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 Her2, Sex: F. Account: Date Collected: Date Received: Clinical Data: Right breast mass. FINAL PATHOLOGIC DIAGNOSIS. 1. Pectoralis muscle: Invasive poorly differentiated carcinoma consistent with a breast primary. See synoptic report. Cautery artifact noted. 2. Right breast, mastectomy (2,374 grams): Invasive poorly differentiated carcinoma consistent with a breast primary. See synoptic report. SYNOPTIC REPORT. Procedure: Mastectomy. Not performed. Lymph node sampling: Right. Specimen laterality: Tumor site: Invasive carcinoma involves all quadrants. Invasive ductal carcinoma. Histologic type of invasive. carcinoma: Tumor size: 19 cm. Histologic grade (Nottingham. Histologic Score): - Glandular/tubular differentiation: Score 3. - Nuclear pleomorphism: Score 3. . Mitotic rate: Greater than 8 mitoses/mm², score 3. - Total overall grade: 9, grade III (G3). Tumor focality: Single focus of invasive carcinoma. Ductal carcinoma in-situ: Not identified. Skin/nipple: There is ulceration of the skin by tumor. There is dermal lymphatic invasion. Skeletal muscle: Carcinoma invades the skeletal muscle. Margins : Invasive carcinoma is identified at the deep margin including involvement of the. skeletal muscle. Invasive ductal carcinoma is identified within 0.2 cm of the superior skin/soft tissue. margin. Lymphovascular invasion: Identified including dermal lymphatic invasion. Calcifications: Present in invasive carcinoma. SURGICAL PATHOLOGY REPORT - CONTINUED. Result ID: Ancillary studies: ER, PR and HER-2/neu studies have been ordered on block E and will be reported. separately. Pathologic Tumor Stage: pT4d NX. Pathologist, Electronic Signature. SPECIMEN(S) SUBMITTED: GROSS DESCRIPTION. 1. Pectoralis muscle: Received fresh for frozen section diagnosis is a single segment of skeletal muscle with attached. fibroadipose tissue and soft tissue measuring 6.5 x 4.0 x 1.5 cm. The specimen is unoriented. One surface is inked black. and the opposite surface is inked orange. The specimen is serially sectioned and entirely submitted for frozen section. diagnosis in three cassettes. The frozen section remnant is submitted in cassettes A - C. 2. Right breast: In formalin labeled with the patient's name and medical record number is a 2374-gram, 26 x 18 x 11 cm. right simple mastectomy surfaced by brown skin. The specimen is oriented with a short stitch designated as superior and. a long stitch as lateral. The skin surface displays a 19 x 15.5 cm nodular gray-yellow mass involving the entire nipple. areolar complex. The nipple is not definitively identified. The mass comes to within 1.5 cm of the inferior skin margin, 2.5. cm of the superior skin margin, 1.8 cm of the lateral skin tip, and 8 cm of the medial skin tip. The superior skin margin is. inked blue, the inferior skin margin is inked green, and the deep margin is inked black. Upon sectioning the mass. involves all four quadrants and approaches the deep margin. Red-brown muscle is identified at the deep margin, which. also appears to be involved by tumor grossly. The cut surface of the mass is pink-gray to tan-yellow, firm, and glistening. The mass occupies approximately 80% of the breast parenchyma. The remaining cut surface displays yellow adipose. tissue intermixed with dense tan-white fibroglandular tissue. Representative sections are submitted in nine cassettes as. follows: A - B - superior skin margin, C D - the inferior margin, E - F - mass to include the deep margin, G - the deep. margin to include muscle, H - I the mass to include skin involvement. The specimen is placed in formalin at. giving a total formalin fixation time of approximately 8.5 hours. INTRAOPERATIVE REPORT: 1. Frozen Section Diagnosis: Carcinoma present, involving skeletal muscle. CPT CODE(S): ICD-9 CODE(S): FACILITY: 88331, 88307, 88305. [1749].

expanded version (tokens=1254) : 
 Histological classification: Invasive poorly differentiated carcinoma consistent with a breast primary involving all quadrants of the right breast, single focus of invasive carcinoma. There is ulceration of the skin by tumor and dermal lymphatic invasion. The carcinoma also invades the skeletal muscle.

Subtype: Her2

Necrosis: Not mentioned

Tumor infiltrating lymphocytes: Not mentioned

Histological grade/Nottingham Histologic Score: Glandular/tubular differentiation score 3, nuclear pleomorphism score 3, mitotic rate greater than 8 mitoses/mm² score 3. Total overall grade is 9, grade III (G3).

Nuclear grade: Score 3 (G3) 

Lymphovascular invasion: Identified, including dermal lymphatic invasion.

Calcification: Present in invasive carcinoma.

Receptor status: ER, PR and HER-2/neu studies have been ordered on block E and will be reported separately.

Ancillary testing results: Not mentioned. 

Pathologic Tumor Stage: pT4d NX.

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=1405) : 
 The breast pathology report indicates that the patient is a female with Her2 subtype breast cancer. The tumor involves all quadrants of the right breast and invades skeletal muscle, resulting in ulcerated skin and dermal lymphatic invasion. Histologically classified as invasive poorly differentiated carcinoma, grade III (G3). Lymphovascular invasion is identified, and calcifications are present within the tumor. ER, PR and HER-2/neu studies are pending. Pathologic Tumor Stage is pT4d NX.

