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, IP <DIS IN C. Specimen: spec Type: SURGICAL P. PREOPERATIVE DIAGNOSES. LEFT BREAST CANCER INVASIVE. OPERATION PERFORMED. DOCTOR (s) : PROCEDURE: MASTECTOMY MODIFIED RADICAL. TISSUE REMOVED. A. LT BREAST AND AXILLARY TISSUE. B. ADDITIONAL LYMPH NODES LT AXILLA. GROSS DESCRIPTION. PART A RECEIVED FRESH LABELED. LEFT BREAST AND AXILLARY. CONTENTS SUTURE AT 12 O'CLOCK, AND CONSISTS OF A MODIFIED RADICAL. MASTECTOMY SPECIMEN WITH OVERALL DIMENSIONS OF 31 x 20.5 x 5.8 CM. THE. NIPPLE IS UNREMARKABLE AND SITS WITHIN A SKIN ELLIPSE MEASURING 21 x 12.3. CM. THERE IS A 3.5 CM IN LENGTH WELL-HEALED PERIAREOLAR SCAR EXTENDING. FROM 12 TO 2 O' CLOCK. THERE IS A PALPABLE MASS IN THE UPPER OUTER. QUADRANT. THE SUPERFICIAL ASPECT IS MARKED WITH BLUE INK, THE DEEP. ASPECT WITH BLACK INK. THE AXILLARY TAIL IS REMOVED AND EXAMINED FOR. LYMPH NODES, OF WHICH MULTIPLE ARE IDENTIFIED. SECTIONS ARE SUBMITTED AS. FOLLOWS: A1 --NIPPLE - SKIN AND SCAR; A2 -FIVE NODES; A3 - -FIVE NODES;. A4--THREE - NODES, EACH BISECTED; A5--THREE NODES, EACH BISECTED;. A6--SECTION OF ONE NODE; A7--SECTION OF ONE NODE; A8--SECTION OF ONE. NODE; A9--SECTION OF ONE NODE; A10--SECTION OF ONE NODE. NOTE THAT A6. THROUGH A10 ARE MIRROR IMAGES OF PROTOCOL SECTIONS. All--TWO NODES, EACH. BISECTED; A12--ONE NODE BISECTED; A13--ONE - NODE BISECTED; A14--ONE NODE. BISECTED. SECTIONING THE BREAST REVEALS THE UPPER OUTER QUADRANT TO-BE A. ROUNDED PINK-TAN SOFT MASS WHICH IS CENTRALLY CYSTIC. IT MEASURES 4 x. 3.7 x 2.8 CM. GROSSLY, THIS ABUTS THE DEEP MARGIN. IMMEDIATELY. SUPERFICIAL TO THIS MASS IS A SECOND NODULE WITH A COIL CLIP MEASURING. 1.5 x 1.2 x 1.0 CM. MEDIAL AND CENTRAL TO THE BREAST, THE SPECIMEN HAS A. TAN FIBROUS BAND WHICH EXTENDS 9 CM FROM SUPERIOR TO INFERIOR AND THERE. IS TAN FIBROUS TISSUE CENTRAL WITHIN THE BREAST. THIS IS SURROUNDED BY A. PERIMETER OF BLAND YELLOW FATTY TISSUE. SECTIONS ARE SUBMITTED AS. FOLLOWS: A15 AND 16-MASS IN DEEP MARGIN; A17--SECTION OF THE MASS AND. THE ADJACENT MORE SUPERFICIAL NODULE; A18, 19 AND 20 --SECTIONS OF MASS. CORRESPONDING TO SECTIONS FROM THE SUBMITTED PER PROTOCOL, WITH A20. REPRESENTING THE ADJACENT FIBROUS TISSUE; A21--AN ADDITIONAL SECTION OF. THE SUPERFICIAL LESION (MIRROR IMAGE TO PROTOCOL) ; A22--UPPER OUTER. QUADRANT; A23--PUPPER INNER QUADRANT; A24 --LOWER - INNER QUADRANT;. A25 - -LOWER - OUTER QUADRANT (A22 THROUGH A25 ARE MIRROR IMAGE SECTIONS TO. PROTOCOL) ; A26--TISSUE FROM SUPERIOR PORTION OF BREAST. THE AXILLARY TAIL IS REEXAMINED FOR LYMPH NODES AFTER FIXATION TIME IN. ACETIC FORMALIN. ADDITIONAL NODES ARE THEN SUBMITTED AS FOLLOWS: Specimen: Spec Type: SURGICAL P. GROSS DASCRIPTION. A27--FIVE - NODES; A28--TWO - NODES, EACH BISECTED. PART B RECEIVED FRESH LABELED. ADDITIONAL LYMPH NODES. LEFT AXILLA (LEVEL 2), IS YELLOW-PINK FATTY TISSUE MEASURING 2.4 x 1.6 x. 0.8 CM. THIS IS BISECTED REVEALING NO DISTINCT NODAL TISSUE AND. SURMTTTRN RNTIRELY LABELED B1 AND 2. PATH PROCEDURES. PROCEDURES: 88309, A BLK/26, B BLK/2. FINAL DIAGNOSIS. PART A LEFT MODIFIED RADICAL MASTECTOMY: 1. POORLY DIFFERENTIATED INFILTRATING DUCT CARCINOMA, NUCLEAR GRADE. III/III WITH A HIGH MITOTIC INDEX, 4.0 CM IN MAXIMUM GROSS DIMENSION. 2. THE IDENTIFIED IN 1 INTRAMAMMARY LYMPH NODE (MARKED 1/1 Intramann. TUMOR IS LOCATED 1 MM FROM THE DEEP MARGIN OF THE SPECIMEN. METASTATIC CARCINOMA. WITH A COIL CLIP CONFIRMING A PREVIOUS BIOPSY SITE) . 3. NO EVIDENCE OF METASTATIC DISEASE IN 37. AXILLARY LYMPH NODES. %/37 ALN. 4. PERIDUCTAL CHRONIC MASTITIS IN SECTIONS OF BREAST TISSUE AWAY FROM. THE PRIMARY TUMOR SITE. PART B LEFT AXILLARY BIOPSY: ADIPOSE TISSUE CONTAINING SECTIONS OF 1 % Level 2. SMALL LYMPH NODE WITH NO EVIDENCE OF METASTATIC DISEASE. CX IMMENT. THE. LIDITION OF THE AJCC STAGING MANUAL DOES SPECIFICALLY NOT ADDRESS. FOR POSITIVE INTRAMAMMARY NODES IN THE ABSENCE OF AXILLARY. METASTATIC DISEASE, HOWEVER THE PATIENT WILL BE STAGED AS HAVING N1. DISEASE. CODE. 1. (prelim.). (signature on file). S IN. Specimen: Spec Type: CA SUMMARY. CANCER SUMMARY. Breast Pathology Summary: Macroscopic: Breast procedure: mastectomy, modified radical. Lymph node procedure: Sentinel (yes/no) : no. Axillary (yes/no) : yes. Specimen size (greatest dimension) (xy,n/a) cm: 31. Neoadjuvant therapy (yes/no) : no. Laterality: left. Tumor site: upper outer quadrant. Multifocal (yes/no) : no. Multicentric (yes/no) : no. Microscopic: Size of invasive component (xy,n/a) mm: 40. Size of DCIS (xy,n/a) mm: n/a. Histologic type: Atypical: n/a. In situ: n/a. Invasive: infiltrating duct. Histologic grade : Tubule formation (0-3,n/a) : 3. Nuclear pleomorphism (0-3,n/a) : 3. Mitotic count (0-3,n/a) : 3. Nottingham Score: 9. Nottingham Grades based on total score: Grade I 3-5 points. Grade II 6-7 points. Grade III 8-9 points. Venous/lymphatic invasion (yes/no) : no. Closest margin size (xy,n/a) mm: 1. If less than 2 mm then: Single focus of invasive tumor (yes/no) : yes. Single focus of DCIS (yes/no) : no. Multifocal invasive tumor (yes/no) : no. Multifocal DCIS (yes/no) : no. Nodes: Sentinel- number examined (xy,n/a) : 0. Sentinel- number involved (xy,n/a) : n/a. Regional- number examined (xy,n/a) : 39. Regional - number involved (xy,n/a) : 1. Markers: ER (xy%,n/a) : 95. Specimen: :atus: Reg# : Spec Type: CA SUMMARY. CANCER SUMMARY. PR (xy%,n/a) : o. Her-2/neu (0-3+,n/a) : 1. Ki-67 (xyt,n/a) : 95. Summary TNM: T: pT2. pN: pN1. Summary stage: 2B. ) (prelim.). (signature on file).

expanded version (tokens=2332) : 
 Histological classification: 
1. Poorly differentiated infiltrating duct carcinoma
2. Metastatic carcinoma in intramammary lymph node

Subtype: Basal 

Nuclear grade: III/III with a high mitotic index 

Lymphovascular invasion: No 

Calcification: Not mentioned 

Receptor status: 
1. ER: Positive- 95% 
2. PR: Negative
3. Her-2/neu: 1+ 

Ancillary testing results:
1. IHC- Ki-67: 95%

Description of any necrosis: Not mentioned 

Tumor infiltrating lymphocytes: Not mentioned 

Histological grade: 
1. Tubule formation: 3
2. Nuclear pleomorphism: 3
3. Mitotic count: 3
Nottingham Score: 9 

The report describes a modified radical mastectomy procedure for left breast invasive cancer. The gross description provides information on the size and location of the tumor and surrounding tissue, including the identification of lymph nodes. The report confirms the presence of poorly differentiated infiltrating duct carcinoma and metastatic carcinoma in intramammary lymph node. The receptor status indicates positive ER and negative PR with low HER-2/neu expression. The Ki-67 result indicates highly proliferative cells. The Nottingham score suggests a higher grade tumor (Grade III) based on the scores for tubule formation, nuclear pleomorphism, and mitotic count. There is no mention of

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=2500) : 
 Report: A 4cm poorly differentiated infiltrating duct carcinoma was identified in a modified radical mastectomy specimen. Metastatic carcinoma was also noted in an intramammary lymph node. The tumor subtype is basal with a high mitotic index and a Nottingham Score of 9 indicating a Grade III tumor. ER is positive (95%), while PR is negative, and HER-2/neu expression is low (1+). Ki-67 result indicates highly proliferative cells. No lymphovascular invasion or calcification was identified. Tumor infiltrating lymphocytes were not mentioned in the report.

