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 - Not for Permanent Storage in Medical Records / Not Valid for Signing. Date of Service. Performing Facility. Result Provider. Report Name. Surgical Report. SEE REPORT. ADDENDUM INFORMATION. PROCEDURE DATE: ADDENDUM REPORT #1: COMMENT: Immunoevaluation using. Assisted Quantitative Image Analysis has been. completed and is summarized under line 10 of the diagnosis below. T: ADDENDUM REPORT #1; DIAGNOSIS: A, B/BPC & C. RIGHT BREAST, MASTECTOMY WITH SENTINEL LYMPH NODE BIOPSY AND. FOLLOW UP AXILLARY DISSECTION: 1 - 9. SEE ORIGINAL DIAGNOSIS. 10. ANCILLARY STUDIES: SEE BELOW. ASSAY RESULTS. Test. Staining Intensity. % Positive Avg. Prognostic Significance. ER. N/A. 66%. Favorable. PR. N/A. 7%. Favorable. Her2/neu. 0.4. N/A. Normal Limit. Ki-67. N/A. 11%. Borderline. REFERENCE RANGES. Test. Favorable. Borderline. Unfavorable. ER. >5%. <5%. PR. >5%. Her2/neu. <2.0. >2.0. Ki-67. <10%. >10% - <20% -. >20%. A-MALIGNANT. MD. T: (Electronic Signature). PROCEDURE DATE: SPECIMEN DESCRIPTION: A. RIGHT BREAST. B. RIGHT AXILLARY SENTINEL LYMPH NODE, BPC. C. RIGHT AXILLARY NODE. PRE-OPERATIVE DIAGNOSIS: Right breast carcinoma. POST-OPERATIVE DIAGNOSIS: Same, pending pathology consultation. ====. CLINICAL INFORMATION: Not for Permanent Storage in Medical Records / Not Valid for Signing. Date of Service. Performing Facility. Result Provider. Report Name. Surgical Report. Right breast) upper outer quadrant, needle aspirate biopsy diagnosed as. fibrocystic change, proliferative ductal epithelium, fibrosis, and scattered. inconspicuous atypical cells suspicious for lobular carcinoma. INTRAOPERATIVE CONSULTATION: BPC DIAGNOSIS: " (Smear) Lymph node positive for carcinoma" by Dr. GROSS DESCRIPTION: A. The specimen consists of the right breast, measuring 21 X 20 X 5.5 cm and. weighing 1067 grams. No axillary tail is attached. No orientation is. provided. The breast is covered with an ellipse of tan-white skin, measur ng. 17 x 7 cm. The nipple is retracted and measures 0.8 x 0.8 x 0.4 cm. No. discrete ulceration, fissure, or exudate is identified. The nipple is. surrounded by unremarkable tan-brown areola. Approximately 2.2 cm away from. the nipple is a poorly defined, slightly raised tan-brown area. measuring 0.7. X 0.6 cm. No discrete scar is identified. The deep surface reveals a large. mechanical defect, measuring 5 X 2 cm and 3 cm in depth. The specimen appears. to have been sectioned by the surgeon. The deep surface is inked black and. the specimen is serially sectioned. The sections show a very poorly. circumscribed, tan-white fibrotic area, measuring approximately 4.5 X 3.5. 3.5 cm. The fibrotic area reveals a well defined irregular mass, measuring. 2.5 X 2.0 x 1.6 cm and a hemorrhagic area. measuring 0.7 cm in greatest. dimension. The mass is composed of tan-white firm tissue and is approximately. 1.4 cm from the deep margin. One possible intramammary lymph node, measuring. 1.2 cm in greatest dimension, is identified. The lymph nóde is bisected and. no discrete neoplastic involvement is present. The surgical resection margins. are unremarkable. Separately received in the same container are five portions. of irregular tan-yellow adipose tissue, measuring 5 X 5 X 1 cm in aggregate. No discrete lesion or lymph node is identified in the separate portions. Representative sections are submitted in thirteen cassettes as follows: cassette 1 - mass with deep margin: cassettes 2 and 3 - additional sections. of. mass; cassettes 4 through 6 - random sections from the fibrotic area, away. from the mass; cassettes 7 through 10 - sections from the four quadrants;. cassette 11 - lymph node: cassette 12 - nipple and tan-brown area of the skin;. cassette 13 - random sections from the separate portions. B/BPC. The specimen consists of one portion of tan-yellow adipose tissue,. measuring 5 X 4 X 2 cm. The specimen has been bisected in pathology. consultation. The specimen is serially sectioned and four possible lymph. nodes. ranging from 0.5 CID to 2.5 cm in greatest dimension, are identifted. The two largest lymph nodes appear to be involved by neoplasm. Representative. sections submitted in three cassettes as follows: cassette 1 - two. intact. lymph nodes; cassette 2 - one lymph node; cassette 3 one lymph node. are -. C. The specimen consists of multiple portions of tan-yellow adipose tissue,. Not for Permanent Storage in Medical Records / Not Valid for Signing. Date of Service. Performing Facility. Result Provider. Report Name. Surgical Report. measuring 8 X 8 X 2 cm in aggregate. On palpation, fifteen possible Tymph. nodes, ranging from 0.2 cm to 1.5 cm in greatest dimension, are identified. Three lymph nodes are grossly involved by neoplasm. Representative sections. are submitted in four cassettes as follows: cassette 1 - six intact lymph. nodes: cassette 2 - one bisected lymph node; cassette 3 - .three lymph nodes: cascatts 4 - five intact lymph nodes. MICROSCOPIC DESCRIPTION: A, B/BPC, & C. Serial sections in twenty slides are examined. Sections from. specimen A show breast within an extensively infiltrating mammary lobular. carcinoma, focally with pleomorphic features. Tumor is widely infiltrative: closest approach to deep margin is approximately 9 mm. Maximum tumor size is. difficult to assess on glass slides alone, but combining the grossly evident. tumor mass with the additional fibrotic areas, all of which are involved by. carcinoma of the gross impression of up to 4.5 cm is felt to bé accurate as. a. true assessment of the infiltrative tumor. The intramammary lymph node. sampled in block A11. as well as seventeen additional lymph nodes submitted as. parts B/BPC & C are all extensively involved by metastatic carcinoma. morphologically identical to the mammary primary. There is also evidence of. extranodal spread involving the soft tissue surrounding several of the lymph. nodes. T: FINAL DIAGNOSIS: A, B/8PC & C. RIGHT BREAST? MASTECTOMY WITH SENTINEL LYMPH NODE 8IOPSY AND. FOLLOW UP AXILLARY DISSECTION: 1. TUMOR TYPE: INFILTRATING CARCINOMA, LOBULAR PHENOTYPE el. 2. NOTTINGHAM PROGNOSTIC INDEX/GRADE: II (TUBULE SCORE -. 3;. NUCLEAR SCORE - 3;. MITOTIC SCORE - 1). 3. MAXIMUM INVASIVE TUMOR SIZE: APPROXIMATELY 4.5 CM, GROSS. PLUS MICROSCOPIC DATA. COMBINED; SEE DESCRIPTION. 4. PERCENT DCIS: NOT APPLICABLE. 5. LYMPHVASCULAR INVASION: NONE SEEN. 6. DISTANCE TO CLOSEST MARGIN: 9 MM. DEEP. BLOCK A1. 7. MICROCALCIFICATIONS: NOT APPLICABLE. 8. LYMPH NODES: EIGHTEEN OF EIGHTEEN LYMPH NODES INVOLVED BY. METASTATIC CARCINOMA WITH EXTRANODAL SPREAD. OF TUMOR. 9. TNM STATUS: pT3,N3a,MX. 10. ANCILLARY STUDIES: IMMUNOHISTOCHEMICAL EVALUATION IS. PENDING; AN ADDENDUM REPORT WILL BE. Not for Permanent Storage in Medical Records / Not Valid for Signing. Date of Service. Performing Facility. Result Provider. Report Name. : Surgical Report. ISSUED. COMMENT: The fine needle aspiration report from. is reviewed in conjunction. with the slides. A-MAI IGNANT. (Electronic Signature). DATE AND TIME OF REPORT:

expanded version (tokens=2285) : 
 Based on the report, the following information can be extracted:

Histological Classification:
1. Infiltrating carcinoma, lobular phenotype

Subtype:
Not mentioned

Necrosis:
None seen

Tumor Infiltrating Lymphocytes:
None mentioned, except for lymph node involvement

Histological Grade:
Nottingham Prognostic Index/Grade: II (Tubule score - 3; Nuclear score - 3; Mitotic score - 1)

Nuclear Grade:
Not mentioned

Lymphovascular Invasion:
None seen

Calcification:
Not applicable

Receptor status:
1. ER - 66% positive, favorable prognostic significance
2. PR - 7% positive, favorable prognostic significance
3. Her2/neu - 0.4, within normal limit
4. Ki-67 - 11%, borderline

IHC and ancillary testing results:
Immunohistochemical evaluation results are pending and will be issued through an addendum report. 

Other information:
1. The surgical procedure done was right breast mastectomy with sentinel lymph node biopsy and follow-up axillary dissection
2. The tumor involves 18 of 18 lymph nodes with extranodal spread of the tumor
3. Distance to closest margin is 9mm deep
4. TNM Status: pT3, N3a, MX
5. No microcalcifications seen.

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=2457) : 
 The diagnosis is infiltrating carcinoma, lobular phenotype without necrosis, lymphovascular invasion or microcalcifications. The Nottingham Prognostic Index/Grade is II with a maximum tumor size of 4.5 cm. Although immunohistochemical evaluation results are pending, receptor status indicates ER 66% positive and PR 7% positive, both with favorable prognostic significance while Her2/neu is within normal limit and Ki-67 is borderline (11%). Surgery performed was right breast mastectomy with positive lymph nodes found. The TNM status is pT3, N3a, MX.

