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, PROCEDURE. Bilateral simple breast mastectomy with sentinel node biopsy left. breast. A. Right breast. B. Left breast with attached sentinel nodes. HISTORY. Left breast cancer. GROSS. A. Received in formalin in a container labeled "right breast" is a. mastectomy (22 x 18 x 5 cm). Orientation of the specimen is not. provided. The skin ellipse (20 x 15 cm) has a central unremarkable. nipple and areola. The posterior margin is composed of thin fascia. without attached skeletal muscle. The margins are marked with black. ink. The specimen is serially sectioned. The parenchyma has discrete and. ill-defined areas of soft white fibrous tissue. A suspicious lesion. is not palpated. 1. Nipple and areola. 1NS. 2. Subareolar parenchyma. 2SS. 3-6. Representative sections from four quadrants. B. Received fresh in a container labeled "left breast" is a. mastectomy (23 x 17 x 5 cm) with a 7 cm axillary tail. The skin. ellipse (20 x 12 cm) has a central unremarkable nipple and areola. The parenchyma is serially sectioned. The medial hemisphere has a. 2.6 cm in greatest dimension hard gray-white sclerotic neoplasm with. an ill-defined radially infiltrating border measuring approximately. 1 cm from the posterior margin, 2.2 cm from the skin surface and 1. cm from the nearest (inferomedial) radial margin. A representative. portion of the tumor along with normal parenchyma away from the. neoplasm is submitted for TCGA/. The remaining. parenchyma has scattered areas of ill-defined fibrous tissue without. a palpable mass. The axillary tail has numerous fatty lymph nodes. up to 2.5 cm in greatest dimension. 1. Small lymph node. 2-7. Bisected lymph nodes (1 lymph node per cassette). 8-10. Large lymph node. 11. Nipple and areola. 12. Skin and posterior margin nearest neoplasm. 13. Inferomedial quadrant nearest neoplasm. 14-16. Neoplasm. 17. Superolateral quadrant. 18. Inferolateral quadrant. MICROSCOPIC. A-B. Performed. DIAGNOSIS. A. Right simple mastectomy: Nonproliferative breast parenchyma with acellular dense. stromal fibrosis and rare microcalcification. Nipple, free of lesion. CPT 88307. B. Left mastectomy with attached sentinel nodes: Invasive lobular carcinoma, Nottingham grade 1 (previously. diagnosed,. Nipple and skin of posterior margin (nearest neoplasm), free. of lesion. Eight of eight sentinel lymph nodes, free of metastatic. carcinoma. CPT 88309. BREAST CARCINOMA SUMMARY: SPECIMEN: Left breast. PROCEDURE: Left breast with attached sentinel lymph nodes. SPECIMEN INTEGRITY: Intact. SPECIMEN LATERALITY: Left. SPECIMEN SIZE: 23 x 17 x 5 cm. LYMPH NODE SAMPLING: SENTINEL LYMPH NODES: 8 of 8, negative for metastatic. carcinoma. TUMOR SIZE: 2.6 cm. TUMOR FOCALITY: Single focus. SKIN INVOLVEMENT: Negative for cancer. NIPPLE INVOLVEMENT: Negative for cancer. SKELETAL MUSCLE INVOLVEMENT: N/A. DUCTAL CARCINOMA IN SITU (DCIS) : Not present. LOBULAR CARCINOMA IN SITU (LCIS) : N/A. HISTOLOGIC TYPE: Lobular carcinoma. GRADING (NOTTINGHAM) : Tubular Formation Score: 3. Nuclear Pleomorphism Score: 1. Mitotic Rate Score: 1. COMBINED GRADE (NOTTINGHAM) : 1. LYMPHOVASCULAR INVASION: Not seen. MARGIN OF EXCISION: Negative for carcinoma. LYMPH NODES: See above. MICROCALCIFICATION: Not seen. OTHER FINDINGS: N/A. HORMONE RECEPTORS: ER positive. PR positive. HER2: Negative (1+) . PATHOLOGIC. (AJCC Seventh Edition) : pT2 pNO. (Electronic Signature). Completed Action List: on. Type: Sura Path Final Report. Title: Contributor system: SP 1st Addendum Report. SP 1ST ADDENDUM REPORT. ADDENDUM REPORT. E-cadherin immunostain is performed on block B15 to confirm the. lobular nature of the infiltrating mammary carcinoma. The stain is. negative, supporting the diagnosis of invasive LOBULAR carcinoma. Positive and negative tissue controls perform as expected. 88342. (Electronic Signature). Completed Action List: Type: SP 1st Addend. Title: SP 1ST ADDENDUM REPORT. Contributor system:

expanded version (tokens=1506) : 
 The breast pathology report shows the following information:

1. Histological classification: 
a. Right simple mastectomy: Nonproliferative breast parenchyma with acellular dense stromal fibrosis and rare microcalcification. 
b. Left mastectomy with attached sentinel nodes: Invasive lobular carcinoma, Nottingham grade 1.

2. Subtype: Luminal A.

3. Description of any necrosis: Not mentioned.

4. Any mention of tumor infiltrating lymphocytes: Not seen.

5. Histological grade: Tubular Formation Score: 3. Nuclear Pleomorphism Score: 1. Mitotic Rate Score: 1.

6. Nuclear grade: Not mentioned.

7. Lymphovascular invasion: Not seen.

8. Calcification: Not seen.

9. Receptor status: ER positive. PR positive. HER2: Negative (1+).

10. IHC and other ancillary testing results: E-cadherin immunostain is performed on block B15 to confirm the lobular nature of the infiltrating mammary carcinoma. The stain is negative, supporting the diagnosis of invasive LOBULAR carcinoma. Positive and negative tissue controls perform as expected.

Overall, the pathology report indicates that the patient had a left mastectomy with an invasive lobular carcinoma, Nottingham grade 1, of luminal A subtype, without lymphovascular invasion or calcification, but with positive hormone receptor status (ER positive, PR positive) and

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=1609) : 
 Left mastectomy with luminal A subtype invasive lobular carcinoma, Nottingham grade 1. ER and PR positive. No lymphovascular invasion, calcification or tumor infiltrating lymphocytes seen. E-cadherin immunostain negative for infiltrating mammary carcinoma.

