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: WHITE. Physician (s) : SPECIMEN: WUID:161E2817-7082-46F8-BFEB-256DBBEFE633. A: RIGHT BREAST B: RIGHT AXILLARY CONTENTS. FINAL DIAGNOSIS: A. RIGHT BREAST, MASTECTOMY: TUMOR TYPE: INFILTRATING DUCTAL CARCINOMA, NO SPECIAL TYPE. NOTTINGHAM GRADE: POORLY DIFFERENTIATED (G3). NOTTINGHAM SCORE: 9/9. (Tubules= 3, Nuclei= 3, Mitoses= 3 mitotic count 14 per 10 HPF at. 40x power). TUMOR SIZE (GREATEST DIMENSION) : 4.5 CM (MEASURED GROSSLY). TUMOR NECROSIS: PRESENT, IN INFILTRATING COMPONENT AND DCIS. MICROCALCIFICATIONS: PRESENT IN INFILTRATING COMPONENT AND BENIGN. PROCESSES. VENOUS / LYMPHATIC INVASION: PRESENT; EXTENSIVE. MARGINS : DEEP MARGIN POSITIVE FOR TUMOR IN TISSUE AND LYMPHATICS. INTRADUCTAL COMPONENT: PRESENT; MINIMAL. NIPPLE INVOLVEMENT: PRESENT (without Pagetoid spread) . SKIN INVOLVEMENT: PRESENT. MULTICENTRICITY: PRESENT; MULTIPLE SEPARATE MICROSCOPIC FOCI IN OTHER. QUADRANTS (SEE COMMENT). ESTROGEN RECEPTORS: Previously ordered and positive. PROGESTERONE RECEPTORS: Previously ordered and positive. HER 2 NEU by IHC: Previously ordered; weakly positive. HER 2 Neu BY FISH: Previously ordered and pending. PATHOLOGIC STAGE: pT4d N2a MX. ADDITIONAL PATHOLOGIC CHANGES. -DUCTAL CARCINOMA IN-SITU, HIGH GRADE. - -CYSTIC CHANGE WITH APOCRINE METAPLASIA. B. LYMPH NODES, RIGHT AXILLA, DISSECTION: EIGHT LYMPH NODES POSITIVE FOR TUMOR, WITH EXTENSIVE EXTRACAPSULAR. EXTENSION IDENTIFIED, AND DEPOSITS LARGER THAN 2 MM. COMMENT: ER, PR, and Her2Neu are performed on the patient's prior material. collected by mammotome biopsy,. and will not be. repeated. This tumor shows satellite nodules throughout all quadrants. Specimen #: FINAL DIAGNOSIS (continued) : sampled except the lower outer quadrant. These nodules are not measured. separately as separate primary tumors; they appear to have arisen from. intramammary lymphatic spread. It is likewise difficult to measure the. degree of extranodal extension of tumor from the lymph nodes due to the. extensive perinodal tumor deposits. CLINICAL DIAGNOSIS AND HISTORY: yo white female with right nipple inversion, right breast. Prior. mammotome biopsy with ductal carcinoma. A. Right breast, Long stitch lateral, short stitch superior (fresh). B. Right axillary contents including thoraco bundle (fresh). GROSS DESCRIPTION: A. Specimen received in formalin labeled with patient's name. consists of a 627 gram right mastectomy specimen oriented with short. stitch superior and long stitch lateral. Specimen measures 24 cm superior. to inferior, 23 cm medial to lateral, 4 cm anterior to posterior. Superficial skin ellipse measures 9.5 x 4 cm and displays a centrally. located inverted nipple. No scar is noted. No discharge is noted. Deep. resection margin shows scant portions of muscular tissue. Deep margin. inked black and superficial margin is inked blue. Serial sections reveal a. centrally located poorly defined firm pink white mass measuring 4.5 x 4.5. x. 2.0. cm. Periphery of the mass shows hemorrhage consistent with previous. biopsy. Mass abuts deep margin. Fibrous parenchyma surrounding mass is. nodular and cystic suggestive of additional foci. Located in the deep. margin of mid inner quadrant is a 0.4 cm firm tan ill defined nodule. consistent with possible additional lesion (located approximately 2 cm. from central lesion) . Sectioning of nipple shows dense fibrous tissue. with possible lesion involvement. Remainder of parenchyma is lobulated. yellow tan and fatty with scant fibrous tissue. No lymph nodes identified. Representative sections: A1: skin. A2: nipple. A3: mass (lateral portion). A4: mass and adjacent fibrous tissue (medial portion). Specimen #: GROSS DESCRIPTION (continued). A5: mid inner quadrant nodule with margins. A6: mass with deep margin (central). A7: upper outer quadrant. A8: lower outer quadrant. A9: lower inner quadrant. A10: upper inner quadrant . Matched sections of A1-A4 and A7-A10 are. submitted. for CBCP protocol. A11-A20 represent additional sections of mass. Remaining breast tissue is. unoriented, no sutures remain in tissue. Representative samples of lesion. beneath elliptical wedge of skin and nipple are represented. A13-A14. represent one match set. Specimen submitted. B. Received in formalin labeled with patient's name. labeled. "RIGHT AXILLARY CONTENTS INCLUDING SARCO BUNDLE" consists of an 11 x 6 x 3. cm irregular unoriented portion of fatty tissue. Sectioning reveals two. matted portions of soft tissue measuring 4 x 3.5 x 1.5 cm and 8 x 4 x 1.2. cm. On sectioing the cut surfaces show dense indurated fibrotic tissue. with red tan lymphoid tissue noted along periphery of the smaller portion. tissue. Single intact discrete lymph node is identified and remaining. tissue which measures 0.6 cm. Exact number of lymph nodes cannot be. determined. Representative sections are as follows: B1-B3: smaller portion of tissue. B4-B6: larger portion of tissue. B7: one bisected lymph node.

expanded version (tokens=1736) : 
 The pathology report describes a LumB subtype breast cancer present in the right breast and axillary lymph nodes. The histological classification of the tumor is infiltrating ductal carcinoma, with no special type. The tumor is poorly differentiated, with a Notthingham score of 9/9 (tubules=3, nuclei=3, mitoses=3 mitotic count 14 per 10 HPF at 40x power). The tumor size is 4.5 cm (measured grossly) and necrosis is present in both the infiltrating component and DCIS.

The report also notes the presence of venous/lymphatic invasion that is extensive, marginal involvement, and minimal intraductal component. The tumor involved the nipple and skin, and there are multiple separate microscopic foci in other quadrants, suggesting multicentricity. The estrogen and progesterone receptors are positive, and the HER2 Neu status is weakly positive according to IHC but pending FISH testing. Pathologic staging is pT4d N2a MX.

There is also mention of an intramammary lymphatic spread of the tumor, with satellite nodules throughout all quadrants and difficulty measuring the perinodal tumor deposits due to the extensive nature of the tumor spread. The report further notes that the patient had prior mammotome biopsy with ductal carcinoma.

In terms of ancillary testing results, the report mentions that ER, PR, and HER2 Neu testing were

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=1904) : 
 LumB subtype breast cancer with infiltrating ductal carcinoma, poorly differentiated and necrosis present. Venous/lymphatic invasion is extensive with marginal involvement and minimal intraductal component. Multicentricity is noted. Estrogen and progesterone receptors are positive, but HER2 Neu status is weakly positive according to IHC, pending FISH testing. Pathologic staging is pT4d N2a MX. Intramammary lymphatic spread of the tumor with satellite nodules in all quadrants. Prior mammotome biopsy with ductal carcinoma was recorded.

