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, ADDENDUM. Addendum #1. Entered. BREAST CANCER PROGNOSTIC MARKERS. Specimen: Paraffin block 4E. Procedures: Paraffin Section Immunohistochemistry and DNA Flow Cytometry. ASSAYS: FAVORABLE. RANGES: Estrogen Receptors. POSITIVE, 3+. Positive (1 -. 3+). Progesterone Receptors. POSITIVE, TRACE TO 1+. Positive (1 - -. 3+). Ploidy/DNA Index (DI). ANEUPLOID, DI=1.6. Diploid, DI =. 1.0. S-Phase Fraction (%). NOT REPORTED. Low (3% or. less). DUE TO EXCESSIVE BACKGROUND. Ki-67 (Proliferation marker). INTERMEDIATE, 16%. Low (15% or. less). HER-2/neu (c-erb B2). NEGATIVE (0). Negative (0 -. 1+). p53. NEGATIVE, 0. Negative. These immunoperoxidase tests were developed and their performance characteristics. determined by Although not cleared or approved. the U. S. Food and Drug Administration, the FDA has determined that such clearance. or. approval is not necessary. These tests are used for clinical purposes and should. not be. regarded as investigational or for research. This laboratory is certified under. the. Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform. high. complexity clinical laboratory testing. Addendum signed signature on file. GROSS DESCRIPTION. 1. Labeled "blue node left axilla #1": The specimen consists of multiple possible. lymph. nodes ranging from 0.1 to 1.3 cm in greatest dimension. The lymph nodes are. submitted. entirely as follows: 1A - one possible lymph node bisected, 1B - remaining. possible lymph. nodes. Keratin ordered on both blocks. 2. Labeled "second blue node left axilla #2": The specimen consists of multiple. possible. lymph nodes ranging from 0.2 to 1.2 cm in greatest dimension. The lymph nodes are. submitted entirely as follows: 2A - one possible lymph node bisected, 2B -. remaining. possible lymph nodes. Keratin ordered on both blocks. 3. Labeled "suspicious node left axilla": The specimen consists of a 2.0 x 1.3 x. 0.2 cm. pink firm possible lymph node. The lymph node is bisected and submitted entirely. in 3A. 4. Labeled "segment left breast, long stitch - anterolateral, short stitch -. anteromedial" The specimen consists of a 6.7 (medial to lateral) X 4.3 (anterior. to. posterior) x 2.1 cm portion of tan yellow to gray white fibrofatty breast tissue. The. specimen is inked as follows: superior - blue, inferior - green, posterior -. black,. anterior - red. Sectioning reveals a 4.0 X 2.8 x 2.0 cm gray white focally. hemorrhagic ill. defined mass which extends up to the superior, posterior and inferior margins. The. distance to the remaining margins is greater than 1.0 cm. The remaining cut. surface. features a large amount of fibrocystic change. A portion of the mass and normal. tissue is. submitted to _Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx for research (IRB#. Representative sections are submitted from lateral to medial in 4A-J with en face. margins. in 4A and 4J. The mass is in 4C-H. 5. Labeled "additional segment left breast": The specimen consists of a 6.1 x 3.9. x 3.2. cm portion of tan yellow to gray white fibrofatty breast tissue. One aspect of the. tissue. inked as. is hemorrhagic and ragged while the opposing surface is smooth. The specimen is. follows: ragged surface - blue, smooth surface - black. Sectioning reveals. multiple gray. material. The. white gritty focally cystic suspicious areas which exude a yellow grummous. suspicious areas appear throughout the tissue and extend up to both margins. The. majority. of tissue to include closest margins are submitted in 5A-G. 6. Labeled "inferior margin left breast": The specimen consists of a 1.2 x 0.8 x. 0.2 cm. portion of tan yellow to gray white fibrofatty breast tissue. Submitted in toto in. 6A. 7. Labeled "superior margin left breast": The specimen consists of a 1.2 x 0.6 x. 0.2 cm. portion of tan yellow to gray white fibrofatty breast tissue. Submitted in toto in. 7A. 8. Labeled "medial margin, left breast": The specimen consists of a 1.2 x 0.8 x. 0.1 cm. portion of tan yellow to gray white fibrofatty breast tissue. Submitted in toto in. 8A. 9. Labeled "lateral margin, left breast": The specimen consists of a 1.3 x 0.5 x. 0.3 cm. portion of tan yellow to gray white fibrofatty breast tissue. Submitted in toto in. 9A. 10. Labeled "anterior margin, left breast": The specimen consists of a 1.1 x 0.5 x. 0.1 cm. portion of tan yellow to gray white fibrofatty breast tissue. Submitted in toto. 10A. 11. Labeled "deep margin, left breast": The specimen consists of a 1.6 x 0.6 x 0.1. cm. portion of tan yellow to gray white fibrofatty breast tissue. Submitted in toto in. 11A. Microscopic H&E stained sections are prepared and interpreted. IMMUNOCYTOCHEMISTRY RESULTS. Block 1A, at 2 levels: Keratin: Positive. Block 1B, at 2 levels: Keratin: Positive in one node. Block 2A, at 2 levels: Keratin: Positive. Block 5B: E-cadherin: Negative in infiltrating carcinoma and in most of ducts involved by. in situ. carcinoma, consistent with lobular carcinoma. DIAGNOSIS. 1. SENTINEL LYMPH NODES, LEFT AXILLA: METASTATIC CARCINOMA IN TWO OF THREE LYMPH NODES (2/3) . METASTATIC DEPOSIT MEASURES 0.3 CM; NO EXTRACAPSULAR INVASION IDENTIFIED. IMMUNOHISTOCHEMICAL STAINS ARE CONFIRMATORY. 2. SENTINEL LYMPH NODES #2, LEFT AXILLA: METASTATIC CARCINOMA IN ONE OF ONE NODE (1/1). METASTATIC DEPOSIT MEASURES 1.0 CM; NO EXTRACAPSULAR INVASION IDENTIFIED. IMMUNOHISTOCHEMICAL STAINS ARE CONFIRMATORY. 3. LYMPH NODE, LEFT AXILLA, SUSPICIOUS: ONE NODE NEGATIVE FOR METASTATIC CARCINOMA (0/1) . BENIGN CAPSULAR AND TRABECULAR NEVUS. 4. BREAST, LEFT, SEGMENTECTOMY: INFILTRATING LOBULAR CARCINOMA, CLASSIC PATTERN. TUMOR MEASURES APPROXIMATELY 5 CM IN GREATEST DIMENSION AND EXTENDS TO. SUPERIOR,. LATERAL, INFERIOR AND POSTERIOR SPECIMEN EDGES. LYMPHOVASCULAR INVASION IDENTIFIED. PLEASE SEE BREAST CANCER PROGNOSTIC SUMMARY BELOW. 5. BREAST, LEFT ADDITIONAL SEGMENT, SEGMENTECTOMY: INFILTRATING LOBULAR CARCINOMA INVOLVING MULTIPLE SPECIMEN EDGES. (INCLUDING. APPARENT OLD AND APPARENT NEW SPECIMEN EDGES). CARCINOMA EXTENDS THROUGH BULK OF THE TISSUE SEGMENT, MEASURING. APPROXIMATELY 5.0. CM IN GREATEST DIMENSION. IN SITU CARCINOMA WITH DUCTAL INVOLVEMENT CONSISTENT WITH ANTEGRADE. SPREAD OF. LOBULAR CARCINOMA IN SITU. LYMPHOVASCULAR INVASION IDENTIFIED. ADDITIONAL FINDINGS: PROLIFERATIVE BREAST DISEASE WITH. MICROCALCIFICATIONS. 6. BREAST, LEFT, INFERIOR MARGIN, BIOPSY: INFILTRATING LOBULAR CARCINOMA MEASURING 0.5 CM. SMALL FIBROADENOMA. 7. BREAST, LEFT, SUPERIOR MARGIN, BIOPSY: INFILTRATING LOBULAR CARCINOMA, MEASURING 0.25 CM. 8. BREAST, LEFT, MEDIAL MARGIN, BIOPSY: BENIGN BREAST TISSUE. NEGATIVE FOR MALIGNANCY. 9. BREAST, LEFT, LATERAL MARGIN, BIOPSY: INFILTRATING LOBULAR CARCINOMA, MEASURING APPROXIMATELY 1.2 CM. LOBULAR CARCINOMA IN SITU WITH EXTENSIVE DUCTAL INVOLVEMENT. 10. BREAST, LEFT, ANTERIOR MARGIN, BIOPSY: BENIGN BREAST TISSUE. NEGATIVE FOR MALIGNANCY. 11. BREAST, LEFT, DEEP MARGIN, BIOPSY: BENIGN FATTY BREAST TISSUE. NEGATIVE FOR MALIGNANCY. BREAST CANCER PROGNOSTIC SUMMARY. SITE: LEFT BREAST. TUMOR SIZE: 6.5 CM (ESTIMATED FROM SPECIMENS 4 AND 5). TUMOR TYPE: INFILTRATING LOBULAR CARCINOMA. HISTOLOGIC GRADE. WELL DIFFERENTIATED. MODIFIED BLOOM-. RICHARDSON SCORE: 5/9 (DUCT FORMATION 3, NUCLEAR GRADE 1, MITOTIC. ACTIVITY 1). IN SITU CARCINOMA: PRESENT. TYPE: LOBULAR, WITH ANTEGRADE DUCTAL INVOLVEMENT. EXTENSIVE IN SITU. CARCINOMA: NOT IDENTIFIED. MARGINS OF RESECTION: POSITIVE: CARCINOMA INVOLVES MULTIPLE MARGINS OF THE. INITIAL. SEGMENT, MULTIPLE MARGINS OF THE ADDITIONAL SEGMENT,. AND THE. BIOPSIES OF INFERIOR MARGIN, SUPERIOR MARGIN AND. LATERAL. MARGIN. NIPPLE/SKIN INVOLVEMENT: NOT APPLICABLE. LYMPHOVASCULAR INVASION: PRESENT. LYMPH NODES: POSITIVE. # POSITIVE/TOTAL COUNT: 3 OUT OF 5. SENTINEL NODE: 3 OUT OF 4 SENTINEL NODES. TNM PATHOLOGIC STAGE : pT3 N1a MX. MOLECULAR STUDIES: PARAFFIN BLOCK 4E. signed Electronically signed by:

expanded version (tokens=2880) : 
 Histological classification:
- Left breast segmentectomy: Infiltrating lobular carcinoma, classic pattern
- Left breast additional segment, segmentectomy: Infiltrating lobular carcinoma involving multiple specimen edges, extends through bulk of tissue segment, in situ carcinoma with ductal involvement consistent with antegrade spread of lobular carcinoma in situ
- Left axilla sentinel lymph nodes: Metastatic carcinoma in two out of three lymph nodes (2/3), one node measures 0.3 cm, no extracapsular invasion identified. Metastatic carcinoma in one out of one lymph node (1/1), measures 1.0 cm, no extracapsular invasion identified. 
- Left axilla lymph node suspicious: One node negative for metastatic carcinoma (0/1). Benign capsular and trabecular nevus.

Subtype:
- LumA

Nuclear grade: 
- Histo01ogic grade: Well differentiated
- Modified Bloom-Richardson Score: 5/9 (duct formation 3, nuclear grade 1, mitotic activity 1)

Lymphovascular invasion:
- Present

Receptor status (IHC):
- Estrogen Receptors: Positive, 3+
- Progesterone Receptors: Positive, trace to 1+
- HER-2/neu (c-erb B2): Negative (0)
- p53: Negative (0)

Ancillary testing results:
- Plo

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=3039) : 
 Histological examination revealed infiltrating lobular carcinoma, classic pattern, in the left breast segmentectomy and infiltrating lobular carcinoma involving multiple specimen edges in the additional segment. The tumor was LumA subtype with well-differentiated nuclear grade. Lymphovascular invasion was identified, and all margins were positive. Three out of five sentinel lymph nodes tested positive for metastatic carcinoma. Estrogen receptors and progesterone receptors were positive with no HER-2/neu expression detected. No mention of tumor-infiltrating lymphocytes or calcification was made.

