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 Basal, SURGICAL REPORT. Sex: F. Date Collected: Date Received: M.R. Number: Account Number. Doctor: PRE-OPERATIVE DIAGNOSIS. LEFT BREAST CANCER. POST-OPERATIVE DIAGNOSIS. LEFT BREAST CANCER. PROCEDURE. LEFT BREAST LUMPECTOMY WITH AXILLARY LYMPH NODE DISSECTION. TISSUES. A. BREAST EXCISION NEEDLE LOC, SIMPLE, MARGINS,ETC - LEFT. B. AXILLARY - CONTENTS LEFT. C. AXILLARY - ADDITIONAL CONTENTS LEFT. D. MARGINS - ADDITIONAL LATERAL. E. MARGINS - ADDITIONAL MEDIAL. ADDENDUM 2. HER-2 (IHC) -. o. NOT AMPLIFIED. SPECIAL STAINS PERFORMED: Her-2 (IHC) (HA). Revlewed and electronically signed out by: ADDENDUM. ESTROGEN AND PROGESTERONE RECEPTOR RESULTS: ESTROGEN RECEPTORS -. NEGATIVE IN THE MALIGNANT CELLS (0%). PROGESTERONE RECEPTORS- -. NEGATIVE IN THE MALIGNANT CELLS (0%). Comment: The control tissues for Estrogen and Progesterone Receptor. Immunohistochemical Studies display appropriate staining pattern. 3. SURGICAL REPORT. FS DIAGNOSIS. A. LEFT BREAST LUMP (GROSS MARGINS) -. PORTION OF BREAST TISSUE WITH TUMOR (3.2 X 3.1 X 3.0 CM.) EXTENDING TO. LATERAL SURGICAL MARGIN AND WITHIN 0.1 CM. OF THE MEDIAL SURGICAL. MARGINS. ALL OF THE REMAINING DESIGNATED SURGICAL MARGINS ARE WITHIN 0.6 CM. OF THE TUMOR (GROSS). (REPORTED TO SURGEON: Diagnosed by: FINAL DIAGNOSIS. A. LEFT BREAST LUMP -. BREAST TISSUE DISPLAYING INVASIVE POORLY DIFFERENTIATED DUCTAL. ADENOCARCINOMA OF THE BREAST, 3+3+3, 3.2 CM. IN GREATEST DIMENSION. TUMOR EMBOLI SEEN IN ANGIOLYMPHATIC SPACES. MARGINS ARE FREE. THE NEAREST MARGIN IS 0.1 CM. TO THE TUMOR AS REPORTED IN THE GROSS. EXAMINATION. B. AXILLARY CONTENTS LEFT -. LYMPH NODE, METASTATIC DUCTAL ADENOCARCINOMA IN TWO LYMPH. NODES FROM A TOTAL OF TWELVE LYMPH NODES (2/12). THE LARGEST NODE WITH TUMOR IS 1 CM. IN GREATEST DIMENSION. THE TUMOR TOTALLY OCCUPIES THE NODE WITH EXTRACAPSULAR. EXTENSION TO THE FAT. C. ADDITIONAL AXILLARY CONTENTS, LEFT -. LYMPH NODES, TWO REACTIVE. D. ADDITIONAL LATERAL MARGINS -. FIBROADIPOSE TISSUE AND BREAST TISSUE, NO TUMOR SEEN; HOWEVER, THERE IS. MICROSCOPIC FOCUS OF TUMOR EMBOLI SEEN IN ANGIOLYMPHATIC SPACES. E. ADDITIONAL MEDIAL MARGINS- -. FIBROADIPOSE TISSUE AND BREAST TISSUE, NO TUMOR SEEN. PTNM CLASSIFICATION: T2 N1 MX, STAGE IIB, DUCTAL ADENOCARCINOMA, G3. PQRI CATEGORY II: 3260F. Diagnosed by: /. COMMENT. This case is discussed with. SURGICAL REPORT. GROSS DESCRIPTION. The specimen is received in five separate containers labeled. designated A. through E. A. The container is received fresh unfixed labeled "left breast lump" and consists of a 30 gm. ovoid. mass of apparent fatty and fibrous-encased tissue which is 4.5 x 3.5 x 2.8 cm. in greatest overall. dimension. There is a single short suture indicating superior margin inked with orange, inferior. is. inked red. There is a single long suture indicating lateral margin inked with black dye, medial. is. inked blue. There are two short sutures indicating anterior margin inked with green dye, deep. is. inked yellow. Sectioning reveals a tumor, a gray-white irregular bordered tumor which is 3.2 x 3.1. x 3 cm. in greatest overall dimension and has scattered yellow-tan chalky areas varying up to 0.3. cm. in greatest dimension and a central 0.4 cm. slightly gelatinous hemorrhagic area. The tumor. mass grossly appears to involve the lateral/black margin is 0.1 cm. from the medial/blue, 0.5 cm. from the anterior/green, 0.5 cm. from the deep/yellow, 0.5 cm. from the superior/orange and 0.5. cm. from the inferior/red. Gross margins are obtained by Dr. The entire specimen is. submitted in seventeen blocks. Key Note Block Summary: 1-lateral/black, 2-medial/blue, 3-anterior/green, 4. deep/yellow, 5-superior/orange, 6-inferior/red (all are perpendicular), 7 through 17-remaining. B. The container is received fixed labeled "left axillary contents" and consists of an irregular mass of. apparent fat 3.5 x 3 x 2.5 cm. Sectioning reveals pink-tan nodules varying up to 2 cm. in greatest. dimension. The larger nodes are hemisected and placed in cassettes 2 through 5. C. The container is received fixed labeled "additional axillary contents" and consists of an irregular. mass of apparent fatty tissue which is 1 x 0.6 x 0.4 cm. Sectioning reveals a 0.4 cm. pink-tan. nodule. The entire specimen is submitted as one section in one block. D. The container is received fresh unfixed labeled "additional lateral margin" and consists of an 8. gm. ovoid mass of apparent fatty and fibrous encased tissue is 3 x 2.5 x 2 cm. in greatest overall. dimension. There is an attached suture indicating new lateral margin inked with red dye. Sectioning reveals fat and a scant amount of fibrous tissue. The entire specimen is submitted in. four blocks. E. The container is received fresh unfixed labeled "additional medial margin - suture on new medial. margin" and consists of an 8 gm. ovoid mass of apparent fatty and fibrous encased tissue is 3 x. 3. x 2.5 cm. in greatest overall dimension. There is a suture indicating new medial margin inked. with blue dye. The entire specimen is submitted in four blocks. MICROSCOPIC EXAM. MICROSCOPIC EXAMINATION CONDUCTED BY PATHOLOGIST CONFIRMS FINAL DIAGNOSIS. SURGICAL REPORT.

expanded version (tokens=1961) : 
 The breast pathology report describes a case of invasive poorly differentiated ductal adenocarcinoma of the breast, with a tumor size of 3.2 cm in greatest dimension, and tumor emboli seen in angiolymphatic spaces. The subtype is basal. The lymphovascular invasion is positive, with tumor emboli visualized. There is evidence of metastatic ductal adenocarcinoma in two out of twelve lymph nodes examined, indicating nodal involvement. The tumor has infiltrated into the lymph nodes and there is extracapsular extension to the fat. The histological grade of the cancer is G3. No mention of necrosis or tumor infiltrating lymphocytes was reported. 

Calcifications are not mentioned, but the report discusses receptor status. The HER-2 status is unamplified (negative), as determined by immunohistochemical studies. The estrogen receptor (ER) and progesterone receptor (PR) results are both negative in the malignant cells. The control tissues for Estrogen and Progesterone Receptor Immunohistochemical Studies displayed an appropriate staining pattern. Other ancillary testing results are not given.

The surgical report indicates that the patient underwent a lumpectomy with axillary lymph node dissection. The report provides detailed information about the tumor size, location, and margins. The report also provides a gross description of the specimen, which consists of a breast excision needle localization, axillary contents, additional lateral and medial margins. The

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=2109) : 
 This is a case of basal subtype invasive poorly differentiated ductal adenocarcinoma of the breast with lymphovascular invasion and metastatic cancer in two out of twelve lymph nodes examined. The tumor emboli was visible, and it had invaded the lateral surgical margin but remained free from other margins. HER-2 status is unamplified (negative), while estrogen receptors (ER) and progesterone receptors (PR) are both negative. The histological grade of cancer is G3.

