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, FINAL PATHOLOGIC DIAGNOSIS. A. Right axillary sentinel node #1; biopsy: -One lymph node, no tumor (0/1). B. Right axillary sentinel node #2; biopsy: -One lymph node, no tumor (0/1). C. Right breast lumpectomy; lumpectomy: -Invasive ductal carcinoma with tubulo-lobular features, similar to. previous biopsy, extending into dermis, see below. -Separate focus of infiltrating ductal carcinoma (1.0 cm) with dermal. involvement, histologically similar to and superior to first mass. -Hemorrhagic fat necrosis at previous biopsy site. Breast Pathologic Parameters. 1. Invasive carcinoma: A. Microscopic measurement: 1.9 cm. B. Composite histologic (modified SBR) grade: I. - Architecture: 2. - Nuclear grade: 2. - Mitotic count: 1. 2. Intraductal carcinoma: not identified. 3. Excisional biopsy margins: Free of tumor (2 mm from ante4rior margin). 4. Blood vessel and lymphatic invasion: - Present in dermal lymphatics (C20 and C27). 5. Nipple: N/A. 6. Skin: direct extension of tumor. Inked edges free of tumor. 7. Skeletal muscle: absent. 8. Axillary lymph nodes: Negative. 9. Special studies (see . to. - ER: Strong expression in >90% of invasive tumor nuclei. - PR: Strong expression in >90% of invasive tumor nuclei. - Her2/neu antigen (FISH): Non-amplified (ratio: 1.10). 10. pTNM (AJCC, 7th edition, 2010): pT1c(m)NOMX. Effective. this Checklist utilizes the 7th edition TNM staging. system for breast of the American Joint Committee on Cancer (AJCC) and the. International Union Against Cancer (UICC). Clinical History: The patient is a -year-old female with right breast lump undergoing right. breast lumpectomy, right axillary s-node biopsy. On. bilateral. diagnostic mammography/R UTS-Right revealed a 1.7 cm area of architectural. distortion in the mid posterior depth in the right breast with no associated. calcifications. Breast MRI on. showed a right breast unifocal suspicious. abnormality at 5 s'olock that measures 19 x 19 X 14 mm. On. right UTS core. biopsy at 5 o'clock revealed IDC, with tubular-lobular features, Grade 1 with. associated microcalcifications. Specimens Received: A: Right axillary sentinel node #1. B: Right axillary sentinel node #2. C: Right breast lumpectomy; lumpectomy. Gross Description: The specimens are received in three containers each labeled with the patient's. name and medical record number. A. The first container is additionally identified as, 'right axillary s-node. -1'. Received fresh for frozen section diagnosis is one lymph node measuring 2.0. X 1.6 X 0.5 cm, which is bisected for frozen and diagnosed as, 'one lymph node,. no tumor present," per Dr. Specimen is entirely submitted in A1 FS. B. The second container is additionally identified as, 'right axillary s-node. -2¹. Received fresh for frozen section diagnosis is one lymph node measuring. 1.5 x 0.5 x 0.3 cm that is frozen and read as, 'one lymph node, no tumor. present,' per Dr. ,. The specimen is entirely submitted in B1 FS. C. The third container is additionally identified as, 'right breast. lumpectomy'. Received fresh is a 92.6 gm lumpectomy specimen measuring 9.6 cm. from medial to lateral, 7.7 cm from superior to inferior and 2.7 cm from. anterior to posterior. A double short suture designates superior, and a double. long suture designates lateral. No single short stitch is found although the. container label states that there is a single short stitch at the anterior. aspect; however there is a portion of skin that designates the anterior aspect. that measures 7.5 x 1.5 cm. The margins are inked as follows: anterior- - black. posterior - red. superior - blue. inferior - green. medial - yellow. lateral - violet. The specimen is serially sectioned from medial to lateral into 17 slices. There. is a 1.5 x 1.0 X 0.9 cm firm, white, stellate mass, with a central dark. gray-brown area, located in slices 8 through 10 in the anterior/central aspect. of the specimen. It is located 1.0 cm from the black margin, 2.2 cm from the red. margin, 2.0 cm from the blue margin and 2.0 cm from the green margin. A metallic. clip is identified in slice #10, adjacent to the mass. Superior to the mass and. in slices 6 through 11 is a brownish focus consistent with hemorrhage measuring. up to 1.0 X 1.0 cm, most prominent in slice 11. Representative sections are. submitted as follows: C1: Entire medial margin, serially sectioned. C2-C3: Entire lateral margin, serially sectioned. C4-C8: Slice #9 including lesion. C9-C14 Slice #10 including lesion. C15-C18: Slice #8 with some tissue removed for banking. C19-C22: Slice #7. C23-C27: Slice #11, with hemorrhagic lesion most prominent in C26. C28-C29: Slice #3, including skin in C29. C30-C33: Slice #15. Tissue fixed for at least 6 hours in 10% NBF and no more than 72 hours. , M.D. Pathologist Sign Out:

expanded version (tokens=1701) : 
 The patient's pathology report indicates a diagnosis of invasive ductal carcinoma with tubulo-lobular features, extending into the dermis and with separate focus of  infiltrating ductal carcinoma. The size of the invasive carcinoma is 1.9 cm. The modified SBR grade is I, with architecture grade 2, nuclear grade 2 and mitotic count 1. Intraductal carcinoma was not identified. The excisional biopsy margins are free of tumor with 2 mm from anterior margin. Blood vessel and lymphatic invasion is present in dermal lymphatics (C20 and C27). There is a separate focus of infiltrating ductal carcinoma measuring 1.0 cm with dermal involvement similar to and superior to the first mass. Hemorrhagic fat necrosis is seen at the previous biopsy site. ER and PR expression is strong in >90% of invasive tumor nuclei while the Her2/neu antigen (FISH) is non-amplified (ratio: 1.10). The subtype identified is LumA. The lymph nodes are negative. The pTNM staging is pT1c(m)NOMX. The patient had a history of a right breast lump with a diagnostic mammography and ultrasound revealing a 1.7 cm area of architectural distortion with no associated calcifications. A core biopsy showed IDC with tubulo-lobular features, Grade 1 with associated microcalcifications. Received specimens include the right axillary sentinel nodes and

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=1857) : 
 The patient has a LumA subtype invasive ductal carcinoma with tubulo-lobular features, measuring 1.9 cm and having a modified SBR grade of I. The ER and PR receptor expression is strong while Her2/neu antigen (FISH) is non-amplified. Blood vessel and lymphatic invasion is present in dermal lymphatics. The lymph nodes are negative, with no tumor present in sentinel nodes #1 and #2. The pTNM staging is pT1c(m)NOMX.

