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 - clinical Diagnosis & History: %/O female with left breast mass. Mammo showed 2 lesions in UOQ left. breast. Core biopaies IDC and DCIS. Proceeding to MRM. Specimens Submitted: 1: SP: Left breast with level 1 and low level 2 axillary contents. 2: SP: Additional level 2 left axillary contents. 3: SP: Left level 2 and level 3 axillary contents. DIAGNOSIS: 1). BREAST WITH LEVEL I AND LOW LEVEL II AXILLARY CONTENTS, LEFT;. MODIFIED RADICAL MASTECTOMY AND AXILLARY LYMPH NODE DISSECTION: - TWO SEPARATE TUMOR NODULES: ONE IS LOCATED IN THE UPPER OUTER. QUADRANT AND SHOWS AN INVASIVE DUCTAL CARCINOMA, POORLY DIFFERENTIATED. (HISTOLOGIC GRADE III/III, NUCLEAR GRADE III/III), MEASURING 3.9 CM IN. LARGEST DIMENSION GROSSLY. THE SECOND IS LOCATED IN THE UPPER AND LOWER OUTER QUADRANTS AT 3:00 AND IS. COMPOSED OF PREDOMINANTLY DUCTAL CARCINOMA IN SITU (DCIS) WITH SEVERAL FOCI. OF INVASIVE DUCTAL CARCINOMA, POORLY DIFFERENTIATED AND SIMILAR TO ABOVE,. RANGING IN SIZE FROM LESS THAN 0.1 CM TO ABOUT 0.4 CM. - THE DUCTAL CARCINOMA IN SITU (DCIS) IS OF THE SOLID AND CRIBRIFORM TYPES. WITH HIGH NUCLEAR GRADE, EXTENSIVE NECROSIS AND FOCALLY INVOLVES A LARGE. LACTIFEROUS DUCT OF THE NIPPLE. - CALCIFICATIONS ARE PRESENT IN THE IN SITU AND INVASIVE CARCINOMA, AND IN. BENIGN BREAST PARENCHYMA. - VASCULAR INVASION IS PRESENT. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - NO SKIN INVOLVEMENT BY CARCINOMA IS IDENTIFIED. - THE REMAINING BREAST TISSUE SHOWS PREVIOUS BIOPSY SITE AND MILD. FIBROCYSTIC 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) : THERE IS EXTRANODAL TUMOR EXTENSION (>2 MM). - RESULTS OF IMMUNOHISTOCHEMICAL STAINS ARE AS FOLLOWS: ER: 0% NUCLEAR STAINING. PR: 0% NUCLEAR STAINING. HER-2/NEU (HERCEPTEST) : NEGATIVE (STAINING INTENSITY OF 1+). 2). AXILLARY CONTENTS, LEFT ADDITIONAL LEVEL II; DISSECTION: TWELVE BENIGN LYMPH NODES (0/12). 3). AXILLARY CONTENTS, LEFT LEVELS II AND III; DISSECTION: - THREE BENIGN LYMPH NODES (0/3). 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. Comment. ER-C. PR-C. HER2-0. NEG CONT. IMM RECUT. NEG-HER2. Gross Description: 1). The specimen is received fresh labeled, "Left breast with level 1 and. low level 2 axillary contents, stitch marks axillary contents and consists. of a breast with attached axillary tail. The breast measures 37.0 x 26.0. x. 6.7 cm with overlying skin ellipse measuring 36.5 x 18.0 cm. Situated on. the skin surface is an everted nipple measuring 1.4 x 1.2 x 0.1 cm and. areola measuring 4.8 x 4.5 cm. The skin shows no visible scars. A suture. demarcates the axillary tail which measures 11.0 x 4.0 x 3.5 cm. The. posterior surface of the breast is inked black and the specimen is serially. sectioned to reveal a white tan firm ill-defined mass in the upper outer. quadrant measuring 3.9 x 3.7 x 3.3 cm, located 1.5 from the deep margin. There is a biopsy site identified in the lower outer quadrant, corresponding. to the three o'clock position, measuring 2.0 x 2.0 x 1.5 cm. The remaining. breast tissue shows predominantly yellow lobulated adipose tissue admixed. with white-tan fibrous soft tissue with no other gross identifiable lesions. The axillary tissue is dissected to reveal several grossly positive lymph. nodes, measuring up to 4.5 cm. Representative sections of the mastectomy. specimen and all identified axillary lymph nodes are submitted (the large. grossly positive lymph nodes are representatively submitted). Tissue. is. taken for TPS. Summary of sections: N - nipple. NB - nipple base. s skin. D - deep margin. T tumor. BX - separate biopsy site. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. LN - individual lymph nodes. 2). The specimen is received in formalin, labeled "Additional level 2. left axillary contents" and consists of an axillary dissection measuring 7 x. 4.5 x 0.8 cm. The specimen consists of soft yellow-tan lobulated tissue. with several pink-tan lymph nodes identified on cut section ranging from 0.2. cm to 1.8 cm in greatest dimension. The specimen is submitted for lymph. node digest dissection. Summary of sections: LN - lymph nodes. 3). The specimen is received in formalin, labeled "Left level 2 and level. 3 axillary contents" and consists of an unoriented axillary dissection. measuring 7.5 x 4.7 x 1.8 cm. The specimen consists of yellow tan lobulated. tissue, which on sectioning reveals several pink-tan lymph nodes ranging. from 0.2 cm to 2.3 cm in greatest dimension. The specimen is submitted for. lymph node dissection. Summary of sections: LN - lymph nodes. Summary of Sections: Part 1: SP: Left breast with level 1 and low level 2 axillary contents. Block. Sect. Site. PCs. 3. BX. 3. 1. D. 1. 2. LIQ. 2. 4. LN. 4. 2. LOQ. 2. 1. N. 1. 1. NB. 1. 1. s. 1. 3. T. 3. 2. UIQ. 2. 2. 2. Part 2: SP: Additional level 2 left axillary contents. Block. Sect. Site. PCs. 4. LN. 4. 2art 3: . SP: Left level 2 and level 3 axillary contents. Block. Sect. Site. PCs. 2. LN. 2.

expanded version (tokens=2049) : 
 Histological classification: The report shows the presence of two separate tumors in the left breast that are identified as invasive ductal carcinoma (IDC) and predominantly ductal carcinoma in situ (DCIS) with several foci of invasive ductal carcinoma.

Subtype and description of necrosis: The subtype of DCIS is solid and cribiform with high nuclear grade and extensive necrosis. The tumor infiltrating lymphocytes are not mentioned in the report.

Histological grade and nuclear grade: The invasive ductal carcinoma is poorly differentiated, histological grade III/III, nuclear grade III/III. The DCIS is high nuclear grade.

Lymphovascular invasion: The report mentions the presence of vascular invasion, but it does not describe whether it is lymphovascular or not.

Calcification: Calcifications are present in the in situ and invasive carcinoma, and in benign breast parenchyma.

Receptor status: The results of immunohistochemical stains show that ER and PR are both negative with 0% nuclear staining. HER-2/NEU (HERCEPTEST) is negative (staining intensity of 1+).

Ancillary testing: No other ancillary testing results are mentioned in the report.

Lymph node status: The lymph node status is positive for extranodal tumor extension (>2mm). Twelve benign lymph nodes are identified in the additional level II left axillary contents and three benign lymph nodes are identified in the left levels II and III axillary contents.



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=2234) : 
 The report shows the presence of two tumors in the left breast; invasive ductal carcinoma and predominantly ductal carcinoma in situ. The IDC is poorly differentiated (histological grade III/III, nuclear grade III/III) and measures 3.9 cm in largest dimension. The DCIS is solid and cribiform with high nuclear grade, extensive necrosis, and calcifications. Vascular invasion is present but lymphovascular involvement is not specified. ER, PR are both negative with 0% nuclear staining. HER-2/NEU is negative (staining intensity of 1+). Twelve benign lymph nodes are identified with positive extranodal tumor extension (>2 mm).

