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 Normal, Specimen #: (Age: Racer. SPECIMEN: A: RIGHT BREAST B: SENTINEL NODE #1 RIGHT AXILLA. C: NON SENTINEL LYMPH NODE RIGHT AXILLA. D: SENTINEL NODE #2 RIGHT AXILLA. E: NON-SENTINEL NODE #2 RIGHT AXILLA. FINAL DIAGNOSIS: A. BREAST, RIGHT, MASTECTOMY: - -TUMOR TYPE: INFILTRATING DUCTAL CARCINOMA, NO SPECIAL TYPE. - NOTTINGHAM GRADE: MODERATELY DIFFERENTIATED (G2). - NOTTINGHAM SCORE: 7/9. (Tubules=3, Nuclei=2, Mitoses=2 i mitotic count 8 per 10 HPF at. 40x power, Slide A5). - TUMOR SIZE (GREATEST DIMENSION) : 3.0 CM (Gross measurement) . - TUMOR NECROSIS: FOCALLY PRESENT IN INFILTRATING COMPONENT. - MICROCALCIFICATIONS PRESENT IN CARCINOMA AND BENIGN BREAST TISSUE. - VENOUS / LYMPHATIC INVASION: PRESENT, EXTENSIVE. - MARGINS : NEGATIVE. - DISTANCE OF INFILTRATING TUMOR FROM THE NEAREST MARGIN IS 2.5 MM,. FROM THE DEEP MARGIN (Slide A8) . SEE COMMENT. - INTRADUCTAL COMPONENT: PRESENT. -DUCTAL CARCINOMA IN SITU WITH APOCRINE FEATURES, HIGH NUCLEAR GRADE. (G3) CRIBRIFORM AND SOLID TYPES WITHOUT DEFINITE NECROSIS. - LYMPH NODES: SEE PARTS B-E. - NIPPLE INVOLVEMENT: PRESENT WITHIN THE STROMA. - SKIN INVOLVEMENT ABSENT. - MULTICENTRICITY ABSENT. - ESTROGEN RECEPTORS : POSITIVE (95-100% Nuclear staining, per. - PROGESTERONE RECEPTORS POSITIVE (10% Nuclear staining, per. - HER2 by IHC: NEGATIVE (1+; per. - HER2 BY FISH: NOT PERFORMED. - PATHOLOGIC STAGE: pT2 N1a Mx. - ADDITIONAL PATHOLOGIC CHANGES: -FIBROCYSTIC CHANGES INCLUDING STROMAL FIBROSIS, MICROCYSTS AND. APOCRINE METAPLASIA. - NODULAR SCLEROSING ADENOSIS. - MODERATE-FLORII USUAL DUCTAL HYPERPLASIA. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. Specimen #: FINAL DIAGNOSIS (continued) : - -FIBROADENOMATOID CHANGE. -COLUMNAR CELL CHANGE WITHOUT ATYPIA. B. LYMPH NODE, RIGHT AXILLA (#1), , SENTINEL BIOPSY: -ONE LYMPH NODE POSITIVE FOR METASTATIC CARCINOMA. -LARGEST METASTATIC FOCUS : 1.5 CM. -MICROSCOPIC FOCUS (0.8 MM) OF EXTRANODAL EXTENSION BY CARCINOMA. IDENTIFIED. -SEE COMMENT. C. LYMPH NODE, RIGHT AXILLA, NON-SENTINEL BIOPSY;. -ONE OF TWO LYMPH NODES POSITIVE FOR METASTATIC CARCINOMA. -LARGEST METASTATIC FOCUS = 1.1 CM. -NEGATIVE FOR EXTRANODAL EXTENSION BY CARCINOMA. D. LYMPH NODE, RIGHT AXILLA (#2) SENTINEL BIOPSY: -ONE LYMPH NODE, NEGATIVE FOR METASTATIC CARCINOMA BY H AND E AND. IMMUNOHISTOCHEMISTRY. -SEE COMMENT. E. LYMPH NODE, RIGHT AXILLA (#2) NON-SENTINEL BIOPSY. -TWO LYMPH NODES, NEGATIVE FOR METASTATIC CARCINOMA BY H AND E. Comment: Part A - The tumor that is closest to the margin is present. within a lymphatic space. Parts B and D are examined per the. sentinel node protocol, with four. step sections and intervening sections examined by immunohistochemistry. for pancytokeratin (x2) Control stains are reviewed. CLINICAL DIAGNOSIS AND HISTORY: yo. diagnosed with right breast cancer. PRE-OPERATIVE DIAGNOSIS: right breast cancer. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT O!. Specimen #: POST-OPERATIVE DIAGNOSIS: none provided. GROSS DESCRIPTION: A: Received fresh, labeled with the patient's name,. and. designated "Right Breast, long-lateral, short-superior, double-deep. stitches" consists of a 344 gm mastectomy specimen oriented with short. stitch superior, long stitch lateral. The specimen measures 20.0 cm. superior to inferior, 18.0 cm medial to lateral, and 3.0 cm anterior to. posterior. The darkly pigmented superficial skin ellipse measures 9.5 x. 3.5 cm and displays a 1.0 cm centrally located, flat nipple free of. discharge. The deep margin is inked black and the superficial margin is. inked blue. Serial sections reveal a centrally located, well-defined mass. measuring 3.0 cm (superior to inferior) x 2.5 x 2.5 cm. The mass is. subjacent to (and continuous with) the nipple and comes to within 1.3. cm. of the deep margin. The cut surface is pink-white, firm and gritty with. peripheral congestion. The fibrous tissue surrounding the mass is markedly. dense and diffusely nodular, suggestive of an additional focal lesion. The. remainder of the specimen is composed moderately of dense fibrous tissue. admixed with lobulated, yellow-tan adipose tissue. No lymph nodes are. identified. Representative sections are submitted. Cassette Summary: A1- nipple with subjacent mass; A2 - mass with deep. margin; A3-A5- mass; A6- mass with skin; A7-A8- deep margin to tumor,. central breast; A9- lower mid, adjacent (inferior) to tumor; A10- margin. of A9; A11- - central breast, adjacent (medial) to tumor; A12- margin of. A11; A13- - upper outer quadrant, 4.5 cm from tumor; A14- margin of A13. A15- lower outer quadrant, 4.5 cm from tumor; A16- lower inner quadrant. with deep adjacent to tumor; A17- upper inner quadrant adjacent to. tumor;. Matched sections of A1, A3-A7, A9, A11, A13 and A15-A17 are submitted in. OCT for. protocol. B: Received fresh, labeled with the patient's name,. and. designated "Sentinel Node #1 Right Axilla" consists or a 1.5 x 1.2 x. 0.7. cm possible lymph node. The lymph node is bisected to reveal a firm,. tan-white cut surface. The specimen is submitted in cassette B1. A. matched section of section of B1 is submitted in OCT for. protocol. C: Received fresh, labeled with the patient's name,. and. designated 'Non-Sentinel Lymph Node Right Axilla" consists of two possible. lymph nodes measuring 1.5 x 1.0 x 0.5 cm and 0.5 cm in greatest dimension. The cut surface of the larger possible lymph node is pink-white and firm. The lymph nodes are submitted as follows: Cassette Summary : C1- one lymph node; C2 - one lymph node bisected. A matched section of C1 is submitted in OCT for. protocol. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. FOR OFFICIAL US# ONLY - PERSONAL DATA - PRIVACY ACT o. Specimen #: GROSS DESCRIPTION (continued) : D: Recei 1 in formalin, labeled with the patient's name. designated "Sentinel Node #2 Right Axilla" consists of one. irregular shaped fragment of yellow lobular adipose tissue measuring 1. 5. cm in greatest dimension. Sectioning reveals one possible lymph node. measuring 0.6 cm in greatest dimension. Specimen submitted in its. entirety. E: Received fresh, labeled with the patient's name. and. designated "Non-Sentinel Node #2" consists of two possible lymph nodes. measuring 2.0 x 1.0 x 0.7 cm and 0.7 cm in greatest dimension. Sectioning. of both possible lymph nodes reveals a pink-tan unremarkable cut surface. The lymph nodes are entirely submitted as follows: Cassette Summary: E1-E2- one lymph node; E3 - one lymph node bisected. A matched section of E2 is submitted in OCT for. protocol. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY.

expanded version (tokens=2394) : 
 Histological Classification:
- Infiltrating Ductal Carcinoma, No Special Type (Breast)
- Ductal Carcinoma In Situ with Apocrine Features, High Nuclear Grade (Breast)

Subtype: Normal

Description of Necrosis: Focally present in infiltrating component

Tumor Infiltrating Lymphocytes: Not mentioned

Histological Grade: Nottingham Grade 2 (Moderately Differentiated)

Nuclear Grade: G2 (Moderately Differentiated) for infiltrating ductal carcinoma, G3 (High Nuclear Grade) for ductal carcinoma in situ with apocrine features

Lymphovascular Invasion: Present, extensive

Calcification: Microcalcifications present in carcinoma and benign breast tissue

Receptor Status:
- Estrogen Receptors: Positive (95-100% Nuclear staining)
- Progesterone Receptors: Positive (10% Nuclear staining)
- HER2 by IHC: Negative (1+)
- HER2 by FISH: Not performed

Additional Pathologic Changes:
- Fibrocystic changes including stromal fibrosis, microcysts, and apocrine metaplasia
- Nodular sclerosing adenosis 
- Moderate-florid usual ductal hyperplasia
- Fibroadenomatoid change
- Columnar cell change without atypia

Ancillary Testing Results: None provided.

Overall Stage: pT2 N1a Mx

Comments: The tumor

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=2555) : 
 Pathology report indicates infiltrating ductal carcinoma, no special type, Nottingham Grade 2 with extensive lymphovascular invasion and necrosis. Ductal carcinoma in situ with apocrine features, high nuclear grade is also present. The tumor is ER-positive (95-100% nuclear staining), PR-positive (10% nuclear staining), and HER2-negative by IHC. Calcifications observed microscopically in both carcinoma and benign tissue. Nodal involvement present with one sentinel lymph node and one non-sentinel lymph node testing positive for metastatic carcinoma.

