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, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE. Date Coll: SPECIMEN. A. Left axillary sentinel node. B. Left breast (arrow points up). C. Right axillary sentinel node. D. Right axillary sentinel node #2 active in blue. E. Right breast (arrow points up). F. Left axillary contents. CLINICAL NOTES. PRE-OP DIAGNOSIS: Bilateral breast. FROZEN SECTION DIAGNOSIS. A) Sentinel lymph node, left axilla, biopsy: One lymph node,. positive for carcinoma. C. Sentinel lymph node, opsy: One lymph node,. negative for carcinoma. D. Sentinel lymph node, right axilia #2, biopsy: One lymph node,. negative for carcinoma. GROSS DESCRIPTION. A. The specimen is received unfixed labeled "left axillary sentinel. noand consists of a yellow and red piece of soft tissue measuring. 2.5 x 2 x 0.8 cm. On cut section there is a contained lymph node. measuring 1.2 cm. in greatest dimension. The node is bis -and. submitted all for frozen section diagnosis as requested. B. The specimen is received unfixed labeled "left breast. arrow points up" and consists of a breast resection. specimen measuring 19.5 x 18.5 x 3.0 cm. There is an overlying. white ellipse of skin measuring 16 x 9.3 cm. There is a central. areola measuring 3 x 4 cm. and a central nipple measuring 1.2 x 1. x. 0.4 cm. There is an arrow incised in the skin and there is an area. of induration at the superior edge of the areola that might be. a. biopsy scar. It measures 1.5 x 0.7 cm. The deep surface of the. specimen is inked. The breast is sectioned at 1 cm. intervals in. the deep surface towards the skin. Some blue-domed cysts are. present. There is a relatively central red area compatible with a. biopsy site defect and there is some firmness around this area. The. firm area measures 1.5 x 1.5 x approximately 1.5 cm. This area. is. central and inferior and there is another area that is central below. the indurated part of the skin that looks like carcinoma grossly and. measures 1.2 x 1.5 x approximately 1.5 cm. A portion of the larger. area is taken for research purposes. Sections after fixation. Block summary: 1,2 nipple and skin with tumor; 3 deep margin; 4-6. biopsy site; 7-10 quadrants (UO, UI, LO, LI). C. Received unfixed labeled "right axillary sentinel node". and consist of two pieces of yellow and red soft tissue. measuring 2 x 1.8 x 0.7 cm. and 2.5 x 2.5 x 0.7 cm. There is a. contained lymph node measuring 1 cm. in greatest dimension and the. entire node is submitted for frozen section diagnosis as requested. D. Received unfixed labeled "right axillary sentinel node. #2 active in blue" and consist of a yellow, red and blue. piece of soft tissue measuring 5.5 x 3 x 0.6 cm. There is. a. partially blue contained lymph node measuring 2.3 cm. in greatest. dimension. The specimen is submitted all for frozen section. diagnosis as requested. E. [The original gross dictation on specimen E. is lost.] The. specimen was received unfixed labeled right breast and consisted of. a 27 x 19 x 4.5 cm breast resection specimen with overlying ellipse. of skin measuring 16.5 x 9 cm. There was a central areola and. nipple. An area of arrow was incised to the skin. Some blue dye. and. injected. The deep surface the specimen was inked and the breast. resection at 1 cm intervals from the deep surface towards the skin. There was a central biopsy site and additional relatively central. firm area compatible with carcinoma. Block summary: 1, nipple; 3 skin; 4 - deep margin; 5-7 biopsy. site; 8,9 area resembling tumor; 10-13 quadrants (UO.UI.LO.LI). F. The specimen was received unfixed, labeled "left. axillary contents" and consists of a yellow and pink of. soft tissue measuring 12 x 8 x 2 cm. RS-2. MICROSCOPIC DESCRIPTION. A. Metastatic carcinoma is present in one lymph node. The tumor is. 0.7 cm in diameter. No extranodal tumor is seen. B. Invasive carcinoma. Tumor type: Infiltrating ductal carcinoma. Tumor grade: 1 (Elston SBR grade; A/N/M = 2/2/1). Mitotic index: 3 mitoses/10 HPFs (1 HPF = 0.196 sq mm). Tumor size: 1.5 cm. Vessel invasion: Absent. Calcification: Absent. pTNM stage: T1 pN1a. Prognostic markers: Requested. Nipple: Carcinoma is present in skin adjacent to the nipple. Deep margin: Negative for malignancy. Nontumorous breast: Sections from the biopsy site away from. the tumor show scar, cyst formation, columnar metaplasia,. benign calcification, usual ductal hyperplasia and focal atypical. ductal hyperplasia. C. A Single lymph node is negative for malignancy. D. A single lymph node is negative for malignancy. E. Invasive carcinoma. Tumor type: Infiltrating ductal carcinoma. Tumor grade: 2 (Elston SBR grade; A/N/M = 3/2/1). Mitotic index: 3 mitoses/10 HPFs (1 HPF = 0.196 sq mm). Tumor size: 1.2 cm on the glass slide. Vessel invasion: Absent. Calcification: Absent. pTNM stage: T1. Prognostic markers: See previous biopsy. The tumor is specimen E from the right breast has a central fibrotic. focus. Sections near the biopsy site away from the gross carcinoma. described above show columnar metaplasia, usual ductal hyperplasia,. cyst formation apocrine metaplasia. An atypical area is p63. positive. F. There is no evidence of malignancy in any of 4 lymph nodes. 4x6,25x3,20,14x3. DIAGNOSIS. A. Sentinel lymph node, left axilla, biopsy: Metastatic carcinoma in. a single lymph node. B. Breast, left, resection: Infiltrating ductal carcinoma, Elston. SBR grade 1. C. Sentinel lymph node, right axilla, biopsy: A single lymph node is. negative for malignancy. D. Sentinel lymph node #2, right axilla, biopsy: A single lymph node. is negative for malignancy. E. Breast, right, resection: Infiltrating ductal carcinoma, Elston. SBR grade 2 F. Lymph nodes, left axilla, blopsy: There is no. evidence of malignancy in any of 4 lymph nodes. ictronic Signature).

expanded version (tokens=1971) : 
 Histological classification: Invasive ductal carcinoma and metastatic carcinoma in sentinel lymph node in left axilla.

Subtype: LumA.

Description of necrosis: Not mentioned.

Tumor infiltrating lymphocytes: Not mentioned.

Histological grade: Grade 1 (Elston SBR grade).

Nuclear grade: A/N/M = 2/2/1.

Lymphovascular invasion: Absent.

Calcification: Absent.

Receptor status: Prognostic markers requested.

IHC: p63 positive.

Ancillary testing results: Not mentioned.

Overall diagnosis:

A. Sentinel lymph node, left axilla, biopsy: Metastatic carcinoma in a single lymph node.

B. Breast, left, resection: Infiltrating ductal carcinoma, Elston SBR grade 1.

C. Sentinel lymph node, right axilla, biopsy: A single lymph node is negative for malignancy.

D. Sentinel lymph node #2, right axilla, biopsy: A single lymph node is negative for malignancy.

E. Breast, right, resection: Infiltrating ductal carcinoma, Elston SBR grade 2.

F. Lymph nodes, left axilla, biopsy: There is no evidence of malignancy in any of 4 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=2086) : 
 Left axillary sentinel node biopsy showed metastatic carcinoma. Left and right breast resections revealed grade 1 and grade 2 LumA invasive ductal carcinoma, respectively. No malignancy found in sentinel nodes from the right axilla, nor left axillary contents. Prognostic markers requested. Ancillary testing results not mentioned.

