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, SPECIMEN: Sex: F. Date Collected: Date Received: Clinical History/Diagnosis: Left breast cancer. Source of Specimen(s): 1: Sentinel Nodes-left axilla. 2: left breast lumpectomy. 3: Margin-final medial. Gross Description: Received in three parts. Source of Tissue: 1. Labeled # 1, "sentinel node left axilla". Touch Preparation Evaluation: 1TP- NO TUMOR SEEN PER. (VERIFIED). Gross Description: Received fresh for intraoperative consultation/touch. impression in a container labeled "sentinel node left axilla". It consists of a tan to light. brown rubbery lymph node measuring 1.6 x 1.3 x 1.0 cm. There is a stitch at one end. marking the bluest portion. The node is sectioned. Touch impression of the bluest. end was submitted as 1TPA and the tissue is subsequently submitted in 1A. Touch impression of the opposite end was submitted as 1TPB and. subsequently the tissue is submitted in 1B. Source of Tissue: 2. Labeled # 2, "left breast lumpectomy". Gross Description: Received fresh in a container labeled "left breast lumpectomy". It. consists of a 7.4 x 7.4 x 3.5 cm ovoid rubbery fragment of fibroadipose tissue. There is a. short stitch marking the superior and a long marking the lateral. The anterior is. inked blue and the remaining margins are inked black. The specimen is. sectioned disclosing a large firm tan lesion with moderately defined. borders measuring 3.8 x 2.6 x 1.9 cm. The lesion occupies an appreciable. amount of the lumpectomy specimen. Laterally in the tumor there is. inspissated blood consistent with previous biopsy site changes. The. lesion comes very close to the medial, superior, and anterior resection. margins. Also adjacently the breast parenchyma is fibrous and there is a. 0.4 cm blue dome cyst noted. Representative sections are submitted in. 2A-K. Designation of Sections: 2A-2C- breast tissue with tumor in relationship. to anterior margin, 2D-2F- breast tissue with tumor in relationship to. posterior margin, 2G- additional sections of tumor, no margins are. represented with biopsy site, 2H- perpendicular sections of superior. resection margin, 2I- perpendicular sections of medial resection margin. [Note: specimen 3 presumably supercedes this margin.], 2J- perpendicular. sections of inferior margin, 2K- perpendicular sections of lateral margin. Source of Tissue: 3. Labeled # 3, "final medial margin". Gross Description: Received fresh in a container labeled " final medial margin". It. consists of a fragment of fibroadipose tissue measuring 2.5 x 2.0 x 1.0 cm. There is a. stitch marking the final margin which is inked black prior to sectioning. Sections disclose no obvious residual lesional tissue. Entirely submitted. in 3A and 3B. Final Diagnosis: 1. Sentinel lymph node, left axilla, excision: - One lymph node with no tumor seen (0/1). - Negative immunohistochemical staining for cytokeratin AE1/AE3. 2. Left breast, lumpectomy: Invasive and in situ lobular carcinoma. - Invasive lobular carcinoma, 3.8 cm in greatest dimension grossly, grade. II-III. Lobular carcinoma in situ, nuclear grade II-III, comprising. approximately 5% of the tumor mass. - Lymphovascular invasion is not identified. - Invasive carcinoma is less than 1mm to the inked closest medial margin. (see specimen 3 for final medial margin status), and remaining margins. with no tumor seen. - Changes consistent with prior biopsy site seen. Non-neoplastic breast tissue shows fibrocystic changes with. microcalcifications. 3. Left breast, final medial margin, excision: - Benign breast tissue, no tumor seen. Note: Case reviewed with. who concurs with the. diagnosis. Procedures/Addenda. Addendum Date Ordered: Date Complete: Addendum Diagnosis. Specimen sent tc. for additional. testing. Antibody/Tests. Prognostic. Grouping. DNA INDEX/PLOIDY. 1.59 Aneuploid. S-Phase. See Below. Ki-67 (MIB-1). <10%. Favorable. An accurate S-phase fraction (SPF) value cannot be determined due to DNA. aneuploid/tetraploidy cell population <20% of total cells analyzed. INVASIVE BREAST CANCER TEMPLATE: Excisions and Mastectomies. Specimen Type. Excision. Lymph Node Sampling. Sentinel lymph node only. Specimen Size (for excisions less than total mastectomy). Greatest dimension: 7.4 cm. Laterality. Left. Tumor Site(s). Not specified. Invasive Component. Solitary. Greatest dimension: 3.8 cm (grossly). Histologic Type(s). Lobular carcinoma in situ. Invasive lobular. Invasive Lobular Carcinoma Type. Classical, singet-ring, and pleomorphic. Invasion. Invasion confined to breast parenchyma. Angiolymphatic Invasion. Absent. Microcalcifications Associated with Carcinoma In Situ. Margins. Margins uninvolved by invasive carcinoma and in situ carcinoma. Regional Lymph Nodes. 1 regional lymph node examined. No regional lymph node metastasis histologically and by. immunohistochemical staining for cytokeratin AE1/AE3 (NO). Ancillary Immunopathology Studies (performed on. ER. Positive. PR. Positive. Her2-Neu. Negative (score 0). pTNM: T2 NO Mx.

expanded version (tokens=1684) : 
 Histological classification: The report suggests a subtype of LumA. The patient has invasive and in situ lobular carcinoma. The invasive lobular carcinoma is 3.8 cm in greatest dimension grossly, which is grade II-III. The lobular carcinoma in situ, comprising approximately 5% of the tumor mass, has a nuclear grade of II-III.

Necrosis: There is no mention of necrosis in the report.

Tumor infiltrating lymphocytes: The report does not mention any tumor infiltrating lymphocytes.

Histological grade: The histological grade of the invasive lobular carcinoma is II-III.

Nuclear grade: The nuclear grade of the lobular carcinoma in situ is II-III.

Lymphovascular invasion: Lymphovascular invasion is not identified in the report.

Calcification: Non-neoplastic breast tissue shows fibrocystic changes with microcalcifications.

Receptor status: The patient's ER and PR are positive, while Her2-Neu is negative (score 0).

Ancillary testing results: Specific additional testing was ordered but is not mentioned in the report. The patient has a DNA index/ploidy of 1.59 Aneuploid, and Ki-67 (MIB-1) is less than 10%, which is favorable. An S-phase fraction (SPF) value cannot be accurately determined due to DNA aneuploid/tetraploidy cell population being less than 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=1882) : 
 Report: LumA subtype with invasive lobular carcinoma (ILC) and lobular carcinoma in situ (LCIS). ILC grade is II-III, measuring 3.8cm grossly. LCIS nuclear grade is II-III, comprising 5% of tumor mass. No necrosis or lymphovascular invasion identified. ER/PR positive, Her2-Neu negative (score 0). Fibrocystic changes with microcalcifications noted in non-neoplastic breast tissue. DNA index/ploidy is aneuploid with Ki-67 (MIB-1) less than 10%. SPF value cannot be determined accurately due to less than 20% of analyzed cells being DNA aneuploid/t

