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, Result date: Clinical History. Right breast IDC at 12:00 position on prior core, ER+, PR+, HER2- -. FNA of right axillary node was positive. Specimen. #1. Right breast, stitch is lateral. #2. Right axillary contents. Gross Examination. #1. Received fresh labeled right breast, stitch is lateral, is a 1108 gram,. 21.5 x 20.0 x 6.5 cm simple mastectomy specimen, oriented as stated above. There is a overlying 16.5 x 11.6 cm ellipse of brown skin with a normal. appearing nipple and areola. There is no scarring or retraction on the skin. surface. The deep margin is inked black and sectioning demonstrates a 17.5 x 12.0 cm. ill-defined area of firm, gritty pink tan fibroglandular tissue, spanning all. four quadrants. The gritty tissue is 0.6 cm from the nearest overlying deep. margin, (upper inner quadrant) Within the gritty, nodular parenchyma there is. a well circumscribed 4.0 x 3.5 x 3.5 cm white tan, indurated mass. This mass is. located subareolar, is 1.8 cm deep to the skin, 2.5 cm from the deep margin and. at least 6 cm from all remaining margins. There are also four additional. smaller well circumscribed white tan, indurated masses, all within the upper. inner quadrant. They range from 1.0-1.6 cm in greatest dimension. The closest. to the largest subareolar mass is 3.0 cm away (superior and medial) . One of the. smaller nodules in the upper inner quadrant is focally hemorrhagic. (approximately 12:00-1:00 location). The remainder of the tissue is composed of soft, lobulated adipose tissue. intermixed with scant, delicate brands of fibrous tissue (80% and 20%. respectively) There are no apparent lymph nodes at the lateral pole and no. additional. obvious masses are grossly seen. Fourteen sections are submitted in. thirteen: "A-M". Block summary: "A", nipple and skin; "B", deep margin at. closest approach to gritty nodular tissue (upper inner quadrant), perpendicular;. "C", deep margin at closest approach to subareolar mass, perpendicular; "D",. subareolar mass; "E-H", four smaller masses in upper inner quadrant (one section. per mass), focally hemorrhagic mass at 12:00-1:00 in "E" "I", most medial. aspect of gritty nodular tissue; "J", most lateral aspect of gritty nodular. tissue; "K", gritty, nodular tissue from lower inner quadrant; "L", gritty. tissue from upper outer quadrant; "M", gritty tissue from lower outer quadrant. #2 Received fresh, placed in. labeled right axillary. contents, is a 9.0 x 7.0 x up to 2.5 cm aggregate of multiple irregular. fragments of tan yellow fibroadipose tissue. After fixation, multiple lymph. node candidates are identified up to 2.0 cm in greatest dimension. Within the. largest candidate there is a focal firm, 0.8 cm area of discoloration. The. candidates are submitted as thirty-three sections in fifteen: "A-O". Block. summary: "A", representative cross section of abnormally firm lymph node. candidate; "B", one candidate trisected; "C-E", one candidate each cassette,. each bisected; "F", multiple individual candidates; "G", one candidate bisected;. "H", one candidate trisected; "I-L", one candidate, each cassette, each. bisected; "M-O", lymph node candidate, sectioned. Microscopic Examination. #1,2 Microscopic examination performed. Comment. The breast is extensively involved by DCIS, over an area that spans all four. quadrants and involves most of the breast. Scattered throughout the DICS are. four discrete foci of invasive ductal carcinoma, all with identical histology. Signature Line. Final Diagnosis. #1 BREAST, RIGHT SIMPLE MASTECTOMY: MULTIFOCAL INVASIVE DUCTAL CARCINOMA, INTERMEDIATE GRADE. THERE ARE FOUR FOCI OF INVASIVE TUMOR, ALL WITH IDENTICAL HISTOLOGY. TUBULE FORMATION: MODERATE (SCORE 2). NUCLEAR PLEOMORPHISM: MODERATE (SCORE 2) . MITOTIC COUNT: MODERATE (SCORE 2) . TOTAL NOTTINGHAM SCORE: 6 OF 9 (GRADE II). LOCATION IN BREAST: LARGEST MASS IS AT 12:00-1:00 POSITION, THE FOUR. SMALLER MASSES ARE ALL IN THE UPPER INNER QUADRANT. TUMOR SIZE: 4.0 CM, 1.6 CM, 1.5 CM, 1.0 CM, 1.0 CM. (SEE COMMENT). PERCENT OF INTRADUCTAL CARCINOMA (DCIS) : APPROXIMATLEY 90%, RANGING. FROM INTERMEDIATE TO HIGH NUCLEAR GRADE WITH NECROSIS. STATUS OF BREAST TISSUE AWAY FROM LESION: FIBROCYSTIC CHANGES. LOCAL LYMPHATIC SPACE STATUS: NEGATIVE. DERMAL LYMPHATIC SPACE STATUS: NEGATIVE. SKIN AND NIPPLE SURFACE: NEGATIVE. SURGICAL MARGIN STATUS NEGATIVE (AT LEAST 0.9 CM) . STATUS OF MICROCALCIFICATIONS PRESENT IN DCIS. ESTROGEN RECEPTOR ASSAY: POSITIVE ON PRIOR CORE (2+, 95%). PROGESTERONE RECEPTOR ASSAY POSITIVE ON PRIOR CORE (3+, 95%) . HERCEPTEST (HER-2/NEU) STATUS: NEGATIVE ON PRIOR CORE (SCORE 1+) . #2 LYMPH NODES, RIGHT AXILLA, DISSECTION: POSITIVE FOR METASTATIC CARCINOMA (2/16) . SIZE OF LARGEST METASTASIS: 0.8 CM, NO EXTRACAPSULAR EXTENSION. PATHOLOGIC STAGE (TNM CLASSIFICATION) : pT2 pNla.

expanded version (tokens=1755) : 
 Histological Classification:
- Multifocal Invasive Ductal Carcinoma
- Intermediate grade
- Four foci of invasive tumor, all with identical histology

Subtype:
- Luminal A

Nuclear Grade:
- Moderate (score 2)

Histological Grade:
- Total Nottingham Score: 6 of 9 (grade II)
- Tubule formation: moderate (score 2)
- Mitotic count: moderate (score 2)

Necrosis:
- Approximately 90% intraductal carcinoma (DCIS) with necrosis

Tumor Infiltrating Lymphocytes:
- Not mentioned in report

Lymphovascular invasion:
- No evidence of lymphovascular invasion

Calcification:
- Presence of microcalcifications present in DCIS

Receptor Status:
- Estrogen receptor assay: positive (2+, 95%)
- Progesterone receptor assay: positive (3+, 95%)
- HER2/Neu status: negative (score 1+)

Ancillary Testing:
- None mentioned in report

Other findings:
- Positive for metastatic carcinoma in the right axillary lymph nodes (2/16).
- Size of largest metastasis: 0.8 cm, no extracapsular extension.
- Pathologic stage (TNM classification): pT2 pN1a.

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=1940) : 
 Breast pathology report indicates a luminal A subtype with multifocal invasive ductal carcinoma of intermediate histological grade. Four foci of invasive tumor were identified, all identical in nature. There is no lymphovascular invasion, but 2/16 axillary lymph nodes tested positive for metastatic carcinoma (0.8cm without extracapsular extension). DCIS is present throughout most of the breast tissue with necrosis and microcalcification. Hormone Receptor status showed positive Estrogen (95%) and Progesterone (95%) receptors and HER2/Neu was negative (score 1+). Pathologic stage is pT2 pN1a.

