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: Right multicentric IDC and ILC presents for bilateral TM, bilateral SLNBx. Specimens Submitted: 1: SP: Sentinel node #1 level 1 left axilla. 2: SP: Sentinel node #2 level 1 left axilla. 3: SP: Sentinel node #1 level 1 right axilla (fs). 4: SP: Sentinel node #2 level 1 right axilla (fs). 5: SP: Right breast and axillary contents level 1, 2, and 3. 6: SP: Left breast. 7: SP: Right rotter's node. 8: SP: Additional level 1 lymph right axilla node 1. 9: SP: Additional right level 2 axillary contents. 10: SP: Level 3 lymph node right axilla. DIAGNOSIS: 1). SENTINEL NODE #1 LEVEL 1 LEFT AXILLA; EXCISION: - ONE BENIGN LYMPH NODE (0/1). 2). SENTINEL NODE #2 LEVEL 1 LEFT AXILLA; EXCISION: - ONE BENIGN LYMPH NODE (0/1). 3). SENTINEL NODE #1 LEVEL 1 RIGHT AXILLA; EXCISION: - METASTATIC CARCINOMA INVOLVING ONE OF ONE LYMPH NODE (1/1). - THE METASTATIC CARCINOMA IS PRESENT AS SUB-CAPSULAR TUMOR CELL. CLUSTERS MEASURING <0 2MM AND COMPOSED OF 30-40 CELLS. THE TUMOR CELLS ARE. SEEN BOTH IN THE HE STAINED AND KERATIN (AE1:AE3) IMIMUNOSTAINED SECTIONS. 4). SENTINEL NODE #2 LEVEL 1 RIGHT AXILLA; EXCISION: - METASTATIC CARCINOMA INVOLVING ONE OF ONE LYMPH NODE (1/1). - THE METASTATIC FOCUS MEASURES 1.2 CM, WITH EXTRANODAL EXTENSION. (>2MM). 5). BREAST, RIGHT; MASTECTOMY: TUMOR #1: - INVASIVE DUCTAL CARCINOMA, WITH FOCAL LOBULAR GROWTH PATTERN,. HISTOLOGIC GRADE II/III (MODERATE TUBULE FORMATION), NUCLEAR GRADE II/III. (MODERATE VARIATION IN SIZE AND SHAPE). MEASURING `3.6 CM IN LARGEST. DIMENSION GROSSLY. - DUCTAL CARCINOMA IN-SITU (DCIS) IS ALSO IDENTIFIED, MICROPAPILLARY TYPE. WITH INTERMEDIATE NUCLEAR GRADE AND MINIMAL NECROSIS. - THE DCIS CONSTITUTES LESS THAN OR EQUAL TO 25% OF THE TOTAL TUMOR MASS,. AND IS PRESENT ADMIXED WITH THE INVASIVE COMPONENT. THE INVASIVE CARCINOMA IS LOCATED IN THE UPPER INNER QUADRANT, AT. 1:00. - THE DCIS IS LOCATED IN THE UPPER 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. - EXTENSIVE VASCULAR INVASION IS PRESENT. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - INVASIVE CARCINOMA IS 3.3 CM FROM THE DEEP MARGIN GROSSLY. TUMOR #2: - INVASIVE DUCTAL CARCINOMA, NOS TYPE, WITH FOCAL LOBULAR GROWTH. PATTERN, HISTOLOGIC GRADE II/III (MODERATE TUBULE FORMATION) , NUCLEAR GRADE. II/III (MODERATE VARIATION IN SIZE AND SHAPE) . MEASURING 2.5 CM IN LARGEST. DIMENSION GROSSLY. - DUCTAL CARCINOMA IN-SITU (DCIS) IS ALSO IDENTIFIED, SOLID, CRIBRIFORM TYPE. WITH INTERMEDIATE NUCLEAR GRADE AND MODERATE NECROSIS. - LOBULAR INVOLVEMENT BY DCIS IS PRESENT. - THE DCIS CONSTITUTES LESS THAN OR EQUAL TO 25% OF THE TOTAL TUMOR. MASS, AND IS PRESENT ADMIXED WITH THE INVASIVE COMPONENT. - THE INVASIVE CARCINOMA IS LOCATED IN THE LOWER INNER QUADRANT AT. - THE DCIS IS LOCATED IN THE LOWER INNER QUADRANT. - NO. INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA IS. IDENTIFIED. - CALCIFICATIONS ARE PRESENT IN THE INVASIVE CARCINOMA ONLY. - VASCULAR INVASION IS PRESENT. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - INVASIVE CARCINOMA IS 4.5 CM FROM THE DEEP MARGIN GROSSLY. - THE NON-NEOPLASTIC BREAST TISSUE SHOWS USUAL DUCTAL HYPERPLASIA,. PAPILLARY APOCRINE HYPERPLASIA, COLUMNAR CELL CHANGE, AND CYSTS. - 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) : 13/17. - THERE IS EXTRANODAL EXTENSION (>2mm) OF CARCINOMA. THE LARGEST. METASTATIC CARCINOMA MEASURES .1CM. - RESULTS OF SPECIAL STAINS (ER, PR, HER2-NEU) ARE AS FOLLOWS: TUMOR 1: ESTROGEN RECEPTOR. 90% nuclear staininy with woderate intensity. PROGESTERONE RECEPTOR. 1: <5% nucle: weak intensity. HER2. Negative ( 1+). (<10% of invasive tumor cells exhibit weak complete membranous staining;. Uniformity of staining: absent;. Homogeneous, dark circumferential pattern: absent). TUMOR 2: ESTROGEN RECEPTOR. 50-60% nuclear staining with moderate intensity. PROGESTERONE RECEPTOR. 10-20% nuclear staining with moderate intensity. Negative ( 1+). (<10% of invasive tumor cells exhibit weak complete membranous staining;. Uniformity of staining: absent;. Homogeneous, dark circumferential pa. absent). Comment: Controls are satisfactory. a PATHWAY anti-HER-2/neu is an. FDA-approved rabbit monoclonal primary antibody (clone 4B5) directed against. the internal domain of the c-erbB-2 oncoprotein (HER2) for. immunohistochemical detection of HER2 protein overexpression in breast. cancer tissue routinely processed for histologic evaluation. The HER2 test. results are reported in accordance with the ASCO/CAP guideline. recommendations for HER2 testing in breast cancer (J Clin Oncol 2007;. 25 (1) :118-145) The ER and PR rabbit monoclonal antibodies are also FDA. approved. 6). LEFT BREAST; MASTECTOMY: - BENIGN BREAST WITH PAPILLARY APOCRINE HYPERPLASIA, USUAL DUCTAL. HYPERPLASIA AND COLUMNAR CELL CHANGE. - BENIGN NIPPLE. 7). RIGHT ROTTER'S NODE; EXCISION: - METASTATIC CARCINOMA LARGELY REPLACING ONE OF ONE LYMPH NODE (1/1). - THE METASTATIC FOCUS MEASURES 0.9 CM, WITH NO EXTRANODAL EXTENSION. 8). ADDITIONAL LEVEL 1 LYMPH RIGHT AXILLA NODE 1; EXCISION: - METASTATIC CARCINOMA INVOLVING THREE OF THREE LYMPH NODES (3/3) . LARGEST METASTATIC CARCINOMA MEASURES .3CM. - EXTRANODAL EXTENSION IS PRESENT. 9). ADDITIONAL RIGHT LEVEL 2 AXILLARY CONTENTS; EXCISION: - METASTATIC CARCINOMA INVOLVING FOUR OF FOUR LYMPH NODES (4/4). LARGEST METASTATIC CARCINOMA MEASURES 0 5CM. - EXTRANODAL EXTENSION IS PRESENT. 10). LEVEL 3 LYMPH NODE RIGHT AXILLA; EXCISION: METASTATIC CARCINOMA LARGELY REPLACING ONE OF ONE LYMPH NODE (1/1) . LARGEST METASTATIC CARCINOMA MEASURES 0.2CM. - EXTRANODAL EXTENSION IS PRESENT. 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. Gross Description: 1) . The specimen is received for a canceled a canceled frozen section. consultation, placed in formalin labeled "Sentinel node number one level. 1. left axilla" and consists of a 1.4 x 0.5 x 0.5 cm piece of lymphoid fatty. tissue is bisected and entirely submitted. Summary of sections: U - undesignated. 2) The specimen is received for a canceled frozen section consultation,. placed in formalin, labeled "Sentinel node number two, level one left. axilla" and consists of 1.3 x 1.3 x 0.5 cm pink-tan lymph node which is. bisected and entirely submitted. Summary of sections: U - undesignated. 3) The specimen is received fresh for frozen section consultation, labeled. ". Sentinel node number one level 1 right axilla" and consists of a 0.4 x 0.4. x 0.3 cm lymph node which is bisected and entirely submitted for frozen. section. Summary of sections: FSC frozen section control. 4). The specimen is received fresh for frozen section consultation,. labeled "Sentinel node number two level 1 right axilla" and consists of a. 1.2 x 1.0 x 1.0 cm lymph node which is bisected and entirely submitted for. frozen section. Summary of sections: FSC -- frozen section control. 5) The specimen is received fresh labeled, "right breast and axillary. contents level 1,2, and 3" and consists of a breast with attached axillary. contents. The breast measures 19 x 18 x 6 cm with overlying skin ellipse. measuring 18.5 x 7.5 cm. Situated on the skin surface is a nipple measuring. 1.5 x 1.5 x 0.5 cm and areola measuring 3.5 cm. The skin shows no scar. Axillary contents measures 12 x 7 x 2.5 cm. The posterior surface of the. breast is inked black and the anterior blue. The specimen is serially. sectioned to reveal a mass (mass 1) measuring 3.6 x 3.01 x 2.5 cm, and. located in the UIQ at 1 o' clock and 3.3 cm from the deep margin. A clip. is. identified in the mass 1. Another mass (mass 2) measuring 2.5 x 2.2 x 1.5 cm. LIQ at 5 o' clock located 4.5 cm from the deep margin is identified. The. remaining breast tissue shows fibroglandular tissue. The axillary tissue is. dissected to reveal multiple lymph nodes. Representative sections are. submitted. All dissected lymph nodes are entirely submitted. Summary of sections: N - nipple. NB - nipple base. D1 - deep margin for mass 1. D2 deep margin for mass 2. T1 mass 1. T2 mass 2. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. LN lymph nodes. M.D. 6) The specimen is received fresh labeled, "left breast" and consists of. a. breast measuring 25 x 18 x 5cm with overlying skin ellipse measuring 18 x. 8. cm. Situated on the skin surface is a nipple measuring 1.8 x 1.3 x 1cm and. areola measuring 3.5 cm. The skin is unremarkable. A suture demarcates the. axillary aspect. The posterior surface of the breast is inked black and the. axillary aspect is inked yellow. The specimen is serially sectioned to. reveal unremarkable fibroglandular tissue without mass lesion. Sectioning of. the axillary aspect reveals no grossly identifiable lymph nodes. Representative sections are submitted. Summary of sections: N - nipple. NB - nipple base. D - deep margin. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. 7) The specimen is received in formalin, labeled "Right Rotter' s node" and. consists of a single pink tan fleshy lymph node measuring 1 x 0.8 x 0.5 cm. The lymph node is entirely submitted. Summary of sections: LN- lymph node. 8) The specimen is received in formalin, labeled "Additional level 1 lymph. node, right axilla" and consists of four pink tan firm lymph nodes ranging. from 0.4 to 2.2 cm in greatest dimension. All identified lymph nodes are. submitted. Summary of sections: LN - - lymph nodes. BLN1- - bisected lymph node #1. BLN2' bisected lymph node #2. 9). The specimen is received in formalin, labeled "Additional right level. two axillary contents" and consists of a portion of yellow tan adipose. tissue, with four pink tan firm lymph nodes ranging from 0.6 to 1 cm. in. greatest dimension. All identified lymph nodes are submitted. Summary of sections: LN -- lymph nodes. 10) The specimen is received in formalin, labeled "Level three lymph node,. right axilla" and consists of a single pink tan fatty lymph node measuring. 0.8 x 0.3 x 0.2 cm. The lymph node is entirely submitted. Summary of sections: LN- lymph node. Summary of Sections: Part 1: SP: Sentinel node #1 level 1 left axilla. Block. Sect. Site. PCs. 1. u. 1. Part 2: SP: Sentinel node #2 level 1 left axilla. Block. Sect. Site. PC's. 1. u. 1. Part 3: SP: Sentinel node #1 level 1 right axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 4: SP: Sentinel node #2 level 1 right axilla (fs). Block. Sect. Site. PCs. 1. fsc. 1. Part 5: SP: Right breast and axillary contents level 1, 2, and 3. Block. Sect. Site. PCs. 5. BLN. 10. 1. D1. 1. 1. D2. 1. 1. LIQ. 1. 5. LN. 15. 2. LOQ. 2. 1. N. 1. 1. NB. 1. 3. T1. 3. 3. T2. 3. 1. UIQ. 1. 2. UOO. 2. Part 6: SP: Left breast. Block. Sect. Site. PCs. 1. D. 1. 2. LIQ. 2. 2. LOQ. 2. 1. N. 2. 1. NB. 1. 2. UIQ. 2. 2. UOQ. 2. Part 7: SP: Right rotter's node. Block. Sect. Site. PCs. 1. LN. 1. Part 8: SP: Additional level 1 lymph right axilla node 1. Block. Sect. Site. PCs. 1. bln1. 2. 2. bln2. 2. 1. LN. 2. Part 9: SP: Additional right level 2 axillary contents. Block. Sect. Site. PCs. 1. LN. 4. Part 10: SP: Level 3 lymph node right axilla. Block. Sect. Site. PCs. 1. LN. Intraoperative Consultation: Note: The diagnoses given in this section pertain only to the tissue sample. examined at the time of the intraoperative consultation. 3). FROZEN SECTION DIAGNOSIS: SP: SENTINEL NODE #1 LEVEL 1 RIGHT. AXILLA (FS) : BENIGN LYMPH NODE (. PERMANENT DIAGNOSIS: SAME. 4). FROZEN SECTION DIAGNOSIS: SP: SENTINEL NODE #2 LEVEL 1 RIGHT. AXILLA (FS) METASTATIC CARCINOMA. PERMANENT DIAGNOSIS: SAME. .e: The diagnoses given in this section pertain only to the tissue sample. amined at the time of the intraoperative consultation. 3). FROZEN SECTION DIAGNOSIS: SP: SENTINEL NODE #1 LEVEL 1 RIGHT. AXILLA (FS) : BENIGN LYMPH NODE. PERMANENT DIAGNOSIS: SAME. 4). FROZEN SECTION DIAGNOSIS: SP: SENTINEL NODE #2 LEVEL 1 RIGHT. AXILLA (FS) : METASTATIC CARCINOMA. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=4373) : 
 Histological classification: 
- Right breast: Invasive ductal carcinoma (IDC) with focal lobular growth pattern; histologic grade II/III; nuclear grade II/III. Ductal carcinoma in situ (DCIS), micropapillary type.
- Left breast: Invasive ductal carcinoma (IDC), NOS type, with focal lobular growth pattern; histologic grade II/III; nuclear grade II/III. Ductal carcinoma in situ (DCIS), solid, cribriform type.
- Sentinel lymph nodes: One benign lymph node (0/1) in each of the left axilla and right axilla sentinel nodes. One metastatic carcinoma involving one lymph node (1/1) in each of the left axilla and right axilla sentinel nodes.

Necrosis: Minimal necrosis seen in the DCIS component.

Tumor infiltrating lymphocytes: Not specifically mentioned in the report.

Histological grade: Histologic grade II/III for both IDC tumors.

Nuclear grade: Nuclear grade II/III (moderate variation in size and shape) for both IDC tumors.

Lymphovascular invasion: Extensive vascular invasion present in the right breast tumor.

Calcification: No calcifications identified in either the invasive or in situ components.

Receptor status:
- Right breast tumor (mass 1): Estrogen receptor (ER) positive (90% nuclear staining with moderate intensity); Progesterone receptor (PR) negative

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=4560) : 
 Breast Pathology Report: Right breast - Invasive ductal carcinoma (IDC) with focal lobular growth pattern, histologic grade II/III, nuclear grade II/III. Ductal carcinoma in situ (DCIS), micropapillary type. Left breast - IDC, NOS type, with focal lobular growth pattern, histologic grade II/III, nuclear grade II/III. DCIS, solid, cribriform type. Lymphovascular invasion present. ER-positive (90%), PR-negative in right breast tumor. Sentinel nodes: One benign lymph node each in left and right axilla; one metastatic carcinoma each in left and right axilla sentinel nodes.

