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. ) Status: Sp type: SURGICAL P. M.D. PREOPERATIVE DIAGNOSIS. BREAST CANCER, BENIGN MAMMARY DYSPLASIA. OPERATION PERFORMED. DOCTOR (S) : PROCEDURE: MASTECTOMY MODIFIED RADICAL/TOTAL MASTECTOMY. TISSUE REMOVED. A. RIGHT AXILLARY LYMPH NODE LEVEL 2. B. RIGHT AXILLARY LYMPH NODE LEVEL 3. C. LEFT MASTECTOMY STITCH AT. D. RIGHT MODIFIED RADICAL MASTECTOMY STITCH AT. GROSS DESCRIPTION. RECEIVED IN 4 PARTS. PART A RECEIVED LABELED. RIGHT AXILLARY LEVEL 2 LYMPH. NODES IS A NODULAR PORTION OF YELLOW FATTY TISSUE MEASURING 3.7 X 2.2 X. 0.7 CM IN GREATEST DIMENSION. FOUR FIRM OVOID STRUCTURES ARE IDENTIFIED. MEASURING FROM 0.4 TO 1 CM IN GREATEST DIMENSION. THE LARGER NODES ARE. EACH SECTIONED AND GROSSLY POSITIVE. ONE-HALF OF EACH OF THESE IS. SUBMITTED ALONG WITH THE UNSECTIONED SMALLER NODE LABELED A. THE. REMAINING NODAL TISSUE IS SUBMITTED PER CLINICAL BREAST CARE PROJECT. RESEARCH PROTOCOL LABELED P1-P3. PART B RECEIVED LABELED. RIGHT AXILLARY LEVEL 3 LYMPH. NODE IS A FIRM 0.8 CM IN GREATEST DIMENSION NODULE AND AN IRREGULAR. PORTION OF NODULAR YELLOW FATTY TISSUE MEASURING 6 X 1.5 X 0.7 CM. FIVE. FIRM OVOID STRUCTURES ARE IDENTIFIED IN THIS PORTION OF FATTY TISSUE. THREE OF THE NODULES ARE SUBMITTED UNSECTIONED LABELED B1. ONE-HALF. FROM 2 SEPARATE GROSSLY POSITIVE NODES ARE SUBMITTED IN B2 WITH THE. REMAINING TISSUE FROM THESE 2 NODES SUBMITTED AS P4. THE LARGEST NODE. MEASURING 1.4 CM IN GREATEST DIMENSION IS GROSSLY FOCALLY POSITIVE. THIS. IS SUBMITTED BISECTED AS B3. PART C RECEIVED LABELED. LEFT MASTECTOMY STITCH AT 12. O'CLOCK IS A 1310 GRAM SIMPLE MASTECTOMY MEASURING 23 CM FROM MEDIAL TO. LATERAL, 23.5 CM FROM SUPERIOR TO INFERIOR, AND UP TO 5.5 CM FROM. Specimen. Sp type: GICAL P. M.D. GROSS DESCRIPTION. ANTERIOR TO DEEP. THE NIPPLE IS UNREMARKABLE WITHIN A 14 x 5 CM SKIN. ELLIPSE. A SUTURE DENOTES 12 O'CLOCK. THE ANTERIOR ASPECT IS MARKED. WITH BLUE INK, THE DEEP MARGIN WITH BLACK. SECTIONING REVEALS THE. CENTRAL 50% OF THE SPECIMEN TO CONSIST OF DENSE TAN FIBROUS TISSUE. THIS. IS SURROUNDED BY A PERIMETER OF YELLOW FATTY TISSUE. NO MASSES ARE. IDENTIFIED. REPRESENTATIVE SECTIONS ARE SUBMITTED AS. FOLLOWS: C1--NIPPLE, C2--CENTRAL DEEP MARGIN, C3 AND 4--UPPER OUTER QUADRANT, C5. AND 6--UPPER INNER QUADRANT, C7 AND 8--LOWER INNER QUADRANT, C9 AND. 10--LOWER OUTER QUADRANT. ADDITIONALLY WITHIN THE CONTAINER AND. INCLUDED THE WEIGHT ARE ADDITIONAL MULTIPLE IRREGULAR FRAGMENTS OF. YELLOW-RED FATTY TISSUE IN AGGREGATE MEASURING 10 X 10 x 2.3 CM. SECTIONING REVEALS BLAND YELLOW FATTY TISSUE AND REPRESENTATIVE SECTIONS. ARE SUBMITTED LABELED C11 THROUGH 13. NOTE: MIRROR IMAGE SECTIONS OF THE NIPPLE ARE SUBMITTED AS P15 AND. MIRROR IMAGE SECTIONS TO C3, C5, C7, AND C9 ARE SUBMITTED FROZEN IN OCT. PER CLINICAL BREAST CARE PROJECT RESEARCH PROTOCOL. PART D RECEIVED LABELED. RIGHT MODIFIED RADICAL. MASTECTOMY STITCH AT 12 O'CLOCK IS A 1460 GRAM RIGHT MODIFIED RADICAL. MASTECTOMY. THE MASTECTOMY PORTION MEASURES 24.5 CM FROM MEDIAL TO. LATERAL, 26 CM FROM SUPERIOR TO INFERIOR, AND UP TO 6.5 CM FROM ANTERIOR. TO POSTERIOR. THE AXILLARY PORTION MEASURES 10 x 9 x 2.5 CM. THE. ANTERIOR MARGIN IS MARKED BLUE. THE DEEP IS MARKED BLACK. THE NIPPLE. IS UNREMARKABLE AND SITS IN THE MORE SUPERIOR PORTION OF THE SKIN. ELLIPSE. THE SKIN ELLIPSE MEASURES 14 x 5.5 CM. THE 12 O'CLOCK SUTURE. IS JUST TO THE MEDIAL SIDE OF THE AREOLA. THE AXILLARY TAIL IS REMOVED. AND RED INK IS PLACED IN THIS AREA TO INDICATE THAT IT IS NOT TRUE. MARGIN. UPON A QUICK PALPATION OF THE AXILLARY TAIL THREE ARE 3. PROMINENT STRUCTURES. THE 1ST IS A 0.8 CM IN GREATEST DIMENSION LYMPH. NODE WHICH IS GROSSLY NEGATIVE AND IS SUBMITTED BISECTED AS D1. THE 2ND. IS A 2.5 CM GROSSLY NEGATIVE NODAL STRUCTURE SUBMITTED BISECTED AS D2. THE 3RD STRUCTURE IS A 3.8 CM IN GREATEST DIMENSION GROSSLY POSITIVE. LYMPH NODE OF WHICH ONE FULL CROSS SECTION IS SUBMITTED IN D3 AND 4. A. COIL CLIP IS IDENTIFIED AND THE AREA OF THE CLIP IS SUBMITTED IN D5. THIS IS THE SAME NODE AS D3 AND 4. PORTIONS OF THIS LARGEST NODE ARE. ALSO SUBMITTED IN P5 AND 6. SECTIONING REVEALS THE CENTRAL PORTION OF. THE BREAST TO CONSIST OF DENSE TAN FIBROUS TISSUE AND THIS EXTENDS TO AN. ILL-DEFINED GRAY-TAN MASS AT 9 O'CLOCK WHICH MEASURES 5.5 CM FROM MEDIAL. TO LATERAL, 8 CM FROM SUPERIOR TO INFERIOR BY PALPATION, AND 4.5 CM FROM. ANTERIOR TO POSTERIOR. GROSSLY IT IS 1 CM FROM BOTH THE ANTERIOR AND. DEEP MARGIN. SECTIONS ARE SUBMITTED AS FOLLOWS: D6--NIPPLE, D7 THROUGH. D9--SECTIONS OF DEEP MARGIN BENEATH LESION, D10 THROUGH D14--A CONTINUOUS. SECTION OF THE LESION FROM SUPERIOR TO INFERIOR WHERE THE RED ENDS ARE. Specimen. eq#: SP type: SURGICAL P. .D. GROSS DESCRIPTION. THE AREA WHERE THE ONE STRIP WAS SEPARATED FROM THE ADJACENT SECTION,. 015--SECTION OF THE FAR LATERAL PORTION OF THE GROSS LESION, D16--SECTION. FROM THE FAR MEDIAL PORTION OF THE GROSS LESION, D17--TISSUE DEEP TO THE. 5 CROSS SECTIONS, 018--TISSUE ANTERIOR TO TE 5 CROSS SECTIONS,. D19--RANDOM SECTION OF LESION FROM THE MIDPORTION, D20--RANDOM TUMOR. INFERIOR-EDG D21--UPPER INNER QUADRANT 2. CM.EROM GROSS TUMOR,. D22--UPPER OUTER QUADRANT 3 CM FROM GROSS TUMOR, D23--LOWER OUTER. QUADRANT 3 CM FROM GROSS TUMOR, D24--LOWER INNER QUADRANT 5 CM FROM GROSS. TUMOR. FURTHER EXAMINATION OF THE AXILLARY TAIL: EIGHTEEN (18) ADDITIONAL. NODAL STRUCTURES ARE IDENTIFIED. THESE ARE SUBMITTED AS FOLLOWS: D25-6. NODES NOT SECTIONED, D26--ONE-HALF OF 2 GROSSLY POSITIVE LYMPH NODES. PLUS 1 GROSSLY FAT REPLACED LYMPH NODE, BISECTED, D27--4 NODES, EACH. BISECTED, D28--2 NODES, EACH BISECTED, D29--3 NODES, EACH BISECTED. SECTIONS PER CLINICAL BREAST CARE RESEARCH PROTOCOL ARE SUBMITTED FROM. THE LYMPH NODE WITH THE CLIP LABELED P5 AND P6; TWO OF THE GROSSLY. POSITIVE LYMPH NODES IN CASSETTE D26 AS P16; AND SECTIONS OF THE TUMOR. AS P7 THROUGH P14 WITH MIRROR IMAGE SECTIONS FROZEN IN OCT OF P7, P8,. p9, AND 013 AS WELL AS TISSUE FROZEN IN OCT AS MIRROR IMAGE TO THE. NIPPLE (D6) AND OF THE RANDOM QUADRANT SECTIONS (D21 THROUGH D24). COMMENT: THIS SPECIMEN EXCEEDS THE MAXIMUM CAP/ASCO. GUIDELINE OF 48 HOURS FORMALIN FIXATION. PATH PROCEDURES. PROCEDURES: 88305/2, 88307, 88309, A BLK, B BLK/3, C BLK/13, D BLK/29. FINAL DIAGNOSIS. PART A RIGHT AXILLARY LEVEL 2 LYMPH NODE SAMPLING: METASTATIC. CARCINOMA CONSISTENT WITH LOBULAR CARCINOMA OF PRIMARY BREAST ORIGIN. INVOLVING 4 OF 4 LYMPH NODES WITH THE TUMOR REPLACING 80-90% OF THE. CELLS IN EACH NODE AND THE LARGEST FOCUS OF TUMOR SPANNING A DISTANCE OF. APPROXIMATELY 9 MM. PART B RIGHT AXILLARY LEVEL 3 LYMPH NODE SAMPLING: METASTATIC 6/16 LN (level 3). Specimen: eceived: ) Status: aq#. Sp type: SURGICAL P. M.D. FINAL D1AGNOSIS. CARCINOMA IDENTIFIED IN 6 OF 6 LYMPH NODES. PART C LEFT MASTECTOMY: SKIN AND FATTY BREAST TISSUE WITH FOCAL. FIBROCYSTIC CHANGES PRESENT. NO EVIDENCE OF MALIGNANCY OR ATYPIA. PART-D RIGHT MODIFIED RADICAL MASTECTOMY: MULTICENTRIC IN SITU AND. INFILTRATING LOBULAR CARCINOMA OF THE PLEOMORPHIC TYPE, NUCLEAR GRADE. 2-3 OF 3 WITH A LOW MITOTIC INDEX WITH DOCUMENTED MICROSCOPIC EVIDENCE. OF TUMOR SPANNING A DISTANCE OF AT LEAST 78 MM IN A SUPERIOR TO INFERIOR. DIRECTION. THE TUMOR WAS 8 MM FROM THE CLOSEST DEEP MARGIN. METASTATIC. CARCINOMA IDENTIFIED IN 8 OF 20 AXILLARY LYMPH NODES WITH THE LARGEST. FOCUS OF TUMOR SPANNING A DISTANCE OF 20 MM AND FOCAL MICROSCOPIC. PERINODAL SOFT TISSUE INVASION PRESENT. M.D.

expanded version (tokens=3024) : 
 Histological classification: The final diagnosis reveals that the patient had Multicentric In Situ and Infiltrating Lobular Carcinoma of the Pleomorphic type, with documented microscopic evidence of tumor spanning a distance of at least 78 mm in a superior to inferior direction. The carcinoma was also identified in 6 out of 16 right axillary Level 3 lymph nodes, with one fully cross-section submitted in D3 and D4.

Subtype: The report mentions Multicentric In Situ and Infiltrating Lobular Carcinoma of the Pleomorphic type.

Necrosis: The report does not mention any necrosis found in the tissue samples.

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

Histological grade, nuclear grade: The histological grade is not mentioned in the report. However, it is mentioned that the nuclear grade is 2-3 of 3 with a low mitotic index.

Lymphovascular invasion: The report does not mention any lymphovascular invasion but it does mention the presence of focal microscopic perinodal soft tissue invasion.

Calcification: Calcifications are not mentioned in the report.

Receptor status and IHC: The report does not mention receptor status or IHC testing results. 

Ancillary testing results: The report mentions multiple procedures performed on the tissue samples, including 88305/2, 88307, 88309, a BLK, B BLK/3

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=3172) : 
 Multicentric In Situ and Infiltrating Lobular Carcinoma of the Pleomorphic type along with metastatic carcinoma in bilateral axillary lymph nodes was found in a patient who underwent mastectomy modified radical/total mastectomy. The tumor had a nuclear grade of 2-3 with low mitotic index, and documented microscopic evidence showing the tumor spanned a distance of at least 78mm. No evidence of malignancy or atypia was identified in the left mastectomy tissue.

