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 LumA, /F. Acct# : M.D. Specimen: Sp type: SURGICAL P. A.D. PREOPERATIVE DIAGNOSIS. CANCER OF THE RIGHT BREAST AND AXILLARY NODES. A. OPERATION PERFORMED. DOCTOR (S) : PROCEDURE: MASTECTOMY MODIFIED RADICAL. TISSUE REMOVED. A. RIGHT BREAST. B. RIGHT AXILLARY CONTENTS. GROSS DESCRIPTION. RECEIVED IN 2 PARTS. PART A RECEIVED LABELED. RIGHT BREAST DOUBLE BLACK. STITCH 12 O'CLOCK AT NIPPLE IS A 1, 416 GRAM MASTECTOMY MEASURING 28.5 CM. FROM MEDIAL TO LATERAL, 26.5 CM FROM SUPERIOR TO INFERIOR, AND UP TO 6. CM FROM ANTERIOR TO POSTERIOR. A SUTURE DENOTES 12 O'CLOCK. THE NIPPLE. IS FLAT WITH THE SURROUNDING AREOLA MEASURING 6 CM IN DIAMETER. IN THE. UPPER OUTER QUADRANT 6 CM FROM THE NIPPLE THERE IS A 0.3 CM ULCERATION. AT THE MOST LATERAL ELLIPTICAL TIP OF THE SKIN IS A 2ND SMALL ULCERATION. 0.5 CM IN GREATEST DIMENSION. THIS IS 16 CM FROM THE NIPPLE. THE SKIN. ELLIPSE MEASURES 25.6 x 11.5 CM. THERE IS A PALPABLE MASS AT 12. O'CLOCK. "MRM" IS WRITTEN ON THE SPECIMEN AT 12 O'CLOCK. THE ANTERIOR. MARGIN IS MARKED BLUE AND THE DEEP IS MARKED BLACK. SECTIONING REVEALS. THE MAJORITY OF THE BREAST TO CONSIST OF BLAND YELLOW FATTY TISSUE WITH. FINE FIBROUS BANDS. THERE ARE BROADER AREAS OF FIBROSIS IN THE MORE. CENTRAL ASPECT OF THE SPECIMEN. IN THE 12-1 O'CLOCK AREA THERE IS A. FIRM GRAY-TAN MASS WHICH IS GREATER THAN 1 CM FROM THE DEEP MARGIN. MEASURING 5.8 CM FROM SUPERIOR TO INFERIOR, 2.5 CM FROM ANTERIOR TO. POSTERIOR, AND 4 CM FROM MEDIAL TO LATERAL. CENTRALLY THERE IS AN. IRREGULAR AREA OF RED-BROWN DISCOLORATION. THIS IS ALSO GREATER THAN. 1. CM FROM THE OVERLYING SKIN. A COIL CLIP IS IDENTIFIED WITHIN THE. LESION. SECTIONS ARE SUBMITTED AS FOLLOWS: A1--NIPPLE, A2--KKIN. ULCERATIONS AND 12 O'CLOCK SKIN MARGIN, A3--DEEP MARGIN TO CENTRAL. LESION, A4--ANTERIOR MARGIN TO CENTRAL LESION, A5 THROUGH A7--A SUPERIOR. TO INFERIOR CROSS SECTION THROUGH THE LESION AT LEVEL OF CLIP, A8--THE. MOST MEDIAL ASPECT OF LESION, A9--MOST LATERAL ASPECT OF LESION, A10 AND. Specimen: Raceived: sp type: SURGICAL P. M.D. GROSS DESCRIPTION. 11--ADDITIONAL SECTIONS OF MASS, A12--UPPER INNER QUADRANT 4 CM FROM. LESION, A13--UPPER OUTER QUADRANT 5 CM FROM LESION, A14--LOWER OUTER. QUADRANT 5 CM FROM LESION, A15--LOWER INNER QUADRANT 4 CM FROM LESION,. A16--TISSUE DEEP TO NIPPLE AT MEDIAL EDGE OF LESION. NOTE:TISSUEIS-SUBMITTED--PER-CLINICAL-BREAST-CARE-PROJECT-RESEARCH-. PROTOCOL OF THE TUMOR LABELED P1-p10 AND MIRROR IMAGE SECTIONS OF THE. NIPPLE (A1) AND THE RANDOM QUADRANT SECTIONS (A12-A15) ARE SUBMITTED. FROZEN IN CCI. PART B RECEIVED LABELED. AXILLARY CONTENTS ARE 4. FRAGMENTS OF YELLOW-PINK FATTY TISSUE TOGETHER MEASURING 10 X 7.5 x 1.5. CM. THE SPECIMEN IS THEN EXAMINED FOR LYMPH NODES. ALONG ONE EDGE. OF. THIS SPECIMEN THERE ARE STRANDS OF RED MUSCLE FIBERS. EXAMINATION. REVEALS 8 NODAL STRUCTURES. THESE ARE SUBMITTED AS FOLLOWS. FOUR (4). OF THESE MEASURE LESS THAN 0.5 CM AND ARE SUBMITTED AS B1. ONE OF THE. LARGER NODES IS GROSSLY POSITIVE, ONE-HALF IS SUBMITTED IN B2, THE. MIRROR IMAGE AS Pll PER THE CLINICAL BREAST CARE PROJECT RESEARCH. PROTOCOL. THE REMAINING 3 LARGE NODES ARE EACH SUBMITTED BISECTED AND. SEPARATELY LABELED B3 THROUGH B5. B6 IS REPRESENTATIVE MUSCLE. A. BIOPSY CLIP IS NOT GROSSLY IDENTIFIED. COMMENT: THIS CASE IS IN COMPLIANCE WITH CAP/ASCO GUIDELINES OF 6-48. HOURS FORMALIN FIXATION TIME. PATH PROCEDURES. PROCEDURES: 88309, A BLK/16, B BLK/6. FINAL DIAGNOSIS. PART A RIGHT BREAST, SIMPLE MASTECTOMY: INTRALOBULAR AND INFILTRATING LOBULAR CARCINOMA WITH SIGNET-RING. CELL DIFFERENTIATION, GRADE II SHOWING NUCLEAR GRADE 2/3 AND LOW. MITOTIC INDEX. LCIS OF THE CLASSIC TYPE SHOWS NUCLEAR GRADE 1. COMPRISING APPROXIMATELY 5% OF THE TUMOR. 2. THE INVASIVE COMPONENT HAS A MAXIMUM GROSS DIMENSION OF 5.8 CM. WITHIN THE CENTRAL PORTION OF THE BREAST WHICH EXTENDS INTO THE. Specimen: Req# : Sp type: SURGICAL P. 1.D. ADDENDUM. METASTATIC CARCINOMA IS IDENTIFIED IN ONE OF FOUR ADDITIONAL AXILLARY. LYMPH NODES INCLUDING EXTENSION OF TUMOR INTO THE EXTRANODAL SOFT. TISSUE (1/4). A SEPARATE AREA HAVING BIOPSY CHANGES IS ALSO PRESENT. Addendum Signed. (signature on file). M.D. M.D. Speciment. tus: Req# : Sp type: SURGICAL P. .D. FINAL DIAGNOSIS. RETICULAR DERMIS UNDERLYING THE NIPPLE SKIN. 3. THE NIPPLE SKIN, SKIN AND BREAST MARGINS OF RESECTION, AND. RANDOM SECTIONS FROM THE REMAINING QUADRANTS ARE FREE OF TUMOR WITH. THE CLOSEST LOCATED 4 MM FROM THE NEAREST INKED DEEP MARGIN (A3) -. 4. LYMPHOVASCULAR INVASION IS IDENTIFIED. 5. FIBROCYSTIC CHANGES INCLUDING SCLEROSING ADENOSIS, MICROCYST. FORMATION AND PATCHY DENSE STROMA. 6. CALCIFICATIONS ARE SEEN WITHIN THE TUMOR AS WELL AS BENIGN PORTIONS. OF THE BREAST. 7. SCLEROTIC INTRADUCTAL PAPILLOMA. 8. BIOPSY CHANGES. ARE IDENTIFIED. 9. SMALL SKIN ULCERATIONS (2) -. PART B RIGHT AXILLA, LYMPH NODE DISSECTION: METASTATIC BREAST. CARCINOMA IS IDENTIFIED IN 4 OF 6 AXILLARY LYMPH NODES EXAMINED (4/6). EXTENSION OF TUMOR INTO THE PERINODAL SOFT TISSUE INVOLVES THE. LARGEST AREA OF METASTATIC TUMOR WHICH MEASURES 1.1 CM IN GREATEST. MICROSCOPIC DIMENSION. A REPRESEN'TATIVE SECTION OF SKELETAL MUSCLE IS. NEGATIVE FOR TUMOR. BIOPSY CHANGES ARE NOT IDENTIFIED GROSSLY OR. MICROSCOPICALLY IN THE NODAL DISSECTION. ADDENDUM. Addendum #1. Entered: THE LATERAL UPPER OUTER QUADRANT IS RE-EXAMINED AND A WING CLIP IS. IDENTIFIED IN AN AREA OF FATTY TISSUE, WITH THE TISSUE ANTERIOR HAVING A. YELLOW-WHITE INDURATION CONSISTENT WITH A PREVIOUS BIOPSY AREA. THE AREA. OF THE CLIP PROPER IS SUBMITTED IN A17 AND 18. THE TISSUE ANTERIOR TO. THIS AREA IS SUBMITTED IN A19 AND 20. LATERAL TO THIS, THERE IS A. GROSSLY POSITIVE NODAL STRUCTURE 0.6 CM IN DIAMETER. THIS IS SECTIONED. AND SUBMITTED IN A21. AN ADDITIONAL POSSIBLE NODE IS SUBMITTED IN A22. AND 23. AN ADDITIONAL POSSIBLE 0.4 CM NODE IS SUBMITTED IN A24.

expanded version (tokens=2283) : 
 Histological classification: Intralobular and infiltrating lobular carcinoma with signet-ring cell differentiation, grade II showing nuclear grade 2/3 and low mitotic index. LCIS of classic type shows nuclear grade 1.
Subtype: LumA
Description of any necrosis: None mentioned
Any mention of tumor infiltrating lymphocytes: Not mentioned
Histological grade: Grade II
Nuclear grade: 2/3
Lymphovascular invasion: Identified
Calcification: Seen within the tumor as well as benign portions of the breast
Receptor status: Not mentioned
IHC and any other ancillary testing results: Not mentioned

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=2429) : 
 The histological classification is intralobular and infiltrating lobular carcinoma with signet-ring cell differentiation, grade II, showing nuclear grade 2/3 and low mitotic index. LCIS of classic type is present comprising approximately 5% of the tumor. The histological grade is II. Lymphovascular invasion is identified, and calcifications are seen within the tumor as well as benign portions of the breast. Receptor status and ancillary testing results are not mentioned.

