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, FINAL PATHOLOGIC DIAGNOSIS. A. Breast, right, modified radical mastectomy: - Invasive ductal carcinoma, grade III/III, 5.0 cm in greatest dimension,. present 1.0 mm from posterior inked surgical margin, other margins widely free. (see pathologic parameters and comment below). Ductal carcinoma in-situ, high grade, solid type with associated central. necrosis and calcifications, surgical margins negative. - Previous biopsy site identified. - Metastatic carcinoma involving two of twelve lymph nodes (2/12). B. Breast, right, deep margin re-excision: - Skeletal muscle and fibroadipose tissue, negative for carcinoma. C. Breast, right 'additional tissue under superiomedial skin flap,' excision: - Breast and fibroadipose tissue, negative for carcinoma. D. Skin, right 'chest wall at corner of incision,' excision: - Skin and fibroadipose tissue, negative for carcinoma. Breast Pathologic Parameters. 1. Invasive carcinoma: A. Gross measurement: 5.0 cm. B. Composite histologic (modified SBR) grade: III/III. C. Associated intraductal carcinoma in situ (DCIS). - High grade, solid type with associated central necrosis and. calcifications. - Within main mass. 2. Surgical margins: Free of tumor. - DCIS 3.0 mm from closest margin (posterior). - Invasive carcinoma 1.0 mm from closest margin (posterior) on mastectomy,. separately submitted deep margin re-excision (specimen B) negative for carcinoma. - Additional margins widely free. 3. Blood vessel and lymphatic invasion: Present. 4. Nipple: Uninvolved. 5. Skin: Uninvolved. 6. Skeletal muscle: Focally involved. 7. Axillary lymph nodes: Metastatic carcinoma involving two of twelve lymph. nodes (2/12). - Size of largest metastatic deposit: 1.1 cm. - Extranodal extension: Present (2.0 mm). 8. Special studies . - ER: Weak expression in 30% of invasive tumor nuclei. - PR: No expression in invasive tumor nuclei. - Ki-67: 50% proliferation rate. - Her2/neu antigen (FISH): Amplified (ratio: 3.8). 9. pTNM (AJCC, 7th edition, 2010): pT2, N1a, MX. Clinical History: The patient is a. year-old female with right breast invasive ductal carcinoma. with axillary nodal metastases who undergoes right modified radical mastectomy. Comment. The 5.0 cm mass identified on gross examination is comprised of both invasive. and in-situ carcinoma with extensive necrosis and calcifications. Specimens Received: A: Right breast and axillary contents. B: Additional deep margin. C: Additional tissue under superiomedial skin flap. D: Skin at corner of incision; r chest wall. Gross Description: The specimens are received in four containers each labeled with the patient's. name and medical record number. A. The first container is additionally identified as, 'right breast and. axillary contents'. Received fresh and placed in formalin is a 730 g simple. mastectomy specimen. The specimen is oriented with a double short suture. designating the superior aspect and a double long suture designating the lateral. aspect. The breast measures 23 cm from medial to lateral, 21 cm from superior. to inferior, and 4.5 cm from anterior to posterior. On the anterior surface is. 20 X 8.5 cm ellipse of skin with a 4.2 X 4.0 cm areola and a 1.3 X 1.3 X 0.5 cm. nipple. The nipple-areolar complex reveals no evidence of ulceration or. retraction. There is an attached 6.5 X 5.5 X 1.5 cm portion of apparent axillary. tail on the lateral aspect of the specimen. There is an attached 4.5 X 1.8 X 0.2. cm skeletal muscle consisting of pectoralis at the deep margin at junction of. upper-outer quadrant and lower-outer quadrant in slice3-5 The specimen is. inked as follows: anterior-superior - blue;. anterior-inferior - green;. posterior - black. The specimen is serially sectioned from lateral (slice #1) to medial (slice #11). to reveal a 5.0 X 3.8 X 3.5 cm pink-tan, firm mass (lesion #1) extending from. upper-outer quadrant to lower-outer quadrant in slices 3-7. The mass is 1.6 cm. from the anterior-inferior margin and abuts the posterior margin. Surrounding. the mass is a 10x7x4 cm ill-defined, pink area composing of dilated ducts. and fibrotic tissue in slices 4-9 and the most prominent in slice 7-8. The. ill-defined area (lesion #2) extends towards anterior aspect and is 0.6 cm from. the closest anterior margin and 2.0 cm from the closest posterior margin. The. remainder of the specimen consists of approximately 10% dense gray-white fibrous. breast parenchyma and 90% lobulated yellow adipose tissue. No additional masses. or nodules are grossly identified. Within the axillary tail are identified. several lymph node candidates measuring from 0.3-2.5 cm in greatest dimension. Block summary: A1: Lesion #1, slice 3. A2: Lesion #1, slice 4. A3: Lesion #1 abutting posterior margin, slice 5. A4: Lesion #1, slice 6. A5: Lesion #1, slice 7. A6: Lesion #2, slice 4. A7: Lesion #2, slice 5. A8: Lesion #2, slice 6. A9: Lesion #2, slice 7. A10: Lesion #2, slice 8. A11: Lesion #2, slice 9. A12: Representative adjacent medial to lesion #2, slice 10. A13: Representative adjacent lateral to lesion #2, slice 3. A14: upper-outer quadrant slice 2. A15: lower-outer quadrant slice 1. A16: upper-inner quadrant slice 11. A17: lower-inner quadrant slice 10. A18: nipple. A19: skin. A20: One lymph node. A21-A23: 4 lymph node candidates, each cassette. A24-A26: One lymph node, serial section. B. The second container is additionally identified as, 'additional deep margin;. underlying palpable tumor : Received in formalin is a 3.9 g, 4.2 X 2.2x0.8 cm. yellow-tan, soft tissue fragment with one short stitch designating as new true. deep margin (inked blue) and attached clips on original margin (inked black). The specimen is serially sectioned and entirely submitted as B1-B5. C. The third container is additionally identified as, 'additional tissue under. superiomedial skin flap'. Received in formalin is an unoriented 2.3 g, 4.8 X 1.2. x 1.1 cm portion of yellow-tan fibroadipose tissue, which is serially sectioned. and entirely submitted C1-C2. D. The fourth container is additionally identified as, 'skin at corner of. incision; right chest wall'. Received fresh and placed in formalin is an. unoriented V-shaped ellipse of wrinkled, tan-brown skin measuring 4.5 X 1.5 cm. adjunct with 3.2 X 1.5 cm excised to a depth of 1.3 cm. The specimen is serial. sectioned and review grossly unremarkable parenchyma. The representative section. is submitted as D1. Tissue fixed for at least 6 hours in 10% NBF and no more than 72 hours.

expanded version (tokens=2171) : 
 Histological classification: Invasive ductal carcinoma and ductal carcinoma in-situ (DCIS), high grade, solid type
Subtype: Basal 
Necrosis: Central necrosis associated with DCIS 
Tumor-infiltrating lymphocytes: Not mentioned 
Histological grade: III/III 
Nuclear grade: Not mentioned 
Lymphovascular invasion: Present 
Calcification: Present 
Receptor status: 
- ER: Weak expression in 30% of invasive tumor nuclei 
- PR: No expression in invasive tumor nuclei 
IHC: Not mentioned 
Ancillary testing results: 
- Ki-67: 50% proliferation rate 
- HER2/neu antigen (FISH): Amplified (ratio: 3.8)

Main points:
- The pathology report describes the findings of a modified radical mastectomy performed on a female patient with right breast invasive ductal carcinoma and axillary nodal metastases.
- The report notes a 5.0cm mass comprised of both invasive ductal carcinoma and ductal carcinoma in-situ, high grade, solid type with central necrosis and calcifications.
- The invasive carcinoma is graded as III/III with a weak expression of estrogen receptor in 30% of invasive tumor nuclei and no expression of progesterone receptor.
- Ki-67 is noted to have a high proliferation rate of 50% and HER2/neu antigen is amplified.
- Lymphovascular invasion is present, and two

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=2314) : 
 Report: The breast pathology report describes a 5.0 cm mass in the right breast, comprised of both invasive ductal carcinoma and high-grade ductal carcinoma in-situ with central necrosis and calcifications. The invasive carcinoma is graded III/III, with weak expression of estrogen receptor and no expression of progesterone receptor. Lymphovascular invasion is present, and HER2/neu antigen is amplified with a high Ki-67 proliferation rate of 50%.

