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. A. Sentinel lymph node #1, left, biopsy: -One reactive lymph node, negative for tumor (0/1). B. Sentinel lymph node #2, left, biopsy: -One reactive lymph node, negative for tumor (0/1). C. Left axillary lymph node #3, biopsy: -Two reactive lymph nodes, negative for tumor (0/2). D. Left axillary lymph node #4, biopsy: -One reactive lymph node, negative for tumor (0/1). E. Left axillary non-sentinel lymph node, biopsy: -One reactive lymph node, negative for tumor (0/1). F. Left breast, mastectomy: -Malignant phyllodes tumor (25 x 17 X 16.5 cm) with heterologous. (chondrosarcomatous, fibrosarcomatous-like, and. fibro-myxosarcomatous-like differentiation). - Margins of resection are free of phyllodes tumor (0.5 mm from posterior. margin, > 6 mm from closest anterior inferior aspect). - The tumor abuts the dermis of the nipple areolar complex. - Nipple without diagnostic abnormality. - Focus of atypical ductal hyperplasia, see comment. - Intraductal hyperplasia, usual type. - Benign skin. G. Pectoralis major muscle, new outer margin, excision: -Fibroadipose tissue and skeletal muscle with degenerative changes,. negative for tumor. Clinical History: The patient is a. -year-old female with breast cancer undergoing simple. mastectomy, breast reconstruction, and sentinel node biopsy. Comment. F. CK5/14 supports a small focus of atypical ductal hyperplasia. All IHC. controls were appropriate. Specimens Received: A:F/s 1st sentinel node left breast. B: F/s 2nd sentinel node left breast. C: Left axillary lymph node #3. D: Left axillary lymplh node #4. E: Left axillary non-sentinel lymph node. F: Left breast. G: Pectoralid(sp) major muscle. E. The fifth container is additionally identified as, 'left axillary. non-sentinel lymph node'. Received fresh and placed in formalin is a 0.7 X 0.6. X 0.4 CM lymph node that is bisected and submitted in E1. F. The sixth container is additionally identified as, 'left breast. Long. stitch-lateral margin. Short stitch-superior margin. Please weigh the specimen. per Dr. Received fresh and placed in formalin is a 4,580 gm. mastectomy specimen measuring 25 cm from medial to lateral, 20 cm from superior. to inferior and 16.5 cm from anterior to posterior. There is a 25 x 20 cm. wrinkled skin ellipsecovering the entire anterior surface, with a short suture. designating the superior pole and a long suture designating the lateral pole. The areola measures 5.5 CM in diameter and the nipple measures 1.5 X 1.2 x 0.3. CM. The nipple-areolar complex displays no evidence of ulceration or retraction. The deep surface is inked black and the specimen is sectioned from medial to. lateral into 12 slices (nipple at slice 6-7) to reveal a 25 x 17 x 16.5 CM mass. with a variegated cut surface characterized by tan, fleshy regions intermixed. with dusky, gray-green regions and golden-yellow adipose, with scattered coarse. granularity and hemorrhage. The superior portions of slices 2-10 contain a. cystic space filled with hemorrhagic to slightly mucinous fluid. The mass. grossly extends to the posterior margin (slice 9) and is located 0.2 CM from the. green ink. Multiple sections of the mass, skin, and margins are submitted as. follows: Gross Description: The specimens are received in seven containers each labeled with the patient's. name and medical record number. A. The first container is additionally identified as, 'F/S first sentinel node. left breast : Received fresh for frozen section diagnosis is a 2 X 1.2 X 0.8 CM. lymph node that is entirely frozen and called, 'one benign lymph node,' by Dr. The frozen section remnants are submitted in A1-A2 FS. B. The second container is additionally identified as, 'F/S second sentinel. node left breast'. Received fresh for frozen section diagnosis is a 2.0 X 1.2 x. 0.6 CM lymph node that is entirely frozen and called, 'one benign lymph node,'. by Dr. The frozen section remnants are submitted in B1FS. C. The third container is additionally identified as, 'Left axillary lymph node. #3. Count. Received fresh for frozen section diagnosis are 2 lymph nodes. measuring 0.6 and 1.2 CM in greatest dimension. They are entirely frozen and. called, '2 benign lymph nodes,' by Dr. The frozen section remnants are. submitted in C1-C2 FS. D. The fourth container is additionally identified as, 'Left axillary lymph. node #4. Count- : Received fresh for frozen section diagnosis is a 1.3 CM. lymph node that is entirely frozen and called, 'one benign lymph node,' by Dr. , The frozen section remnants are submitted in D1FS. F1-F2: Slice 11. F3-F4: Slice 10. F5-F6: Slice 9, closest approach to black ink. F7-F8: Slice 8. F9: Slice 7. F10-F11: Slice 6 (nipple). F12: Slice 5. F13: Slice 4, closest approach to green ink. F14-F15: Slice 3. F16-F17: Slice 2. F18: Slice 1. Tissue fixed for at least 6 hours in 10% NBF and no more than 72 hours. G. The seventh container is additionally identified as, 'pectoralis major. muscle new outer margin lateral long black, new superior margin black'. Received. fresh and placed in formalin is a 24.3 g, 7 X 4.5 x 2.2 CM portion of irregular,. ragged, partially disrupted fibroadipose and muscle tissue designated with a. long suture marking new outer margin lateral, and a black suture designating new. superior margin. A gross photograph is taken. The specimen is inked as follows: New outer lateral margin-orange. Superior-blue. Inner-black. Anterior-yellow. Posterior-red. The specimen is serially sectioned from superior to inferior into 13 slices to. reveal scattered palpable nodules. Sections are submitted as follows: G1: Superior tip (slice 1), shaved. G2: Slice 3. G3-G4: Slice 5. G5-G6: Slice 7. G7-G8: Slice 9. G9: Slice 11. G10: Slice 13. Intraoperative Consult Diagnosis: A1-A2 FS: 'one benign lymph node,' by. 81 FS: 'One benign lymph node,' by. C1-C2 FS: '2 benign lymph nodes,' by. D1 FS: 'One benign lymph node,' by.

expanded version (tokens=1984) : 
 The report indicates that the patient underwent a simple mastectomy, breast reconstruction, and sentinel node biopsy due to breast cancer. The pathology report includes six biopsies of lymph nodes and breast tissue. The final pathologic diagnosis reveals a malignant phyllodes tumor with heterologous differentiation that measured 25 x 17 x 16.5 cm. Some important details from the report are:

- Histological Classification: Malignant phyllodes tumor with heterologous differentiation.
- Necrosis: Not mentioned.
- Tumor-infiltrating lymphocytes: Not mentioned.
- Histological Grade: Not specified.
- Nuclear Grade: Not specified.
- Lymphovascular invasion: Not mentioned.
- Calcification: Not mentioned.
- Receptor Status: Not mentioned.
- IHC (immunohistochemistry) Testing: CK5/14 supports a small focus of atypical ductal hyperplasia. All IHC controls were appropriate.
- Additional testing: The report mentions intraoperative consult diagnosis showing one benign lymph node for A1-A2 FS, 81 FS, and D1 FS, and two benign lymph nodes for C1-C2 FS.

The report also includes detailed information about the size, location, and margins of the tumor and the presence of benign nodules in the lymph nodes. It's important to note that specific details about the subtype and testing results provided in this report can significantly impact the recommended course of treatment for the patient.

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=2144) : 
 Final diagnosis is a malignant phyllodes tumor with heterologous differentiation measuring 25 x 17 x 16.5 cm. No necrosis, tumor-infiltrating lymphocytes, histological grade, nuclear grade, lymphovascular invasion or calcification are mentioned. Receptor status is not specified. CK5/14 shows a small focus of atypical ductal hyperplasia. All IHC controls were appropriate. Sentinel lymph node and axillary lymph node biopsies revealed only benign nodes (0/2 and 0/5 respectively).

