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 Normal, Provider Group : Date of Service: Date Received: Room. A copy of this report will be faxed to: FINAL SURGICAL PATHOLOGY REPORT. Diagnosis: A. - D.) RIGHT BREAST AND AXILLARY LYMPH NODES, LUMPECTOMY, SENTINEL. LYMPH NODE BIOPSY FOLLOWED BY LYMPH NODE DISSECTION: - Invasive lobular carcinoma, Nottingham grade 1-2. - Focal atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH). Metastatic carcinoma in twelve of thirteen axillary lymph nodes (12/13, including. all three sentinel lymph nodes). - Largest metastatic focus measures 1.1 cm in diameter. - Extranodal extension is identified in at least five lymph nodes,. with the largest focus of extranodal extension measuring up to. 0.5 cm. - One sentinel lymph node (specimen B) shows evidence of having been. previously biopsied. - The lumpectomy margins are free of tumor. - Invasive carcinoma is 0.5 cm from the inferior margin, 0.8 cm from medial,. and is at least 1 cm from all other margins. PATHOLOGIC TUMOR STAGING SYNOPSIS: Type and grade (invasive): Invasive lobular carcinoma, Nottingham grade 1. Primary tumor: pT1c. Regional lymph nodes: pN3a. Distant metastasis: Not applicable. Stage: IIIC. Lymphovascular invasion: Indeterminate. Margin status: Negative. Breast Invasive Tumor Stagina Information. (AJCC Cancer Staging Handbook,. and CAP protocol,. This staging also incorporates: Previous biopsy. Breast profile: This report continues (FINAL). Printed: Acct No. -. Pathology Report - Page 110. Partial breast. Specimen type: Lumpectomy. Specimen procedure: Sentinet lymph node biopsies followed by axillary. Lymph node sampling: lymph node dissection. Intact specimen. Specimen integrity: Right. Specimen laterality: 5.4 x 4.3 x 2.3 cm. Specimen size: INVASIVE TUMOR FEATURES: 1.8 cm. Invasive tumor size: 12: :00. Invasive tumor site: Single focus invasive carcinoma. Invasive tumor focality: Invasive lobular carcinoma. Histologic type: 1 of 3. Total Nottingham Grade: 3 of 3. Tubule formation: 1-2 of 3. Nuclear Pleomorphism: 1 of 3. Mitotic count for Nottingham: One mitosis in ten high power fields. Mitotic count: Indeterminate. Lymphatic invasion: MARGIN STATUS FOR INVASIVE COMPONENT: Negative. 0.5 cm. Distance of tumor from margins: Inferior. Closest margin: See diagnosis section. Other margins: Not identified. DUCTAL CARCINOMA IN-SITU (DCIS): Not identified. LOBULAR CARCINOMA IN-SITU (LCIS): Not applicable. Skin: Not applicable. Nipple: Not applicable. Skeletal Muscle: INVASIVE PATHOLOGIC TUMOR STAGING (pTNM). pTic. Primary tumor (pT): Regional lymph nodes (pN): pN3a. Not applicable. Distant metastasis (pM): IIIC. Pathologic stage: RECEPTOR STATUS AND HER2/NEU: 98% positive cells. Estrogen receptors: 25% positive. Progesterone receptors: IHC 1+,. Her2/neu: 15% positive cells. Ki-67 proliferative index: This report continues (FINAL). Printed. Acct No. rage 2. Pathology Report - Page 2/5. FINAL SURGICAL PATHOLOGY REPORT. athologist. Source of Specimen: A. Breast lumpectomy,righ. B. Sentinel lymph node;right axillary. C. Sentinel lymph node;right axillary. D. Right axillary dissection. Clinical History/Operative Dx: Malignant neoplasm of right breast. Intraoperative Diagnosis: B. Right axillary sentinel node. (with wire): Two lymph nodes, positive for metastasis. C. Right axillary sentinel node. One lymph node, positive for metastasis (Dr.'. ). The. intraoperative interpretation(s) was/were performed and rendered at. Gross Description: A. Specimen A is labeled right breast lumpectomy. Initially received in the fresh state for Oncogenotyping. studies is a 42 gram yellow-tan portion of fibrofatty soft tissue, 5.4 cm anterior-posterior, 4.3 cm. medial-lateral, 2.3 cm inferior-superior. A localizing guidewire impales the specimen through the. superior-lateral periphery. Three sets of sutures are present designated as follows: two short - anterior, one. long - medial, and two long - superior. The surgical margins are now differentially inked as follows: SUPERIOR: BLUE. I. This report continues. Printed: Acct No. -. - Page 3. Pathology Report - Page 3/5. F. FINAL SURGICAL PATHOLOGY REPORT. MEDIAL: RED. ANTERIOR: YELLOW. INFERIOR: GREEN. LATERAL: ORANGE. POSTERIOR: BLACK. The specimen is serially sectioned perpendicularly through the anterior-posterior long axis to reveal a. partially demarcated, to ill-defined, dense, light gray tumor mass measuring up to 1.8 x 1.3 x 1.2 cm. The. lesion is grossly within 0.5 cm of the nearest inferior, 0.7 cm of the superior, 0.9 cm of the medial, 1.3 cm. of the lateral, 0.9 cm of the posterior, and 1.7 cm of the anterior surgical margins. Representative portion. of the tumor is submitted for Oncogenotyping studies. No biopsy site clips are appreciated. The remaining. cut sections demonstrate soft to rubbery admixed, yellow-tan fibrofatty soft tissue without additional. discrete nodularity. Representative sections are submitted in a sequential fashion, posterior to anterior. Cassette summary: A1-A3) siab 1, posterior,. A4-A7) slab 2,. A8-A10) slab 3,. A11-A13) slab 4,. A14-A16) slab 5,. A17-A19) slab 6,. A20-A21) slab 7, margins trimmed and submitted,. A22-A23) slab 8, margins, trimmed and submitted. A24-A25) slab 9, anterior margin represented. B. Specimen B is labeled right axillary sentinel lymph node. (with hookwire). Initially received in the. fresh state for frozen section analysis is a 4.7 x 4.2 x 1.5 cm portion of soft tissue. A localizing guidewire is. present. Examination of the tissue reveals two lymph node candidates, 1.5 and 1.0 cm each. Both lymph. nodes are serially sectioned and two touch preparation slides are forwarded for microscopic evaluation. The lymph node tissue is entirely submitted for microscopic evaluation in B1-B3. Cassette summary: B1-B2) largest lymph node, sentinel node protocol performed, B2) smaller lymph node,. sentinel lymph node protocol performed. C. Specimen C is labeled right axillary sentinel lymph node. Initially received in the fresh state for. frozen section analysis is a 3.5 x 3.0 x 0.5 cm portion of yellow-tan fatty soft tissue. Examination reveais a. single 1.5 cm lymph node candidate. The cut surfaces are rubbery light pink to dense nodular light gray. A. single touch preparation slide is forwarded for microscopic evaluation. The lymph node is entirely. submitted for routine histology in C1. D. Specimen D is labeled right axillary dissection. Received in formalin are two tattered pieces of. fibrofatty soft tissue which measure in aggregate 14 grams and 6.4 x 4.7 x 1.7 cm. Examination reveals. twelve lymph node candidates ranging from 0.2-0.9 cm. The larger lymph nodes demonstrate a palpable. firm-nodular architectures. Lymph node tissue candidacy is entirely submitted for microscopic evaluation. Printed: This report continues (FINAL). Pathology Report - Page 4/5. FINAL SURGICAL PATHOLOGY REPORT. Cassette summary: D1) four lymph node candidates, D2) two lymph node candidates, D3) two lymph node. candidates, D4) four lymph node candidates. Microscopic Description: A. Immunohistochemical stain: invasive lobular carcinoma. Appropriate positive and negative. controls reviewed. B. Immunohistochemical stains: highlighting metastatic carcinoma and extranodal extension. Appropriate positive and negative controls reviewed. C. Immunohistochemical stains: highlighting metastatic carcinoma and extranodal extension. Appropriate positive and negative controls reviewed. D. Microscopic sections have been examined. The microscopic findings are reflected in the diagnosis. rendered. Printed: END OF REPORT (FINAL). Phon. Patholoav Report - Page 5/5. 1.

expanded version (tokens=2384) : 
 The breast pathology report indicates the presence of:

1. Invasive lobular carcinoma, Nottingham grade 1-2
2. Focal atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH)
3. Metastatic carcinoma in twelve of thirteen axillary lymph nodes (12/13, including all three sentinel lymph nodes)
4. Largest metastatic focus measures 1.1 cm in diameter
5. Extranodal extension is identified in at least five lymph nodes, with the largest focus of extranodal extension measuring up to 0.5 cm
6. Lumpectomy margins are free of tumor
7. Invasive carcinoma is 0.5 cm from the inferior margin, 0.8 cm from medial, and is at least 1 cm from all other margins.
8. Type and grade (invasive): Invasive lobular carcinoma, Nottingham grade 1
9. Lymphovascular invasion: Indeterminate
10. Margin status: Negative
11. The breast cancer staging is - Primary tumor: pT1c. Regional lymph nodes: pN3a. Distant metastasis: Not applicable. Stage: IIIC.
12. Receptor status and HER2/NEU: Estrogen receptors: 98% positive cells. Progesterone receptors: 25% positive. Her2/neu: 15% positive cells. Ki-67 proliferative index - ind

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=2517) : 
 Report: The breast pathology report confirms invasive lobular carcinoma, Nottingham grade 1-2 and presence of metastatic carcinoma in twelve of thirteen axillary lymph nodes with extranodal extension. Lumpectomy margins are free of tumor. Receptor status shows estrogen, progesterone and Her2/neu positive cells while Ki-67 proliferative index is indeterminate. The cancer staged as IIIC with negative margin status.

