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 - Specimen #: (Age: Race: Physician (s) : AMENDED. SPECIMEN: LEFT BREAST AXILLARY & CONTENTS. FINAL DIAGNOSIS: BREAST, LEFT, MASTECTOMY WITH AXILLARY DISSECTION: - TUMOR TYPE: INVASIVE DUCTAL CARCINOMA (NO SPECIAL TYPE). - TUMOR FOCALITY: UNIFOCAL. - HISTOLOGIC GRADE: GRADE 3. - NOTTINGHAM SCORE: 9/9 (Tubules= 3, Nuclei= 3, Mitoses= 3 mitotic. count 24 PER 10 high power fields). - TUMOR SIZE (GREATEST DIMENSION) : 2.5 CM (GROSS MEASUREMENT) . - TUMOR SIDE (QUADRANT) : LEFT, UPPER OUTER QUADRANT. - TUMOR NECROSIS: PRESENT IN INVASIVE AND IN SITU CARCINOMA. - MICROCALCIFICATIONS: PRESENT IN DUCTAL CARCINOMA IN SITU AND BENIGN. BREAST TISSUE. - VENOUS/LYMPHATIC INVASION: NONE DEFINITELY IDENTIFIED. - INTRADUCTAL COMPONENT: DUCTAL CARCINOMA IN SITU, NUCLEAR GRADE 3,. SOLID TYPE WITH CENTRAL EXPANSIVE "COMEDO" NECROSIS. - MARGINS. - DISTANCE OF INVASIVE CARCINOMA FROM CLOSEST MARGIN: 1.2 MM. (SUPERFICIAL MARGIN). DISTANCE OF IN SITU CARCINOMA FROM CLOSEST MARGIN: 1.0 MM. (SUPERFICIAL MARGIN) AND 1.2 MM (DEEP MARGIN). - LYMPH NODES: 3 OF 17 NODES POSITIVE FOR METASTATIC CARCINOMA. - LARGEST METASTATIC FOCUS: 1.2 CM (MICROSCOPIC MEASUREMENT). - EXTRACAPSULAR EXTENSION: ABSENT. - NIPPLE INVOLVEMENT: ABSENT. - SKIN INVOLVEMENT: ABSENT. - PATHOLOGIC STAGE (AJCC. EDITION) : pT2 N1a. - ANCILLARY STUDIES: - ESTROGEN RECEPTORS: NEGATIVE (os NUCLEAR STAINING) . - PROGESTERONE RECEPTORS : NEGATIVE (0% NUCLEAR STAINING). - HER2 BY FISH: NEGATIVE (HER2/CEP17 RATIO: 1.0; PER. PERFORMED ON PRIOR SPECIMEN FROM. - ADDITIONAL PATHOLOGIC CHANGES : - PRIOR BIOPSY SITE CHANGES. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. Specimen #: FINAL DIAGNOSIS (continued): - FIBROADENOMA (1.2 CM; MICROSCOPIC MEASUREMENT) . - USUAL DUCTAL HYPERPLASIA, MODERATE. - SMALL PERIPHERAL PAPILLOMA. - FIBROCYSTIC CHANGES. Comment: : This case is amended. to add the results of. immunohistochemical stains for estrogen and progesterone receptors, as. noted above. No other changes are made. Although ER and PR stains were previously performed on the patient's core. biopsy. they were repeated due the greater number of. neoplastic cells in the current specimen and due to the focal staining for. progesterone receptors (reportedly 1%) in the prior biopsy. Estrogen and progesterone receptors were evaluated by immunohistochemical. methods (. estrogen receptor antibody 1D5, progesterone receptor. antibody PgR636) A positive test is defined as easily discernable nuclear. staining in 1% or more of the tumor cells. CLINICAL DIAGNOSIS AND HISTORY: -yearOold. with left breast mass in. Diagnostic. mammography and ultrasound on. confirmed presence of a 2.2 x. 1.4 cm left upper outer quadrant breast mass. PRE-OPERATIVE DIAGNOSIS: Left breast mass; breast cancer. POST-OPERATIVE DIAGNOSIS: None provided. GROSS DESCRIPTION: Received fresh, labeled with the patient's name. and. designated, "Left Breast Axillary and Contents" and consists of a left. mastectomy oriented with a short stitch superior; two short stitches. posterior; one long lateral; and two long on an axillary lymph node. The. specimen weighs 381 grams and measures 17.0 cm medially to laterally; 15.0. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF. FOR OFFICIAL USE ONLY - PERSONAL DATA - FRIVACY ACT of. Specimen #: GROSS DESCRIPTION (continued) : cm superiorly to inferiorly; and 2.5 cm anterior to posterior. The darkly. pigmented superficial skin ellipse measures 15.5 x 5.5 cm and displays a. 1.5 x 1.0 x 1.0 cm centrally located, everted nipple, free of discharge. The deep margin is inked black and the superficial margin is inked blue. Serial sections reveal a fairly well defined, firm pink-tan mass in the. upper outer quadrant. The mass measures 2.5 x 1.4 x 0.4 cm, comes to. within 0.4 cm of the deep margin and abuts the superficial margin. Immediately adjacent to, and continuous with the mass, is a 0.4 cm. centrally located, red-brown probable biopsy cavity. A 1.2 x 1. 2 x. 0.5. cm. ell-circumscribed, rubbery fibrous nodule is noted in the lower mid. breast which is consistent with a fibroadenoma. The remainder of the. specimen is composed of markedly dense tan-white fibrous tissue with. minimal admixed adipose tissue. No additional lesions are identified. The attached axillary tail measures 8. x 6.5 x 2.0 cm. Sectioning. reveals 11 lymph nodes ranging in size from 0.3 cm in greatest dimension. to 2.5 x 2.0 x 1.7 cm. On sectioning, the two largest lymph nodes, one of. which is tagged with a suture, are tan-white and moderately firm,. consistent with involvement by metastatic lesion. Representative sections are submitted as follows: 1- nipple; 2- mass with. deep margin; 3. - mass with superficial margin; 4- mass with deep margin;. 5-. mass with superficial margin; 6-7- mass with deep margin; 8-9- mass with. superficial margin; 10- mass; 11- biopsy cavity; 12- - biopsy cavity; 13- -. lower mid nodule; 14- UIQ; 15- LIQ; 16- LOQ; 17; central (adjacent to. mass) i 18- - one lymph node (marked with suture) ; 19- five lymph nodes; 20-. one lymph node; 21- one lymph node, bisected; 22- one lymph node; 23 - one. lymph node; 24-25- one lymph node, sectioned. Matched sections of 1,5,8-10, 12-18, 20 and 22-24 are submitted in. OCT/Paraffin per. Time in formalin: >80 hours. FOR OFFICIAL USE ONLY - PERSONAL DATA - PRIVACY ACT OF.

expanded version (tokens=2062) : 
 Here is the extracted information:

- Histological classification: Invasive ductal carcinoma (no special type)
- Subtype: None mentioned
- Description of necrosis: Necrosis present in invasive and in situ carcinoma.
- Tumor infiltrating lymphocytes: None mentioned
- Histological grade: Grade 3
- Nuclear grade: 3 (Mitotic count 24 per 10 high power fields)
- Lymphovascular invasion: None definitely identified
- Calcification: Present in ductal carcinoma in situ and benign breast tissue
- Receptor status: Estrogen and Progesterone receptors: Negative; HER2 by FISH: Negative
- Additional ancillary testing: None mentioned

Other important information:

- Tumor size: 2.5 cm (greatest dimension, gross measurement)
- Tumor foci: Unifocal
- Nottingham score: 9/9 (Tubules= 3, Nuclei= 3, Mitoses= 3 mitotic count 24 PER 10 high power fields)
- Margins: Distance of invasive carcinoma from closest margin: 1.2 mm (superficial margin), distance of in situ carcinoma from closest margin: 1.0 mm (superficial margin) and 1.2 mm (deep margin)
- Lymph nodes: 3 of 17 nodes positive for metastatic carcinoma; largest metastatic focus: 1.2 cm (microscopic measurement)


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=2243) : 
 Left breast mastectomy shows unifocal invasive ductal carcinoma grade 3, measuring 2.5 cm. Necrosis present in invasive and in situ carcinoma. No lymphovascular invasion or nipple/skin involvement. Estrogen and progesterone receptors negative; HER2 by FISH: negative. Three of 17 lymph nodes positive for metastatic carcinoma with the largest metastatic focus at 1.2 cm. Margin status: Closest margin to invasive carcinoma at 1.2 mm (superficial margin), and closest margin to in situ carcinoma at 1 mm (superficial margin) and 1.2 mm (deep margin).

