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 LumB, Specimen #: Race: BLACK. Physician (s) : SPECIMEN: A: LEFT BREAST QUADRANTECTOMY. B: LEVEL #1 & #2 AXILLARY LYMPH NODES. FINAL DIAGNOSIS: A. BREAST, LEFT, QUADRANTECTOMY: - MODERATELY DIFFERENTIATED (GRADE II) INFILTRATING DUCTAL CARCINOMA. NOTTINGHAM SCORE: 7 OUT OF 9 (TUBULES=3, NUCLEI=2, MITOSES=2) . MAXIMUM TUMOR SIZE: 3.0 CM (MEASURED GROSSLY). VENOUS/LYMPHATIC INVASION: PRESENT (E.G., SLIDES A3 AND A4). MARGINS NEGATIVE. TUMOR PRESENT 0.27 CM FROM THE ANTERIOR (BLUE. INKED) TISSUE EDGE (SLIDE A1). INTRADUCTAL COMPONENT: PRESENT. DUCTAL CARCINOMA IN SITU,. INTERMEDIATE NUCLEAR GRADE (DCIS, GRADE II) i SOLID TYPE WITH. FOCAL INTRALUMINAL NECROSIS AND MICROCALCIFICATIONS. LYMPH NODES: 1 OF 23 LYMPH NODES POSITIVE FOR METASTATIC CARCINOMA. (1/23; PLEASE SEE PART "B"). ESTROGEN RECEPTORS: POSITIVE (>95% NUCLEAR STAINING; PLEASE SEE. PROGESTERONE RECEPTORS: POSITIVE (60-70% NUCLEAR STAINING; PLEASE. SEE. HER 2 NEU BY IHC: 2+ (PLEASE SEE. HER 2 NEU BY FISH: PENDING (PLEASE SEE. PATHOLOGIC STAGE: pT2N1MX. - ADDITIONAL FINDINGS: PRIOR BIOPSY SITE CHANGES. B. LYMPH NODES, LEFT AXILLA LEVELS 1 AND 2, AXILLARY DISSECTION: - ONE OF TWENTY-THREE - LYMPH NODES POSITIVE FOR METASTATIC CARCINOMA. (1/23) . LARGEST METASTATIC FOCUS: 1.4 CM WITH FOCAL EXTRANODAL. EXTENSION (LESS THAN 0.1 CM) . Specimen #: FINAL DIAGNOSIS (continued) : CLINICAL DIAGNOSIS AND HISTORY: yo black female with breast cancer, left inner mid breast g2 (7/9). +lvi, er/pr+, her2/neu 2+, fna+ of left axillary lymph node. Time in. formalin: 84 hours. PRE-OPERATIVE DIAGNOSIS: breast cancer. POST-OPERATIVE DIAGNOSIS: none provided. GROSS DESCRIPTION: A: Received fresh, labeled with the patient's name,. : and. designated "Left Breast Quadrantectomy" is a 408 gm lumpectomy specimen. oriented with a single short black stitch superior, long black lateral,. double blue deep, triple blue medial, and anterior margin is inked blue. The specimen measures 19.0 cm superior to inferior, 14.0 cm medial to. lateral, and 4.0 cm anterior to posterior. The specimen is inked as. follows: anterior-blue, superior-orange, lateral-yellow, medial-red,. inferior-green, and deep-black. Serial sections reveal a 3.0 x 2.0 x 1.7. cm well-defined, tan-pink, gritty mass with focal congestion. The mass. comes to within 0.5 cm of the closest margin (anterior). On sectioning. through the mass a 0.4 cm red-brown biopsy cavity is identified, with an. embedded metallic clip. The remainder of the specimen is predominantly. composed of lobulated, yellow-tan adipose tissue admixed with. approximately 20% fibrous tissue. No additional lesions are identified. Representative sections are submitted. Cassette. Summary: A1-A2- anterior margin; A3-A4- mass; A5-A6- mass with. cavity; A7- mass; A8- adjacent normal; A9- section with medial (red inked). tissue edge adjacent to sections from A1-A6; A10- - adjacent section of. medial-posterior (red and black inked) tissue edges; A11-A12- sections of. white fibrous area with lateral (yellow inked) tissue edge in plane. immediately next to plane of sections A1-A10; A13 - sections of anterior. (blue inked) tissue edge adjacent to tumor area taken from A7; A14-. medial-anterior (red and blue inked) tissue edges taken from area adjacent. to A7. Matched sections of A3, A5-A8 are submitted in OCT for CBCP Protocol. Specimen #: GROSS DESCRIPTION (continued). B: Received fresh, labeled with the patient's name,. and. designated "Level 1 and 2 Axillary Lymph Node" is a 10.0. x. 7.5. x. 2.0. cm. irregular portion of soft tissue. Sectioning reveals multiple pink-red to. pink-tan - lymph nodes ranging in size from 0.7 cm in greatest dimension to. 3.0 x 1.0 x 0.7 cm. Sectioning through the larger lymph nodes reveals a. markedly congested cut surface. The lymph nodes are submitted entirely as. follows: Cassette Summary: B1-B2- one lymph node; B3-B4- - one lymph node; B5- one. lymph node, bisected; B6 - one lymph node; B7 - four lymph nodes; B8- one. lymph node; B9- one lymph node, bisected; B10- one lymph node, bisected;. B11- - one lymph node; B12 - one lymph node, bisected; B13- - two lymph nodes. bisected (one inked green) ; B14-21: additional lymph node candidates. Matched sections of B1, B3,B6,B8 are submitted in OCT for CBCP Protocol.

expanded version (tokens=1733) : 
 Histological Classification: The diagnosis is moderately differentiated (Grade II) infiltrating ductal carcinoma, with an additional finding of ductal carcinoma in situ (DCIS), intermediate nuclear grade (Grade II), solid type with focal intraluminal necrosis and microcalcifications.

Subtype: LumB.

Necrosis: There is focal intraluminal necrosis seen in the DCIS component.

Tumor Infiltrating Lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

Histological Grade: The histological grade of the infiltrating ductal carcinoma is Grade II, with a Nottingham score of 7/9 (tubules=3, nuclei=2, mitoses=2).

Nuclear Grade: The nuclear grade of the DCIS component is intermediate (Grade II).

Lymphovascular Invasion: There is venous/lymphatic invasion present in slides A3 and A4.

Calcification: There are microcalcifications seen in the DCIS component.

Receptor Status: Estrogen receptors are positive (>95% nuclear staining), Progesterone receptors are positive (60-70% nuclear staining), and HER2/neu by IHC is 2+. HER2/neu by FISH is pending.

IHC and other ancillary testing results: No additional IHC or ancillary testing results are mentioned in the report.

Lymph Node involvement: One out of twenty-three axillary lymph nodes shows metastatic carcinoma,

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=1900) : 
 A moderately-differentiated (Grade II) infiltrating ductal carcinoma, with additional ductal carcinoma in situ (DCIS, Grade II), was diagnosed in a 40-year-old Black female. Venous/lymphatic invasion and microcalcifications were present. ER and PR were positive, HER2/neu 2+. One of 23 axillary lymph nodes showed metastatic carcinoma. Nottingham score 7/9 (tubules=3, nuclei=2, mitoses=2). Nuclear grade of DCIS was intermediate. No tumor infiltrating lymphocytes were mentioned.

