+). GROSS DESCRIPTION: The specimen is received in three parts. A. This specimen is received in the fresh state from the operating room for immediate. gross evaluation and consist of an excision of breast tissue which measures 8 x 6 x 4. cm. A needle is present in the specimen. I have applied ink to the margins as follows: yellow. is superior; blue is deep; black is anterior; red is inferior. Sections reveal a firm, tan. tumor measuring 12 mm located 4 mm from the nearest margin, the anterior margin. A. representative section of the tumor is submitted for tumor banking. Additional sectioning. reveals fibrotic tissue associated with the biopsy site nearer to the anterior margin. Fibrotic breast tissue is present near the inferior margin, also. Representative sections. are submitted as blocks Al through A6. B. This is a portion of adipose tissue which measures 4 x 4 x 2 cm. Two soft, tan and. yellow lymph nodes are present measuring up to 1.5 cm. The following sections are. submitted: B1. one lymph node totally submitted. B2,3 -. one lymph node totally submitted. C. This is a portion of adipose tissue which measures 3 x 3 x 1 cm. Within this are three. RUN DATE: RUN TIME: Specimen Inquiry. RUN USER. SPEC #. GROSS DESCRIPTION: (Continued). lymph nodes measuring up to 1 cm. One of the lymph nodes measuring 7 mm in grossly. suspicious for tumor containing a firm area measuring 3 mm. A second lymph node measures. 6. mm and contains a 6 mm area suspicious for metastatic tumor. A third lymph node measures 8. mm and is soft. The following sections are submitted: C1. one suspicious lymph node totally submitted. C2. second suspicious lymph node totally submitted. C3. unremarkable lymph node totally submitted. INTRAOPERATTVE CONSULTATION: IMMEDIATE GROSS EVALUATION A (LUMPECTOMY) : CARCINOMA PRESENT IN SPECIMEN. SURGICAL MARGINS APPEAR FREE OF TUMOR. TUMOR PROCESSED FOR TUMOR BANKING. (signature on file).

expanded version (tokens=1658) : 
 Histological classification: 
- Infiltrating ductal carcinoma
- Ductal carcinoma in situ, high-grade with solid pattern
- No tumor seen in axillary contents or sentinel lymph nodes

Histological grade: Modified Nottingham histologic grade 3 of 3, with tubular formation score 3 of 3, mitotic score 3 of 3 (10 mitotic figures per sq mm), and overall grade 3.

Nuclear grade: Score 3 for nuclear pleomorphism.

Lymphovascular invasion: No mention in the report.

Calcification: No mention in the report.

Receptor status: ER negative (<1% of tumor cells with nuclear positivity), PR negative (<1% of tumor cells with nuclear positivity), and HER2 negative (score 1+).

Ancillary testing results: Immunoperoxidase studies show negative receptor status. 

Other findings: 
- Surgical margins free of invasive carcinoma with nearest margin 3 mm, superior margin.
- Ductal carcinoma in situ is focally present at superior margin.
- Single focus of invasive carcinoma with no lymph node metastases.
- Primary tumor classified as pT1c.

The report describes an infiltrating ductal carcinoma with high-grade ductal carcinoma in situ and overall grade 3 histology. Receptor status is negative for ER, PR, and HER2. No lymphovascular invasion or calcification is mentioned, and there were no lymph node metastases. The surgical margins are

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=1791) : 
 The report describes a 12mm infiltrating ductal carcinoma with high-grade ductal carcinoma in situ and overall grade 3 histology. ER, PR, and HER2 receptor status is negative. No lymphovascular invasion or calcification is present and there were no lymph node metastases. Surgical margins are free of invasive carcinoma with nearest margin 3 mm, superior margin. Primary tumor classified as pT1c.

