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 Normal, FINAL PATHOLOGIC DIAGNOSIS. Left simple mastectomy and sentinal node biopsy: A. Sentinal lymph node #1: -One lymph node, no tumor (0/1). B. Sentinel lymph node #2: -One lymph node, no tumor (0/1). C. Left breast (mastectomy): -Intraductal apocrine ductal carcinoma with lobular cancerization and rare. foci of. invasion (largest focus 3mm), associated with large area of recent. hemorrhage (5 cm),. see below. -Separate mass of intraductal and infiltrating ductal carcinoma (2.5 cm). inferior to hemorrhagic region. -Small intraductal papilloma, sclerosing adenosis and radial scar lesion. -Calcifications in vessel walls. -Nipple, no tumor. Breast Pathologic Parameters. 1. Intraductal carcinoma: A. Size: Gross measurement: 5 cm. B. Type: Comedo, solid, apocrine. C. Nuclear grade: High. (Modified Lagios Grading Scheme). D. Associated features: Necrosis, Cancerization of lobules. 2. Invasive carcinoma: A. Size: Gross measurement: 1.0 x 1.0 x 0.6 cm. B. Composite histologic (modified SBR) grade: III. - Architecture: 3. - Nuclear grade: 3. - Mitotic count: 2. C. Associated ductal carcinoma in situ (DCIS): - Within main mass (forming 50 % of tumor volume). - Extending away from main mass. 3. Excisional biopsy margins: Free of tumor. Margins greater than 2mm away. 4. Blood vessel and lymphatic invasion: Absent. 5. Axillary lymph nodes: Negative for tumor (0/2). 6. Special studies. -No expression of ER in invasive tumor nuclei. -No expression of PR in invasive tumor nuclei. -Her2/neu antigen (FISH): Pending. 7. pTNM: pT2,N0,MX. Clinical History: This is a. year-old female with history of a right papilloma. A screening. mammogram in. showed suspicious densities with calcifications in. the left outer quadrant. By exam showed a 1.5 cm quasi suspicious mass at. 4-5:00, 3 cm outside the areola margin on the left breast. , she had a. FNA of the left breast showing carcinoma. On. 1 breast MRI on the. left showed an outer quadrant 4.7 x 3.2 x 3.3 cm enhanced mass with three. additional suspicious foci: one anterior and superior to the index mass, one. adjacent to the nipple, and one suspicious focus at 12 o'clock. The patient. undergoes a left breast sentinel node biopsy and simple mastectomy. Specimens Received: A: Sentinel Node #1. B: Sentinel Node #2. C: Left Breast Mastectomy with Sentinel Node Biopsies. Gross Description: The specimens are received in three containers each labeled with the patient' S. name and medical record number. A. Container A is further designated 31. sentinel node #14. Received for. frozen section diagnosis is a 1.8 x 1.2 x 0.5 cm rubbery portion of yellow,. lobulated tissue with blue discoloration. It is read as 3one lymph node,. negative for carcinoma4 by. The specimen is entirely submitted as. A1FS. B. Container B is further designated 32. sentinel node #24. Received for. frozen section diagnosis is a 1.5 x 0.8 x 0.8 cm portion of pink-tan rubbery. tissue consistent with a lymph node. It is bisected and read as 3one lymph. node, negative for carcinoma4 by. The specimen is entirely submitted. in cassette BIFS in a mesh bag. C. Container C is further designated 33. left breast mastectomy with sentinel. node biopsies4. Received fresh and placed in formalin is a 975 gm, 39 X 18 x 6. cm mastectomy specimen with an ellipse of white-tan skin with blue discoloration. (27 X 11.2 cm), areola (4.7 x 4.5 cm), and nipple (1.2 x 1.0 x0.4 cm). The. specimen is oriented as follows: short suture superior, long suture lateral. The deep margin is inked black and the specimen is serially sectioned into 13. slices from lateral (slice #1) to medial revealing a 5 x 5.5 x 4 cm ecchymotic. area in the lower lateral quadrant located in slices #4-7. There is a. well-circumscribed, firm, white mass measuring 2.5 x 1.7 x 1.5 cm in slice #5,. 5.5 cm from the deep margin. It is located inferior to the ecchymotic region. At 2-3 o'clock adjacent to the firm mass is an ill-defined, gritty, indurated. area primarily in slices #7 and #8. It extends superomedially with a span of 5.0. X 3.5 x 2.0 cm and is located 2.5 cm from the deep margin. Note: slices #7 and. #8 contain the nipple and areola region. Cassette SummaryCl: nipple. C2-C4: areola, serially sectioned. C5: section of the main mass in slice #5 with respect to closest distant. from deep margin. C6-C7: one representative section immediately superior and anterior to the. main lesion from slice #5. C8: section of hematoma from slice #5 anterior and medial to the main lesion. C9: section of hematoma from slice #6, directly medial to the main lesion. C10: section 2 cm superior, anterior, and medial to the main lesion from. slice #7. C11: representative sections from slice #8, representing ill-defined,. gritty, firm tissue. C12-C13: section from slice #7 also representing ill-defined, gritty, firm. tissue. C14: another section from slice #7 immediately inferior to the section. C12-C13. C15-C16: section from 12 o'clock on section #8. C17-C18: sections from slice #9. C19: another representative section from section #9. C20-C21: lateral upper quadrant from slices #3-4, respectively. C22-C23: lateral lower quadrant from slices #2 and #3, respectively. C24-C25: upper medial quadrant from slice #11 and #12, respectively C26-C27: medial lower quadrant from slices #11 and #12, respectively. Intraoperative Consult Diagnosis: A1FS. Sentinel node #1: One lymph node, negative for carcinoma. B1FS. Sentinel node #2: One lymph node, negative for carcinoma.

expanded version (tokens=1907) : 
 - The diagnosis is intraductal apocrine ductal carcinoma with lobular cancerization and rare focus of invasion, as well as separate mass of intraductal and infiltrating ductal carcinoma, sclerosing adenosis, radial scar lesion and small intraductal papilloma.
- The histologic classification is invasive ductal carcinoma, with associated ductal carcinoma in situ (DCIS), and intraductal carcinoma, with high nuclear grade.
- The composite histologic grade of the invasive carcinoma is III.
- Necrosis and cancerization of lobules are associated with the intraductal carcinoma.
- Blood vessel and lymphatic invasion are absent.
- The receptor status for estrogen receptor (ER) and progesterone receptor (PR) are negative in the invasive tumor nuclei.
- Her2/neu antigen (FISH) results are pending.
- The lymph nodes are negative for tumor.
- Calcifications are present in the vessel walls.
- In terms of special studies, there is no mention of tumor infiltrating lymphocytes.

Additionally, the report includes details on the size and type of the intraductal carcinoma and invasive carcinoma, excisional biopsy margins, and pTNM classification. It also describes the clinical history of the patient and the specimens received for pathology examination, including sentinel lymph nodes, mastectomy, and biopsy margins. The gross description of the specimen is also provided, with details on the location and size of the tumor and associated lesions.

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=2052) : 
 The final pathologic diagnosis of the left breast mastectomy and sentinel node biopsy reports intraductal apocrine ductal carcinoma with lobular cancerization and rare foci of invasion, associated with separate mass of intraductal and infiltrating ductal carcinoma. The invasive tumor has high nuclear grade and is ER and PR negative. There is no mention of tumor infiltrating lymphocytes. Blood vessel and lymphatic invasion are not present. Calcifications in vessel walls were also noted.

