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, Clinical Diagnosis & History: T2 carcinoma right breast UOQ (core biopsyminvasive ductal carcinoma) for. right total mastectomy, SLNB, possible ALND. Specimens Submitted: 1: SP: Sentinel node #1, level 1, right axilla (fs) (. 2: SP: Right modified radical mastectomy with levels 1 & 2 axillary. contents with tags attached. DIAGNOSIS: 1). SENTINEL LYMPH NODE #1, LEVEL I, RIGHT AXILLA; BIOPSY: - METASTATIC CARCINOMA INVOLVING LYMPH NODE. 2). BREAST, RIGHT; MASTECTOMY WITH LEVELS I AND II AXILLARY CONTENTS: - INVASIVE DUCTAL CARCINOMA, NOS TYPE, HISTOLOGIC GRADE III/III (SLIGHT. OR NO TUBULE FORMATION), NUCLEAR GRADE III/III (MARKED VARIATION IN SIZE AND. SHAPE) MEASURING 6.5 CM IN LARGEST DIMENSION GROSSLY. THE INVASIVE CARCINOMA IS LOCATED IN THE CENTRAL AREA. - THE NIPPLE LYMPHATICS ARE INVOLVED BY INVASIVE CARCINOMA. - NO CALCIFICATIONS ARE IDENTIFIED IN THE INVASIVE CARCINOMA. - EXTENSIVE VASCULAR INVASION IS PRESENT. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY INVASIVE CARCINOMA IS. IDENTIFIED. - THE NON-NEOPLASTIC BREAST TISSUE SHOWS BIOPSY SITE CHANGES. - THE LYMPH NODE STATUS IS AS FOLLOWS (EXPRESSED AS THE NUMBER OF POSITIVE. LYMPH NODES IN RELATION TO THE TOTAL NUMBER OF LYMPH NODES EXAMINED) : LEVEL. I: 3/9; LEVEL II: 0/7. - THERE IS NO EXTRANODAL EXTENSION OF CARCINOMA. - RESULTS OF SPECIAL STAINS (ER, PR, HER2-NEU) WILL BE REPORTED AS AN. ADDENDUM. I ATTEST THAT THE ABOVE DIAGNOSIS IS BASED UPON MY PERSONAL EXAMINATION OF. THE SLIDES (AND/OR OTHER MATERIAL), AND THAT I HAVE REVIEWED AND APPROVED. THIS REPORT. Special Studies: special Stain. Commen t. ER-C. PR-C. HER2-C. NEG CONT. NEG-HER2. IMM RECUT. Gross Description: M.D. , M.D. 1). The specimen is received fresh for frozen section diagnosis, labeled,. "Sentinel node #1, level 1, right axilla". It consists of a 3.0 x 1.8 x. cm lymph node. Trisected and one section is submitted for frozen section. Cut section shows firm tan-white tissue. The remaining tissue is submitted. as R. Entirely submitted. Summary of Sections: FSC frozen section control. R remaining lymph nodal tissue. M.D. 2). The specimen is received fresh, labeled, "Right modified radical. mastectomy with levels 1 & 2 axillary contents with tags attached" It. consists of a product of modified radical mastectomy, breast measuring 16.0. x 11.5 x 5.0 cm with attached axillary tissue, measuring 7.9 x 7.0 x 2.0 cm. with tags attached labeled one and two. Anteriorly, the skin ellipse. measures 9.2 x 1.5 cm bearing an unremarkable nipple and areola. The. epidermal surface is unremarkable, except for blue dye staining. Serially. sectioned from medial to lateral aspect. Cut section shows a 6.5 x 4.0 x. 2.5 cm tumor, located in the central quadrant, about 1.5 cm beneath the. overlying skin and 0.2 cm from the deep resection margin. The cut section. of the tumor has firm, tan-pink tissue with focal areas of hemorrhage. The. adjacent breast tissue is predominantly fatty with scattered fibrous. streaks. No other satellite nodules are seen. Representative sections from. the tumor and the other quadrants are submitted. Part of tissue is. submitted for TPS. Multiple lymph nodes are dissected from the axillary. tissue from levels one and two, size ranging from 0.5 cm to 1.5 x 1.0 x 1.0. cm. The larger lymph nodes are bisected. The specimen is inked as follows: superior-blue, inferior-red, posterior-black. Summary of Sections: N entirely submitted nipple and areola. T tumor. TM tumor to margin. C central quadrant, two sections. UOQ upper outer quadrant, two sections. LOQ lower outer quadrant, two sections. UIQ upper inner quadrant, two sections. LIQ lower inner quadrant, two sections. L1LN level one lymph nodes. L2LN level two lymph nodes. L1BLN level one bisected lymph nodes. Summary of Sections: Part. 1: SP: Sentinel node #1, level 1, right axilla (fs). Block. Sect. Site. PCs. FSC. 1. 1. 3. R. 3. Part. 2: SP: Right modified radical mastectomy with levels 1 & 2 axillary. contents with tags attached. Block. Sect. Site. PCs. C. 2. 1. L1BLN. 2. 1. 2. L1LN. 6. 3. L2LN. 12. 1. LIQ. 2. 1. LOQ. 2. N. 2. 2. 2. 2. TM. 4. 4. UIQ. 2. 2. 1. UOQ. 2. Procedures/Addenda: Addendum. Date Complete: Addendum Diagnosis. ADDENDUM. SITE: RIGHT BREAST. PART #2. ER: 70% OF NUCLEAR STAINING WITH MODERATE INTENSITY. PR: 10% OF NUCLEAR STAINING WITH MODERATE INTENSITY. HER2/NEU (HERCEPTEST) : POSITIVE (STAINING INTENSITY OF 2+) . MD PHD. Intraoperative Consultation: Note: The diagnoses given in this section pertain only to the. tissue sample examined at the time of the intraoperative. consultation. 1). FROZEN SECTION DIAGNOSIS: METASTATIC CARCINOMA. PERMANENT DIAGNOSIS: SAME. MD.

expanded version (tokens=1839) : 
 Histological classification: invasive ductal carcinoma, not otherwise specified type (IDC-NOS), hormone receptor positive (ER+ and PR+), HER2 negative (HER2-)

Subtype: LumA

Necrosis: No mention of necrosis in the report.

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes in the report.

Histologic grade: Grade III/III, slight or no tubule formation, marked variation in nuclear size and shape.

Nuclear grade: Grade III/III, marked variation in nuclear size and shape.

Lymphovascular invasion: Extensive vascular invasion present.

Calcification: No calcifications identified in the invasive carcinoma.

Receptor status: ER+, PR+

IHC: HER2 negative (HER2-)

Ancillary testing results: N/A 

Further testing and diagnosis: The patient's breast cancer was diagnosed as LumA subtype IDC-NOS with a histologic grade III/III and extensive vascular invasion. The tumor is ER+ and PR+ and HER2 negative. Sentinel node #1, level 1, right axilla biopsy showed metastatic carcinoma involving lymph nodes. The lymph node status was as follows: Level I - 3/9; Level II - 0/7. The nipple lymphatics were involved by invasive carcinoma. The final diagnosis was confirmed after permanent section examination. Additional treatment and management plan can be recommended based on these findings.

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=1953) : 
 Report: LumA-type invasive ductal carcinoma, histologic grade III/III with extensive vascular invasion, ER+ and PR+, HER2-. Sentinel node biopsy revealed metastatic carcinoma. Nipple lymphatics involved with no calcifications present. No tumor infiltrating lymphocytes were mentioned. Further treatment plans recommended based on final diagnosis.

