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 LumB, Specimen Inquiry. LOC: AGE/SX. ROOM: Ret. REG DR: BED: DIS. TLOC: SPEC # : COLL. TIME IN FORMALIN: 100:36. hrs. CLINICAL INFORMATION: Pre-Op Diagnosis: Left breast cancer. Remarks. Specimen (s) : Left breast tissue. MICROSCOPIC DTAGNOSIS. LEFT BREAST TISSUE: INVASIVE DUCTAL CARCINOMA. SEE COMMENT FOR DETAILS. COMMENT(S. PROTOCOL FOR EXAMINATION OF SPECIMENS WITH INVASIVE CARCINOMA OF THE BREAST. BASED ON AJCC/UICC TNM 7TH EDITION. The following classifications should be adjusted based on additional operative and clinical. information. PROCEDURE. Not specified. LYMPH NODE SAMPLING. Not identified. SPECIMEN LATERALITY: Left. HISTOLOGIC TYPE: Invasive ductal carcinoma. TUMOR SIZE: 5.5 cm. NOTTINGHAM HISTOLOGIC SCORE. Tubular differentiation: Score 3. Nuclear pleomorphism: Score 3. Mitotic rate: Score 3. Overall grade Grade 3. TUMOR FOCALITY. Multiple foci of invasive carcinoma. DUCTAL CARCINOMA IN SITU: Not identified. EXTENT OF TUMOR: Skin: Invasive carcinoma directly invades into the. dermis and epidermis with satellite nodules. Nipple: Paget's disease of nipple. Skeletal muscle: Skeletal muscle not identified. MARGINS: Margins uninvolved by invasive carcinoma. Distance from closest margin 1.2 cm inferior skin. PATHOLOGIC STAGING: Primary tumor pT4b. Regional lymph nodes: pNX. Distance metastasis: Not applicable. RUN DATE : RUN TIME : Specimen Inquiry. RUN USER. SPEC #: GROSS DESCRIPTION: Received fresh for Tissue Banking. labeled with the patient's name and designated "left. breast". Received with two inserted needle localization wires is a 586 gram. 21.0 x 14.0 x. 4.5 cm fibrofatty breast. The breast is received with an overlying 20.5 x 12.0 cm skin. ellipse. The skin is tan/white and mottled with an eccentric, lateral 9.0 x 8.0 cm areola. and indurated 1.5 cm nipple. There are focal pigmented papules on the skin surface. The. breast has been oriented with a short suture at one pole of the skin ellipse designating. modial. a short double suture designating superior and a double long suture designating. deep. The deep margin will be inked blue with the superior margin inked black. the inferior. margin inked red, medial is inked yellow and lateral green The skin surface has an. indurated 8.0 x 2.5 cm area extending medial from the nipple. There are focal skipped. areas on this lesion with the medial most lesion being 1.5 cm at the medial pole. Sectioning of these indurated areas shows tumor associated with the skin. The tumor inferior extends. from beneath the nipple medially with the medial most lesion being 1.2 cm from. the. skin odge and approximately 2.2 cm from the medial pole of the skin. No additional areas of. induration extend close to the skin margin The breast is serially sectioned from medial. to lateral to have a tumor mass extending across the breast for approximately 5.0 cm. The. mass extends from the lateral aspect beneath the nipple medially where it goes from being 3.0. approximately 1.0 cm in thickness to 2.5 cm. The tumor extends and becomes 5.5 x 5. 0 x. cm and comes within 2.5 cm of the nearest deep margin The tumor is 3.0 cm from inferior. is. approximately 4.5 cm from superior. is 3.0 cm from modial and is approximately 6 cm from. lateral with the skin lesion coming within 4.5 cm of lateral. The parenchyma is glistening. yellow and fatty with scant white fibrous tissue. The white fibrous tissue makes up less. than 10% of the parenchyma. The tumor predominantly involves the central medial aspect of. the breast. Representative sections are sampled as labeled in the following cassettes: 1. nipple trisected. 2. en face section of areola where nipple has been removed. sections with darker papules to include section with subcutaneous tumor. adjacent to nearest inferior medial margin. 4-5. additional sections of subcutaneous tumor. 6. sections extending lateral and medial from the area where the nipple has. been removed. 7. lateral most extension of tumor to include overlying skin. 8. nearest deep margin. 9-11 -. near full cross sections of largest area of tumor sampled. 12. upper/outer quadrant sampled. 13. lower/outer quadrant sampled. 14. upper/inner quadrant sampled. 15. lower/inner quadrant sampled. PHOTO DOCUMENTATION. Image. (signature on file).

expanded version (tokens=1517) : 
 Based on the breast pathology report, the following information can be extracted:

1. Histological classification: Invasive ductal carcinoma.

2. Subtype: LumB.

3. Necrosis: There is no mention of necrosis in the report.

4. Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

5. Histological grade: Nottingham histologic score (tubular differentiation, nuclear pleomorphism, mitotic rate) was determined to be grade 3.

6. Nuclear grade: There is no mention of nuclear grade in the report but the Nottingham histologic score determines the grade to be 3.

7. Lymphovascular invasion: There is no mention of lymphovascular invasion in the report.

8. Calcification: There is no mention of calcification in the report.

9. Receptor status: There is no mention of receptor status in the report.

10. IHC and ancillary testing results: There is no mention of any IHC or ancillary testing results in the report.

Some other important details mentioned in the report are:

1. Tumor size: The tumor size is reported to be 5.5 cm.

2. Focality: Multiple foci of invasive carcinoma were identified.

3. Extent of tumor: The tumor has directly invaded the dermis and epidermis of the skin with satellite nodules. Paget's disease of the nipple was identified.

4. Marg

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=1676) : 
 Report: The left breast tissue specimen shows invasive ductal carcinoma with foci of multiple lesions. Nottingham histologic score assigns grade 3. No lymphovascular invasion observed. The tumor invaded the dermis, epidermis, and nipple and has a size of 5.5 cm. Receptor status, nuclear grade, and IHC details are unavailable in the report. No calcification or tumor infiltrating lymphocytes reported. Margins were uninvolved by invasive carcinoma except for 1.2 cm near inferior skin margin from closest margin.

