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 Her2, 1. y. /F. Speciment. Spec Type: SURGICAL P. PREOPERATIVE DIAGNOSIS. LEFT BREAST CANCER INVASIVE. OPERATION PERFORMED. DOCTOR (s) : PROCEDURE: MASTECTOMY COMPLETR/SIMPLE w/ SENTINED NODE BX. TISSUE REMOVED. A. LT SIMPLE MASTECTOMY. B. LT AXILLA SENTINEL NODE #1. C. LT UPPER INNER CORE BX. D. LT BREAST SUPERFICIAL MARGIN. E. LT AXILLA SENTINEL NODE #2. GROSS DESCRIPTION. PART A RECEIVED FRESH LABELED. LEFT SIMPLE MASTECTOMY. STITCH 12 O' CLOCK, IS A LEFT SIMPLE MASTECTOMY SPECIMEN MEASURING 16 x 16. x 3.5 CM. THE NIPPLE IS UNREMARKABLE WITHIN A 7.5 x 4.2 CM SKIN ELLIPSE. BLUE DYE IS NOTED IN THE SUPERIOR 12 O'CLOCK AREA OF THE BREAST. THE. SUPERFICIAL ASPECT IS MARKED WITH BLUE INK, THE DEEP WITH BLACK. AN M. CLIP IS IDENTIFIED IN THE UPPER INNER QUADRANT MEDIAL ASPECT, ASSOCIATED. WITH A PINK-TAN NODULE AT THE SUPERFICIAL MARGIN MEASURING 0.9 x 0.5 x. 1.2 CM. THIS IS 1.3 CM FROM THE DEEP MARGIN, 1 CM FROM THIS IS A 0.3 CM. FIRM GRAY-TAN AREA WHICH IS 1 CM FROM THE SUPERFICIAL MARGIN AND 1.1 CM. FROM THE DEEP MARGIN GROSSLY. IN THE 11 O'CLOCK AREA THERE IS AN. ELONGATED IRREGULAR PINK-TAN FIRM AREA WHICH ALSO EXTENDS GROSSLY TO THE. SUPERFICIAL MARGIN. THIS MEASURES 3.5 x 0.9 AND IS 1.5 CM IN GREATEST. DIMENSION. THIS LESION IS GROSSLY 3 CM FROM THE FIRST DESCRIBED LESION. THIS LESION GROSSLY EXTENDS TOWARDS THE SUPERFICIAL MARGIN AND IS 1.2 CM. FROM THE DEEP MARGIN. THE BREAST TISSUE ITSELF HAS AN OVERALL INDURATED. QUALITY TO PALPATION WITH A DIFFUSE YELLOW-GRAY APPEARANCE. THE INFERIOR. AND LATERAL ASPECTS DEMONSTRATE A MORE FATTY APPEARANCE. ALSO IN THE. AREA OF THE UPPER INNER QUADRANT, THE PARENCHYMA HAS MULTIPLE SMALL. PALPABLE LESIONS. THIS IS IN THE AREA OF THE BLUE DYE. IT IS SECTIONED. TO DEMONSTRATE THIS WHICH IS SLIGHTLY INFERIOR AND TOWARD THE NIPPLE FROM. THE SECOND DESCRIBED LESION SUBMITTED IN A10 (MIRROR IMAGE TO PROTOCOL). RANDOM TISSUE IS ALSO TAKEN FROM THE 9 O'CLOCK AREA WHICH HAS THIS. DIFFUSE INDURATED QUALITY. THE SECTIONS ARE SUBMITTED AS FOLLOWS: A1--NIPPLE AND SKIN (MIRROR IMAGE TO PROTOCOL), A2--10 O'CLOCK PERIPHERAL. LESION TO INCLUDE SUPERFICIAL AND DEEP MARGINS (MIRROR IMAGE TO. PROTOCOL), A3--10 O'CLOCK LESION (MIRROR IMAGE TO PROTOCOL), A4--MMALL. 0.3 CM NODULE WITHIN TISSUE (MIRROR IMAGE TO PROTOCOL), 15--SECTION OF 11. O'CLOCK LESION (MIRROR IMAGE TO PROTOCOL), A6 THROUGH A8--FOR. CROSS-SECTION OF 11 ''CLOCK LESION TO INCLUDE THE MOST SUPERIOR AND. SUPERFICIAL, DEEP AND SUPERFICIAL INFERIOR ASPECT OF LESIONS TO INCLUDE. SUPERFICIAL MARGIN RESPECTIVELY, A9--11 O'CLOCK LESION (MIRROR IMAGE TO. Speciment. Spec Type: SURGICAL p. GROSS DESCRIPTION. PROTOCOL), A10--TISSUE UPPER OUTER QUADRANT, A11--TISSUE 9 0'CLOCK A. REGION, A12-UPPER OUTER QUADRANT 4 CM FROM THE 11 O'CLOCK LESION (MIRROR. IMAGE TO PROTOCOL). 13--LOWER OUTER QUADRANT 8 CM FROM THE LESION. (MIRROR IMAGE TO PROTOCOL), A14--LOWER INNER QUADRANT. PART B RECEIVED FRESH LABELED. LEFT AXILLA FIRST SENTINEL. NODE HOT AND BLUE, IS A AN OVOID PORTION OF PINK-TAN SOFT TISSUE. MEASURING 2.5 x 1.3 x 1.0 CM. SECTIONING REVEALS A 1.8 CM GROSSLY. UNREMARKABLE LYMPH NODE WITHOUT OBVIOUS BLUE COLORATION. ONE HALF IS. SUBMITTED LABELED B. THE REMAINDER IS SUBMITTED PER PROTOCOL. PART C RECEIVED LABELED. LEFT UPPER INNER CORE BIOPSY. SITE, IS AN UNORIENTED ELLIPTICAL PORTION OF BROWN SKIN AND UNDERLYING. INDURATED FATTY TISSUE. THE SKIN ELLIPSE IS 1.4 x 0.5 CM. THE. UNDERLYING TISSUE MEASURES 2.1 x 0.9 x 1.8 CM. ON THE SKIN SURFACE THERE. IS A RAISED CENTRAL LESION 0.5 CM DIAMETER. THE MARGIN IS MARKED WITH. INK. THE SPECIMEN IS SECTIONED ACROSS THE NARROW MARGIN OF THE SKIN AND. THE 2 EXTREME ENDS (ELLIPTICAL END OF THE SKIN ARE SUBMITTED IN C1 WITH. THE CENTRAL TISSUE IN C2). PART D RECEIVED LABELED. LEFT BREAST SUPERFICIAL MARGIN IS. AN IRREGULAR ELONGATED FRAGMENT OF YELLOW-PINK FATTY TISSUE MEASURING 8.5. x 2.1 x 0.5 CM IN GREATEST DIMENSION. THE SPECIMEN IS NOT OTHERNISE. ORIENTED. ONE SIDE HAS A DULL APPEARANCE AND IS MARKED WITH BLUE INK. THE OPPOSITE SIDE IS MARKED YELLOW. THIS IS SECTIONED AND ENTIRELY. SUBMITTED LABELED D1 THROUGH D5. PART E RECEIVED FRESH LABELED. LEFT AXILLA SECOND SENTINEL. NODE HOT, IS AN OVOID PORTION OF YELLOW-PINK FATTY TISSUE MEASURING 2.9. x. 1.7 x 1.0 CM. SECTIONING REVEALS A 1.8 CM GROSSLY UNREMARKABLE LYMPH. NODE QUBMITTED ENTIRELY LABELED E. PATH PROCEDURES. PROCEDURES: 88307/5, IMMUNOPEROXIDAS/2, A BLK/14, BBX x6, C BLK/2, D BLK/5, EBX X6. FINAL DIAGNOSTS. PART. A LEFT SIMPLE MASTECTOMY MULTICENTRIC IN SITU AND INFILTRATING. DUCT CARCINOMA WITH AT LEAST FOUR SEPARATE FOCI OF TUMOR PRESENT. THE 10. O'CLOCK NODULE SHOWED IN SITU AND MODERATELY DIFFERENTIATED INFILTRATING. DUCT CARCINOMA, NUCLEAR GRADE III/III WITH A HIGH MITOTIC INDEX,. ASSOCIATED WITH A PREVIOUS BIOPSY SITE WITH APPROXIMATELY 1.0 CM OF IN. SITU AND 1.2 CM OF INVASIVE CARCINOMA. THIS LESION EXTENDED TO WITHIN. LESS THAN 1 MM OF THE SUPERFICIAL MARGIN. IN THE 11 O'CLOCK POSITION,. APPROXIMATELY 1.9 CM OF INVASIVE CARCINOMA WAS PRESENT ASSOCIATED WITH. 2.2 CM OF DUCT CARCINOMA IN SITU SHOWING SIMILAR NUCLEAR GRADE AND. HISTOMORPHOLOGY. THIS LESION WAS 5 MM FROM THE DEEP MARGIN AND WAS. specimens. Spec Type: SURGICAL P. FINAL DIAGNOSIS. ASSOCIATED WITH A PREVIOUS BIOPSY SITE. THE PREVIOUS BIOPSY SITE. EXTENDED TO THE SUPERFICIAL MARGIN. A SECTION OF BREAST TISSUE FROM THE. UPPER OUTER QUADRANT OF THE BREAST SHOWED APPROXIMATELY 1.1 CM OF DUCT. CARCINOMA IN SITU AND 0.5 CM OF INVASIVE CARCINOMA WITH SIMILAR. HISTOMORPHOLOGY. AN ADDITIONAL NODULE FROM THE UPPER INNER QUADRANT OF. THE BREAST SHOWED CHANGES OF A PREVIOUS BIOPSY SITE BUT NO RESIDUAL TUMOR. PARTS B AND E LEFT AXILLARY SENTINEL LYMPH NODES NUMBERS 1 AND. BIOPSIES: LYMPH NODES WITH NO EVIDENCE OF METASTATIC DISEASE, SUPPORTED. BY NEGATIVE CYTOKERATIN IMMUNOHISTOCHEMICAL STAINING. PART C LEFT UPPER INNER CORE BIOPSY SITE, REEXCISION: SKIN AND BREAST. TISSUE CONTAINING A PREVIOUS NEEDLE CORE BIOPSY SITE ASSOCIATED WITH. REACTIVE FIBROSIS AND INFLAMMATION. NO RESIDUAL TUMOR IDENTIFIED. THE. PREVIOUS BIOPSY CHANGES EXTEND INTO THE DERMIS. UIQ s-exe - tumor. PART D LEFT BREAST SUPERFICIAL MARGIN, REEXCISION: ADIPOSE TISSUE WITH. NO EVIDENCE OF MALIGNANCY. CODE. 1. (prelim.). (signature on file).

expanded version (tokens=2578) : 
 Histological classification: Invasive ductal carcinoma with at least four separate foci of tumor present, subtype HER2. In-situ and moderately differentiated infiltrating duct carcinoma, nuclear grade III/III with a high mitotic index in the 10 o'clock nodule. Duct carcinoma in situ and 0.5 cm of invasive carcinoma with similar histomorphology in an additional nodule from the upper inner quadrant of the breast.

Necrosis: The report does not mention any necrosis.

Tumor infiltrating lymphocytes: The report does not mention any tumor infiltrating lymphocytes.

Histological grade: Nuclear grade III/III with a high mitotic index in the 10 o'clock nodule.

Lymphovascular invasion: The report does not mention any lymphovascular invasion.

Calcification: The report does not mention any calcification.

Receptor status: The report mentions subtype HER2, which indicates that the tumor is HER2-positive. There is no mention of estrogen receptor (ER), progesterone receptor (PR), or human epidermal growth factor receptor 2 (HER2) status.

IHC and ancillary testing results: The report mentions various procedures, including immunoperoxidase staining, a biopsy (BBX), and cross-sections of lesions to include margins. The report also mentions negative cytokeratin immunohistochemical staining in the left axillary sentinel lymph nodes.

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=2700) : 
 Left breast cancer was identified as invasive ductal carcinoma subtype HER2 with multiple foci present. The nuclear grade of the 10 o'clock nodule was III/III with a high mitotic index. The biopsy site associated with a previous biopsy showed reactive fibrosis and inflammation without residual tumor identified. Left axillary sentinel lymph nodes showed no evidence of metastatic disease.

