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(S) RECEIVED. A: RIGHT TOTAL MASTECTOMY. B: SENTINEL LYMPH NODE #1 HOT. C: SENTINEL LYMPH NODE #2 HOT. D: SENTINEL LYMPH NODE #3 HOT. FINAL DIAGNOSIS. A. RIGHT TOTAL MASTECTOMY: SYNOPTIC REPORT. MICROSCOPIC: HISTOLOGIC TYPE: INVASIVE DUCTAL CARCINOMA. SIZE OF INVASIVE COMPONENT: 3.4 x 3.0 x 2.5 cm. TUMOR FOCALITY: SINGLE FOCUS OF INVASION. MACRO/MICRO EXTENT OF INVASIVE TUMOR. SKIN. TUMOR DOES NOT INVADE DERMIS/ EPIDERMIS. NIPPLE. DCIS DOES NOT INVOLVE THE NIPPLE EPIDERMIS. SKELETAL MUSCLE. SKELETAL MUSCLE IS PRESENT AND IS FREE OF CARCINOMA. DUCTAL CARCINOMA-IN-SITU (DCIS): DCIS IS PRESENT. EXTENSIVE INTRADUCTAL COMPONENT (EIC) NEGATIVE. LOBULAR CARCINOMA-IN-SITU (LCIS): NOT IDENTIFIED. HISTOLOGIC MODIFIED SCARFF-BLOOM-RICHARDSON GRADE: 2/3. MARGINS. MARGINS UNINVOLVED BY INVASIVE CARCINOMA. DISTANCE FROM CLOSEST MARGIN: 2.0cm (DEEP). MARGINS UNINVOLVED BY DCIS. DISTANCE FROM CLOSEST MARGIN: GREATER THAN 2.0cm (DEEP). MICROCALCIFICATIONS: PRESENT IN DCIS. TREATMENT EFFECT: RESPONSE TO NEOADJUVANT THERAPY. IN THE BREAST: NO KNOWN PRESURGICAL THERAPY. IN THE LYMPH NODES: NO KNOWN PRESURGICAL THERAPY. VENOUS / LYMPHATIC INVASION: NOT IDENTIFIED. SKIN / DERMAL LYMPHATIC INVASION: NOT IDENTIFIED. LYMPH NODES: NUMBER OF SENTINEL LYMPH NODES EXAMINED: 3. TOTAL NUMBER OF LYMPH NODES EXAMINED (SENTINEL AND NONSENTINEL): 4. NUMBER OF LYMPH NODES WITH MACROMETASTASES (>0.2 CM): 0. NUMBER OF LYMPH NODES WITH MICROMETASTASES (>0.2 MM TO 0.2 CM AND/OR >200 CELLS): o. NUMBER OF LYMPH NODES WITH ISOLATED TUMOR CELLS (0.2 MM AND 200 CELLS): 0. SIZE OF LARGEST METASTATIC DEPOSIT (IF PRESENT): o. EXTRANODAL EXTENSION: N/A. METHOD OF EVALUATION OF SENTINEL LYMPH NODES: H&E, MULTIPLE LEVELS. NOTE: ER/ PR/ HER-2/ MIB-1 RESULTS: SEE PRIOR REPORT. MACROSCOPIC. SPECIMEN TYPE: TOTAL BREAST. PROCEDURE: TOTAL MASTECTOMY. LYMPH NODE SAMPLING: SENTINEL LYMPH NODES WITH PARTIAL AXILLARY DISSECTION. SPECIMEN INTEGRITY: SINGLE INTACT SPECIMEN. SPECIMEN SIZE: 27 x 17 x 3.5 cm. LATERALITY: RIGHT. TUMOR SITE: 12 O'CLOCK POSITION. AJCC PATHOLOGIC STAGE (AJCC 7TH ED.): (pT2, pNO). B. SENTINEL LYMPH NODE #1 HOT: ONE (1) REACTIVE LYMPH NODE. NO METASTATIC CARCINOMA IDENTIFIED. c. SENTINEL LYMPH NODE #2 HOT: ONE (1) REACTIVE LYMPH NODE. NO METASTATIC CARCINOMA IDENTIFIED. D. SENTINEL LYMPH NODE #3 HOT: ONE (1) REACTIVE LYMPH NODE. NO METASTATIC CARCINOMA IDENTIFIED. CLINICAL DIAGNOSIS AND HISTORY. Right breast cancer. See. right breast Ca. GROSS DESCRIPTION. The specimen is received fresh in four containers labeled with the patient's name, medical record number, and identified as A. "Right Total Mastectomy", B. "Sentinel Lymph Node #1 Hot", C. "Sentinel Lymph Node #2 Hot" and D. "Sentinel Lymph Node #3. Hot". Specimen A consists of a mastectomy (811.1 grams, 27 x 17 x 3.5 cm) with a 22 x 9.5 cm skin ellipse and a centrally located. unremarkable 1.2 cm nipple. The specimen has been oriented by the surgeon with a stitch indicating the tail of the specimen. The. deep margin is inked black. The specimen is serially sectioned to reveal an irregular firm tan colored mass with focal hemorrhage. and calcification (3.4 x 3 x 2.5 cm) in the 12:00 position, 2 cm to the deep margin, 1.2 cm to the anterior skin margin, and 2 cm to. the nipple. The remaining breast parenchyma appears grossly unremarkable. One 0.7 cm lymph node is identified in the tail of the. specimen. The specimen is submitted representatively as follows: A1 thru A3, tumor, A4-tumor and anterior skin, A5-anterior skin. margin, A6-posterior deep margin, 7-nipple, A8 and A9-lateral upper quadrant, A10 and A11-lateral lower quadrant, A13-medial. upper quadrant, A14 and A15-medial lower quadrant, 16-0.7 cm lymph nodes, bisected. Specimen B consists of a 2.2 cm sentinel lymph node. The lymph node is serially sectioned and submitted entirely in two cassettes. labeled B1 and B2. Specimen C consists of a 2.5 cm sentinel lymph node. The lymph node is serially sectioned and submitted entirely in two cassettes. labeled C1 and C2. Specimen D consists of a 1 cm sentinel lymph node with fibroadipose tissue. Lymph nodes are serially sectioned and submitted. entirety in two cassettes labeled D1 and D2. the diagnosis(es) related thereto.

expanded version (tokens=1825) : 
 Histological Classification: Invasive Ductal Carcinoma.

Subtype: LumA.

Size of Invasive Component: 3.4 x 3.0 x 2.5 cm.

Tumor Focality: Single Focus of Invasion.

Histological Grade: Modified Scarff-Bloom-Richardson Grade 2/3.

Margins: Margins uninvolved by invasive carcinoma, 2.0 cm (deep). Margins uninvolved by DCIS, greater than 2.0 cm (deep).

Ductal Carcinoma-In-Situ (DCIS): Present.

Microcalcifications: Present in DCIS.

Lymphovascular Invasion: Not identified.

Sentinel Lymph Nodes: Satisfactory mapping. Three sentinel lymph nodes submitted; no axillary lymph node metastasis identified (pNO).

Hormone receptor status: ER and PR positive.

HER-2 status: Unknown.

Ancillary testing: MIB-1 results - See Prior Report.

Treatment effect: No known presurgical therapy.

In summary, the report states that the patient has invasive ductal carcinoma LumA subtype with a single focus of invasion, and DCIS is present with microcalcifications. The tumor is ER and PR positive, and HER-2 status is unknown. The lymphovascular invasion is not identified, and there is no lymph node metastasis detected in three sentinel lymph nodes examined. The histological grade is modified Scarff-Bloom-Richard

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=1978) : 
 The breast pathology report is of a case of invasive ductal carcinoma of luminal A subtype. The tumor size is 3.4 x 3.0 x 2.5 cm and DCIS was present with microcalcifications. Lymphovascular invasion was not found, and three sentinel lymph nodes examined showed no metastasis (pNO). ER and PR receptor status were positive, HER-2 status unknown, and histologic grade was modified Scarff-Bloom-Richardson Grade 2/3.

