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, RUN DATE: RUN TIME. RUN USER: LOC: AGE/SX: ROOM: REG DR: BED: SPEC # : RECD: COLL: TIME IN FORMALIN: hrs. COLD ISCHEMA TIME: mins. CLINICAL INFORMATION: Pre-Op Diagnosis: Remarks: Specimen (s) : Left breast, stitch left axillary apex. MICROSCOPIC DIAGNOSIS. LEFT BREAST, SKIN-SPARING RADICAL MASTECTOMY: INVASIVE DUCTAL CARCINOMA, HIGH GRADE. NOTTINGHAM HISTOLOGIC SCORE. - GLANDULAR/TUBULAR DIFFERENTIATION SCORE 3. - NUCLEAR PLEOMORPHISM SCORE 3. - MITOTIC RATE SCORE 2. - OVERALL GRADE 3 (8 OF 9). MARGINS UNINVOLVED BY INVASIVE CARCINOMA. CARCINOMA IS 5.5 MM FROM THE CLOSEST MARGIN (POSTERIOR MARGIN). MINUTE FOCUS OF HIGH-GRADE DCIS PRESENT WITHIN AREA OF CARCINOMA (1 MM IN SIZE). LYMPH-VASCULAR INVASION IDENTIFIED. METASTATIC CARCINOMA INVOLVING TWO (2) OF ELEVEN (11) LYMPH NODES (2/11). LARGEST TUMOR DEPOSIT IS 14.5 MM. EXTRACAPSULAR EXTENSION IDENTIFIED. SEE SYNOPTIC REPORT. COMMENT(S). SURGICAL PATHOLOGY CANCER CASE SUMMARY - APPROVED BY. PROCEDURE: Total mastectomy, skin sparing. LYMPH NODE SAMPLING: Axillary dissection. SPECIMEN LATERALITY. Left. TUMOR SITE: Upper outer quadrant. HISTOLOGIC TYPE OF INVASIVE. CARCINOMA: Invasive ductal carcinoma. TUMOR SIZE: Greatest dimension of largest focus of invasion. 25 mm. Additional dimensions: 22 x 20 mm. HISTOLOGIC GRADE (NOTTINGHAM. HISTOLOGIC SCORE) : Glandular/tubular differentiation : score 3. Nuclear pleomorphism: score 3. RUN DATE: RUN TIME. RUN USER: SPEC #: COMMENT (S). Mitotic rate: score 2. Overall grade: grade 3. TUMOR FOCALITY: Single focus of invasive carcinoma. DUCTAL CARCINOMA IN SITU: DCIS is present. Estimated size of DCIS 1 mm. Architectural pattern: comedo. Nuclear grade: grade III. Necrosis: present, central. LOBULAR CARCINOMA IN SITU: Not identified. MARGINS. Invasive carcinoma : Margins uninvolved by invasive carcinoma. Distance from closest margin: 5.5 mm. posterior. DCIS: Margins uninvolved by DCIS. LYMPH NODES: Number of sentinel lymph nodes examined : 0. Total number of lymph nodes examined: 11. Number of lymph nodes with macrometastases: 2. Number of lymph nodes with ITC: 0. Size of largest metastatic deposit: 14.5 mm. Extranodal extension : present. Method of evaluation of sentinel lymph nodes. H&E. multiple levels. LYMPH-VASCULAR INVASION: Present. DERMAL LYMPH-VASCULAR INVASION: Not identified. PATHOLOGIC STAGING: Primary tumor pT2. Regional lymph nodes: pN1a. Distant metastasis: not applicable. ANCILLARY STUDIES: (RESULTS FROM CASE -. Estrogen Receptor positive (99% of tumor cells. with nuclear positivity). Progesterone Receptor: positive (99% of tumor. cells with nuclear positivity. Her2/neu: Immunoperoxidase studies negative (1+). GROSS DESCRIPTION: Received fresh is a skin-sparing left radical mastectomy weighing 756 grams and measuring. 27 cm from medial to the axillary tail. 18 cm from superior to inferior. and 2.5 cm. anterior to posterior. There is a linear portion of skin including nipple measuring 9 x. 2.1 cm. A mass is palpated in the lower portion of the upper outer quadrant . The deep. margin underlying this tumor is inked black. and the anterior margin is inked blue. A cut. is made from the posterior side. and a portion of tumor is given to the Tumor Bank. The. tumor measures 2.5 x 2.2 x 2.0 cm. It is firm with focal areas of hemorrhage. There is an. adjacent vell-circumscribed tan-white soft. freely mobile area measuring up to 4.5 cm in. greatest dimension. The carcinoma measures 0.8 cm from the posterior black-inked margin. and 0.9 cm from the anterior blue-inked margin. The other margins are greater than 3 cm. RUN DATE. RUN TIME: RUN USER: SPEC #. GROSS DESCRIPTION: (Continued). from the tumor including the nipple. The remainder of the breast is serially sectioned to. reveal no additional masses, cysts or other gross abnormalities There is a fat to fibrous. ratio. of up to 50:50. The most fibrotic areas are closest to the lateral quadrants,. particularly the upper outer quadrant . The detached axillary tail itself measures 13.2 x. 5.5 x 2.6 cm. Serial section reveals multiple lymph nodes, the largest of which measures. 2.2 x 1.5 x 1 cm. Sections are as follows: tumor as it most closely approximates the anterior margin. 2. tumor as it most closely approximates the posterior margin. 3. additional representative section of tumor. 4. representative section of fibrotic area adjacent to tumor. 5. representative section of nipple. 6-7. additional representative sections of very fibrotic areas in the. lateral quadrant. 8. representative sections of the medial quadrants. 9-10. multiple lymph nodes. 11-12. one lymph node each, bisected. PHOTO IXICUMENTATION. (signature on file).

expanded version (tokens=1737) : 
 Histological Classification:
- Invasive Ductal Carcinoma, high grade
- Minute focus of High-grade DCIS present within area of carcinoma
- Subtype LumA

Subtype Details:
- LumA subtype

Necrosis:
- Necrosis present, central

Tumor Infiltrating Lymphocytes:
- Not mentioned

Histological Grade:
- Nottingham Histologic Score: Overall Grade 3 (8 of 9)
- Glandular/tubular differentiation score 3
- Nuclear pleomorphism score 3
- Mitotic rate score 2

Lymphovascular invasion:
- Identified

Calcification:
- Not mentioned

Receptor Status:
- Estrogen receptor positive (99% of tumor cells with nuclear positivity)
- Progesterone receptor positive (99% of tumor cells with nuclear positivity)
- Her2/neu negative (1+)

Ancillary Testing Results:
- Distance from closest margin: 5.5 mm
- Lymph node involvement: Metastatic carcinoma involving two (2) of eleven (11) lymph nodes
- Largest tumor deposit size is 14.5 mm
- Extranodal extension identified
- Estrogen receptor positive (99% of tumor cells with nuclear positivity)
- Progesterone receptor positive (99% of tumor cells with nuclear positivity)
- Her2/neu negative (1+)

Other details:
- Surgical pathology cancer case summary approved by
- Total mastectomy, skin

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=1907) : 
 The pathology report confirms Invasive Ductal Carcinoma, high grade with minute focus of high-grade DCIS in a skin-sparing left radical mastectomy. Lymphovascular invasion is identified along with 2/11 lymph nodes metastasis and extranodal extension. Receptor status is estrogen and progesterone positive while HER2/neu is negative. The overall histologic grade is 3 (8 of 9). The tumor had a subtype LumA and centrally located necrosis. Margins were uninvolved by carcinoma but carcinoma distance from closest margin was 5.5 mm.

