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, UTD:CDB6A529-DE8B-48F6-A569-D07251D139C3. FINAL PATHOLOGIC DIAGNOSIS. A. Left breast, modified radical mastectomy: - Invasive lobular carcinoma, SBR grade II, see pathologic parameters and. comment. - Lobular carcinoma in situ, classic type. - Metastatic carcinoma in thirteen of fifteen lymph nodes (13/15); biopsy. site present in one node. Breast Pathologic Parameters. 1. Invasive carcinoma: A. Microscopic measurement: 6.6cm (slices 5-11); 20% cellularity. See. comment. B. Composite histologic (modified SBR) grade: II. - Architecture: 3. - Nuclear grade: 2. - Mitotic rate: 1. C. Associated lobular carcinoma in situ (LCIS): - Within main mass and extending away. 2. Excisional biopsy margins: Widely (>1cm) free of tumor. 3. Blood vessel and lymphatic invasion: Absent. 4. Nipple and skin: unremarkable. 5. Axillary lymph nodes: Positive (13/15). - Size of largest metastatic deposit: 1cm. - Extranodal extension: present, largest focus 2mm (multifocal). 6. Special studies (see. - ER: Moderate to strong expression in 80% of invasive tumor nuclei. - PR: No expression of invasive tumor nuclei. - HER2 antigen (FISH): Non-amplified (ratio: 1.10). 7. pTNM (AJCC, 7th edition, 2010): pT3, N3, MX. Clinical History: The patient is a. year-old female with breast cancer undergoing left breast. modified radical mastectomy. Comment. The tumor exhibits 20% cellularity. Although extensive hyalinization is present. in the tumor bed, this feature was also seen on the pre-treatment biopsy. Hence,. response to chemotherapy is difficult to assess. Of note, no significant. treatment response is seen in the lymph nodes. Specimens Received: A: Left breast modified radical mastectomy. Gross Description: A. The specimen is received in a single container labeled with the patient's. name, medical record number, and additionally identified as, 'left breast. modified radical mastectomy'. Received fresh and placed in formalin is a 1,276.6. gm modified radical mastectomy specimen. The specimen is received oriented with. a suture designating left axillary tail. The specimen measures 26.5 cm from. superior to inferior, 27.5 cm from medial to lateral, and 5 cm from anterior to. posterior. There is an attached 9.5 X 9 x 2.5 cm axillary tail. On the. anterior surface is a 23.5 X 13 cm tan-white ellipse of skin with a 6 x 5 cm. areola and a 1.1 X 1 cm flattened nipple. The nipple-areolar complex reveals no. evidence of ulceration or retraction. The specimen is inked as follows: superior edge - blue;. inferior edge - green;. posterior - black. The specimen is serially sectioned from medial to lateral into 21 slices to. reveal a firm, bulging, scallop tan-white to pink 8.5 X 6.5 X 4.2 cm mass in. slices 5-13. The mass is 0.7 cm from posterior margin (black) and 0.5 cm from. anterior skin. A biopsy tract filled with gel is present in places 6-7, with. clip present in slice 7. The remainder of the specimen consists of. approximately 5% dense gray-white fibrous breast parenchyma and 95% lobulated. yellow adipose tissue. No additional masses or nodules are grossly identified. Sectioning through the axillary tail reveals multiple tan-brown, rubbery lymph. nodes ranging from 0.6 X 0.4 X 0.4- 2 X 0.9 x 0.5 cm in greatest dimension. Breast specimens are fixed for at least 6 hours in 10% NBF and no more than 72. hours. Block summary: A1: mass closest approach to posterior margin (black), slice 13. A2: mass, slice 12. A3: mass, slice 11. A4: mass, slice 10. A5: mass, slice 9. A6: mass closest approach to skin, slice 8. A7: mass biopsy tract, slice 7. A8: mass biopsy tract, slice 6. A9: mass, slice 5. A10: medial to lesion,slice 4. A11: medial to lesion, slice 14. A12: medial to lesion, slice 15. A13: upper-inner quadrant, slice 5. A14: upper-outer quadrant slice 12. A15: lower-outer quadrant slice 9. A16: lower-inner quadrant slice 4. A17: nipple. A18: skin subjacent to nipple. A19-A23: one lymph node candidate bisected in each cassette. A24: three lymph node candidates. A25: one lymph node candidate. A26: three lymph node candidates. A27-A29: one lymph node candidate bisected in each cassette. MD. PhD.

expanded version (tokens=1563) : 
 Histological classification: Invasive lobular carcinoma (ILC), SBR grade II, Lobular carcinoma in situ (LCIS), classic type.

Subtype: LumA

Necrosis: No necrosis mentioned.

Tumor infiltrating lymphocytes: Absent.

Histological grade: SBR grade II, composite histologic (modified SBR) grade: II. Architecture: 3. Nuclear grade: 2. Mitotic rate: 1.

Nuclear grade: 2

Lymphovascular invasion: Absent.

Calcification: No mention of calcification.

Receptor status: ER: Moderate to strong expression in 80% of invasive tumor nuclei. PR: No expression of invasive tumor nuclei. HER2 antigen (FISH): Non-amplified (ratio: 1.10).

IHC and ancillary testing results: ER: Moderate to strong expression in 80% of invasive tumor nuclei. PR: No expression of invasive tumor nuclei. HER2 antigen (FISH): Non-amplified (ratio: 1.10). pTNM (AJCC, 7th edition, 2010): pT3, N3, MX.

Other findings: Metastatic carcinoma in thirteen of fifteen lymph nodes (13/15); biopsy site present in one node. Excisional biopsy margins were widely (>1cm) free of the tumor. The patient has undergone a left breast modified radical mastectomy. The tumor exhibits 20

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=1701) : 
 The patient underwent left breast modified radical mastectomy due to LumA subtype Invasive lobular carcinoma, SBR grade II, with associated Lobular carcinoma in situ (LCIS), classic type. No lymphovascular invasion or calcification was found, but metastatic carcinoma was present in thirteen of fifteen lymph nodes (13/15). ER was moderately to strongly expressed while PR showed no expression of invasive tumor nuclei and HER2 FISH was negative.

