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, Clinical Diagnosis & History: y/o femnle with left breast cancer on core biopsy IDC/DCIS. Specimens Submitted: 1: SP: Sentinel node #1, level one . left axilla (fs). 2: SP: Sentinel node #2, level one, left axilla (fs). 3: SP: Sentinel node #3, level one, left axilla (fs). 4: SP: Left breast. 5: SP: Levels one and two left axillary contents (. 6: SP: Level two left axillary contents. 7: SP: Level three left axillary contents. DIAGNOSIS: 1). LYMPH NODE, SENTINEL #1 LEVEL I LEFT AXILLA; BIOPSY: - METASTATIC CARCINOMA IN ONE LYMPH NODE (1/1). - THERE IS EXTRANODAL CAPSULAR EXTENSION OF CARCINOMA (<2 MN). 2). LYMPH NODES, SENTINEL #2 LEVEL I LEFT AXILLA; BIOPSY: - METASTATIC CARCINOMA IN ONE LYMPH NODE (1/1), 2.1 MM FOCUS, SEE NOTE. THERE IS NO EXTRANODAL EXTENSION OF CARCINOMA. NOTE: THE CARCINOMA IS NO LONGER PRESENT ON DEEPER H&E STAINED SECTIONS. 3). LYMPH NODE, SENTINEL #3 LEVEL I LEFT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1). 4). BREAST, LEFT; TOTAL MASTECTOMY: - INVASIVE POORLY DIFFERENTIATED DUCTAL CARCINOMA, NOS TYPE, HISTOLOGIC. GRADE III/III (SLIGHT OR NO TUBULE FORMATION) NUCLEAR GRADE III/III (MARKED. VARIATION IN SIZE AND SHAPE) MEASURING 5.0 CM IN LARGEST DIMENSION GROSSLY. DUCTAL CARCINOMA IN SITU (DCIS) IS ALSO IDENTIFIED, SOLID AND CRIBRIFORM. TYPES, WITH HIGH NUCLEAR GRADE AND MODERATE NECROSIS. THE DCIS CONSTITUTES <= 25% OF THE TOTAL TUMOR MASS, AND IS PRESENT. ADMIXED WITH AND AWAY FROM THE INVASIVE COMPONENT. - THE INVASIVE CARCINOMA IS LOCATED IN THE UPPER OUTER QUADRANT AND UPPER. INNER QUADRANT. THE DCIS IS LOCATED IN THE UPPER INNER QUADRANT AND LOWER INNER QUADRANT. - NO INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA IS. IDENTIFIED. NO CALCIFICATIONS ARE IDENTIFIED IN EITHER THE INVASIVE OR IN SITU. COMPONENT. - CALCIFICATIONS ARE PRESENT IN THE BENIGN BREAST PARENCHYMA. - EXTENSIVE VASCULAR INVASION IS PRESENT. - POSITIVE PERINEURAL INVASION. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. - THE ATTACHED SKELETAL MUSCLE IS NEGATIVE FOR TUMOR. THE NON-NEOPLASTIC BREAST TISSUE SHOWS BIOPSY SITE CHANGES, FIBROCYSTIC. CHANGES AND FIBROADENOMATOUS 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: 0/1. 5). LYMPH NODES, LEVELS I AND II LEFT AXILLARY CONTENTS; EXCISION: - MICROMETASTATIC CARCINOMA IN ONE OUT OF EIGHTEEN LYMPH NODES (1/18). - THERE IS NO EXTRANODAL EXTENSION OF CARCINOMA. 6). LYMPH NODE, LEVEL II LEFT AXILLARY CONTENTS; EXCISION: - UNREMARKABLE FIBROADIPOSE TISSUE. 7). LYMPH NODES, LEVEL III LEFT AXILLARY CONTENTS; EXCISION: FOUR BENIGN LYMPH NODES (0/4). NOTE: RESULTS OF SPECIAL STAINS (ER,PR,HER2-neu) WILL BE REPORTED AS AN. ADDENDUM. SUMMARY OF LYMPH NODES: 3/26. TUMOR STAGE: T2, pN1a, MX STAGE GROUPING IIB. 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. M.D.,. Special Studies: Special Stain. Comment. RECUT. level. ER-C. PR-C. HER2-0. NEG CONT. IMM RECUT. NEG-HER2. Gross Description: 1) The specimen is received fresh for frozen section consultation, labeled. "Sentinel node number one, level 1, left axilla" and consists of a single. lymph node measuring 1.3 x 0.9 x 0.7 cm. The specimen is bisected. Entirely. submitted for frozen section. Summary of sections: FSC -- frozen section control. 2). The specimen is received fresh for frozen section consultation, labeled. "Sentinel node number two, level 1, left axilla" and consists of two lymph. nodes measuring 1.1 x 0.5 x 0.5 and 0.8 x 0.6 x 0.4 cm. The larger lymph. node is inked black. Entirely submitted for frozen section. Summary of sections: FSC -- frozen section control. 3) The specimen is received fresh for frozen section consultation, labeled. "Sentinel node number three, level 1, left axilla" and consists of a single. lymph node measuring 1.0 x 0.7 x 0.6 cm. Lymph node is bisected. Entirely. submitted for frozen section. Summary of sections: FSC -- frozen section control. 4). The specimen is received fresh labeled, "left breast, stitch marks. axillary tail" and consists of a breast with attached axillary tail. The. breast measures 28.0 x 25.0 x 5.0 cm with overlying skin ellipse measuring. 22.0 x 10.0 cm. Situated eccentrically on the skin surface is a nipple. measuring 1.2 x 1.2 cm and areola measuring 2.0 x 2.0 cm. A suture. demarcates the axillary tail which measures 6.0 x 5.0 cm. The posterior. surface of the breast is inked black, anterior superior - blue, anterior. inferior - green and the specimen is serially sectioned to reveal a firm. white mass measuring 5.0 x 2.5 x 2.0 cm, and located in the upper inner. quadrant extending to the upper outer quadrant, measuring 2.0 cm from the. closest deep margin. The remaining breast tissue shows a fibrofatty cut. surface. The axillary tissue is dissected to reveal a lymph node. Representative sections are submitted, including the lymph node. Summary of sections: N nipple. NB - nipple base. S skim. D - deep margin. T - tumor. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. AA-axillary tail. AALN-a bisected lymph node in axillary area. 5). The specimen is received fresh, labeled "Levels 1 and 2 left axillary. contents". It consists of a 3 x 2 x 1 cm portion of fibroadipose tissue. Multiple lymph nodes identified measuring from 0.5 to 1.1 cm in greatest. dimension. All lymph nodes are submitted. Summary of sections: LN - lymph nodes. 6) The specimen is received in formalin, labeled "level 2, left axillary. contents" and consists of a 1.7 x 1.3 x 0.3 cm portion of fatty tissue. Entirely submitted. Summary of sections: U-undesignated. 7) The specimen is received in formalin, labeled "level 3, left axillary. contents" and consists of two lymph nodes measuring 0.5 cm and 1.3 cm in. maximum dimension. Entirely submitted. Summary of sections: LN- lymph node. BLN- bisected lymph node. Summary of Sections: Part 1: SP: Sentinel node #1, level one , left axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 2: SP: Sentinel node #2, level one, left axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 3: SP: Sentinel node #3, level one, left axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 4: SP: Left breast. Block. Sect. Site. PCs. 1. aa. 1. aaln. 2. d. 2. 3. liq. 3. 2. loq. 2. 1. n. 1. 1. nb. 1. 1. s. 1. 10. 10. 2. uiq. 2. 2. uog. 2. Part 5: SP: Levels one and two left axillary contents. Block. Sect. Site. PCs. 6. LN. 18. Part 6: SP: Level two left axillary contents. Block. Sect. Site. PCs. 1. u. 1. Part 7: SP: Level three left axillary contents. Block. Sect. Site. PCs. 1. bln. 1. 1. In. 1. Procedures/Addenda: Addendum. Date Complete: Addendum Diagnosis. ADDENDUM REPORT. SITE: LEFT BREAST (PART 4). ER: 95% NUCLEAR STAINING WITH MODERATE INTENSITY. PR: <5% NUCLEAR STAINING WITH MODERATE INTENSITY. HER2/NEU (HERCEPTEST) : NEGATIVE (STAINING INTENSITY OF 0). CONTROLS ARE SATISFACTORY. . M.D. 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 CARCINOM'. PERMANENT DIAGNOSIS: SAME. 2). FROZEN SECTION DIAGNOSIS: METASTATIC CARCINOMA. PERMANENT DIAGNOSIS: SAME. 3). FROZEN SECTION DIAGNOSIS: BENIGN LYMPH NODE. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=2851) : 
 Histological Classification: Invasive poorly differentiated ductal carcinoma, NOS type, with  ductal carcinoma in situ (DCIS) present, solid and cribriform types.
Subtype: Normal
Necrosis: Moderate necrosis noted in the DCIS component. No mention of necrosis in the invasive carcinoma.
Tumor Infiltrating Lymphocytes: Not mentioned in the report.
Histological Grade: The invasive carcinoma is grade III/III (slight or no tubule formation), and the nuclear grade is III/III (marked variation in size and shape).
Lymphovascular Invasion: Extensive vascular invasion is present.
Calcification: No calcifications were detected in the invasive or DCIS components, but calcifications are present in the benign breast parenchyma.
Receptor Status: Estrogen receptor (ER) stained 95% nuclear staining with moderate intensity, progesterone receptor (PR) stained less than 5% nuclear staining with moderate intensity, and HER2/neu (HERCEPTEST) was negative (staining intensity of 0).
Ancillary Testing: The report mentions special stains, but the results are deferred to an addendum report.
Other Findings: Positive perineural invasion noted. No involvement of the nipple by either in situ or invasive carcinoma is identified. No involvement of the surgical margins by either invasive or in situ carcinoma is identified. The lymph node status showed metastatic carcinoma in 3 out of 26 lymph nodes

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=3011) : 
 Left breast pathology report reveals invasive poorly differentiated ductal carcinoma, NOS type, and ductal carcinoma in situ (DCIS), with moderate necrosis noted in the DCIS component. Moderate ER staining is present while PR staining is less than 5%. HER2/neu test was negative. Extensive vascular invasion and positive perineural invasion were noted. Metastatic carcinoma was found in three out of 26 lymph nodes. No skin or nipple involvement identified; no calcifications identified within the tumors but present in benign breast parenchyma tissue.

