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, Chief of Pathology. specimen. Status SOUT. spec Type: SURGICAL P. TREOPERATIVA. BREAST CANCER IN SITU/NIPPLE DISCHARGE/LT BREAST MACROMASTIA. OPERATION PERFORSED. DOCTOR (S) : PROCEDURE: SENTINEL NODE DEEP AXILLARY. TISSUE REGIOVED. A. LT BREAST TISSUE. B. RT SIMPLE MASTECTOMY. C. RT AXILLA SENTINEL NODE #1. PART A RECEIVED FRESH LABELED. LEFT BREAST TISSUE, IS. A LEFT BREAST TISSUE, IS A 643.5 GRAMS OF FIBROFATTY BREAST TISSUE AND. SKIN SUBMITTED IN 2 PIECES, ONE IS A PORTION OF SKIN WITH AREOLAR TYPE. TISSUE AT ONE END AND THE SECOND IS SKIN AND UNDERLYING FIBROFATTY TISSUE. REMOVED IN A BREAST REDUCTION PATTERN. SECTIONING REVEALS BLAND YELLOW. FATTY TISSUE WITH FINE FIBROUS BANDS AND NO AREAS OF MYELOFIBROSIS OR. MASS IS IDENTIFIED. REPRESENTATIVE TISSUE IS SUBMITTED AS FOLLOWS: A1--KKIN TISSUE SUPERIOR, A2--MEDIAL ARM, A3 THROUGH A5--LATERAL ARM FROM. SUPERIOR TO INFERIOR. PART B RECEIVED FRESH LABELED. RIGHT SIMPLE MASTECTOMY. STITCH 12 O'CLOCK, IS A SIMPLE MASTECTOMY SPECIMEN MEASURING 21 x 21.5 x. 6.6 CM. THE NIPPLE IS UNREMARKABLE. WITHIN A 21.2 x 12.5 CM SKIN. ELLIPSE, A SUTURE DENOTES 12 O' CLOCK. THE SUPERFICIAL ASPECT IS MARKED. WITH BLUE INK, THE DEEP MARGIN WITH BLACK INK. A WELL-HEALED SCAR IS. NOTED ON THE LATERAL ASPECT OF THE BREAST SKIN MEASURING 5.0 CM IN. LENGTH. SECTIONING REVEALS BLAND YELLOW FATTY TISSUE WITH FINE FIBROUS. BANDS IN THE MIDPORTION. BLUE DYE IS NOTED. THERE IS AN° AREA-OF GRAY. FIBROSIS WITH TAN-BROWN DISCOLORATION SUGGESTIVE OF A PREVIOUS BIOPSY. SITE IN THE UPPER OUTER QUADRANTS. THERE IS A FIRM NODULE IN THE 9. O' CLOCK LATERAL ASPECT OF THE SPECIMEN WITH FOCAL BLUE DYE SUGGESTIVE OF. A LYMPH NODE. THIS IS 1.1 CM FROM THE DEEP MARGIN. SECTION IS SUBMITTED. IN B2 (MIRROR IMAGE TO PROTOCOL) THE AREA BETWEEN THIS BIOPSY SITE IS 5. CM FROM THE DEEP MARGIN. BIOPSY CLIPS ARE NOT OTHERWISE IDENTIFIED. WITHIN THE SPECIMEN. SECTIONS ARE SUBMITTED AS FOLLOWS: B1--NIPPLE AND. SKIN SCAR, 2--POSSIBLE LYMPH NODE AT 9 O' CLOCK AREA, B3-DEEP MARGIN TO. B2, B4--DEEP MARGIN TO PREVIOUS BIOPSY SITE, B5 THROUGH 012--ESTIONS OF. THIS PREVIOUS BIOPSY SITE WITH B7 AND B12 THE FARTHEST FROM EACH OTHER AT. 2 CM SPA, B13 - - NODULARITY IMMEDIATELY DEEP TO B12, UPPER OUTER QUADRANT,. B14--UPPER OUTER QUADRANT IMMEDIATELY ADJACENT TO B13, B15--LOWER OUTER. QUADRANT IMMEDIATELY INFERIOR TO B2, B16--RANDOM LOWER OUTER QUADRANT 6. CM FROM PREVIOUS BIOPSY SITE, 817--NODULARITY 6 O' CLOCK AREA 9 CM FROM. PREVIOUS BIOPSY SITE (MIRROR IMAGE TO PROTOCOL), B18 --LOWER INNER. ogy. 2. Specimen. spec Type: SURGICAL P. GROSS DESCRIPTION. QUADRANT, B19--PUPPER - INNER QUADRANT. SEPARATELY SUBMITTED WITHIN THE. CONTAINER IS A SMALL FRAGMENT OF YELLOW FATTY TISSUE MEASURING 3.5 x 3.0. x 1.2 CM IN GREATEST DIMENSION. THIS IS GROSSLY UNREMARKABLE AND. REPRESENTATIVE TISSUE IS SUBMITTED IN B20. PART C RECEIVED FRESH LABELED. RIGHT AXILLA FIRST. SENTINEL NODE HOT AND BLUE, IS YELLOW-TAN FATTY TISSUE MEASURING 3.4 x. 2.0 x 1.0 CM. SECTIONING REVEALS A GROSSLY UNREMARKABLE FAT-REPLACED. NODAL TISSUE SUBMITTED ENTIRELY LABELED c. PROCEDURES. PROCEDURES: 88305, 88307/2, IMMUNOPEROXIDAS, A BLK/5, B BLK/20, CBX X6. FINAL DIAGNOSIS. PART A LEFT BREAST, REDUCTION MAMMOPLASTY: 1. CONSISTENT WITH MACROMASTIA. 2. SCATTERED FOCI OF ATYPICAL LOBULAR HYPERPLASIA. PART B RIGHT BREAST, SIMPLE MASTECTOMY: 1. MODERATELY DIFFERENTIATED INTRADUCTAL AND INFILTRATING DUCT. CARCINOMA. THE INVASIVE COMPONENT SHOWS NUCLEAR GRADE 2, MODERATE. MITOTIC INDEX AND TUBULE FORMATION 3 FOR A TOTAL NOTTINGHAM SCORE OF. 7. DCIS OF THE CRIBRIFORM AND PAPILLARY TYPES, NUCLEAR GRADE 2 HAS. RARE FOCI OF INTRALUMINAL NECROSIS AND COMPRISES APPROXIMATELY 50% OF. THE TUMOR. 2. THE TUMOR IS MULTIFOCAL IN THE UPPER OUTER QUADRANT WITH THE LARGEST. INVASIVE FOCUS MEASURING 7 MM IN GREATEST DIMENSION. ADDITIONAL. INVASIVE FOCI ARE ALSO PRESENT THAT RANGE FROM 2 TO 3 MM IN GREATEST. DIMENSION. DCIS IS IDENTIFIED ON 15 OF 20 BLOCKS EXAMINED HAVING A. MAXIMUM CALCULATED DIMENSION OF 6 CM. 3. THE NIPPLE SKIN, RANDOM SECTIONS OF REMAINING QUADRANTS AND MARGINS. ARE FREE OF TUMOR. 4. LYMPHOVASCULAR INVASION IS NOT IDENTIFIED. 5. THE BIOPSY SITE. IS PRESENT. PART C RIGHT AXILLA, SENTINEL LYMPH NODE BIOPSY: METASTATIC BREAST. CARCINOMA IS IDENTIFIED IN THE SUBCAPSULAR SINUS/CORTEX IN A FOCUS. MEASURING 0.17 MM IN GREATEST MICROSCOPIC DIMENSION ON THE CYTOKERATIN. STAIN WHICH WERE NOT SEEN ON INITIAL H AND E EXAMINATION. RARE. Chief of Pathology. Specimen: Spec Type: SURGICAL P. FINAL DIAGNOSTS. ADDITIONAL ISOLATED TUMOR CELLS ARE ALSO PRESENT. (prelim.). (signature on file).

expanded version (tokens=2009) : 
 Histological Classification: The report identifies Luminal A subtype of breast cancer, with ductal carcinoma in situ (DCIS) and infiltrating ductal carcinoma (IDC).

Subtype: Luminal A

Description of Necrosis: The report mentions rare foci of intraluminal necrosis in the DCIS component of the tumor.

Tumor Infiltrating Lymphocytes: The report does not mention tumor infiltrating lymphocytes.

Histological Grade: The IDC component of the tumor is identified as moderately differentiated with a Nottingham score of 7.

Nuclear Grade: The IDC component is classified as nuclear grade 2.

Lymphovascular Invasion: There is no lymphovascular invasion identified.

Calcification: DCIS is identified on 15 of 20 blocks examined, with a maximum calculated dimension of 6cm.

Receptor Status: No information is provided about receptor status in the report.

Ancillary Testing Results: The report lists additional isolated tumor cells in the axillary lymph node biopsy and mentions the use of immunoperoxidase staining and multiple sectioning to aid in the diagnosis. The initial H&E examination did not identify the metastatic focus, but it was found with further cytokeratin staining. No other ancillary testing results are mentioned.

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=2148) : 
 Luminal A subtype with DCIS and moderately differentiated IDC. Rare foci of intraluminal necrosis seen in DCIS component, but lymphovascular invasion is not identified. Tumor does not have infiltrating lymphocytes, with a nuclear grade of 2.  Axillary lymph node biopsy contains isolated tumor cells with no information on receptor status provided in the report. Multiple sectioning using immunoperoxidase staining required for diagnosis.

