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 - Cinical Diagnosis & History: y/o female with left breast IDC and DCIS, now for segmental resection and. SLNB. Specimens Submitted: 1: SP: Sentincl node #1, level 1, left axilla (fs). 2: SP: Sentinel node #2, level 1, left axilla I. 3: SP: Sentinel node #3, level 1, left axilla. 4: SP: Sentinel node #4, level 1, left axilla. 5: SP: Left axillary contents levels 1, 2 and 3. 6 : SP: Additional level 3 nodes, left axilla. 7: SP: Left breast mannographic mass. DIAGNOSIS: 1). LYMPH NODE, SENTINEL #1 LEVEL I LEFT AXILLA BIOPSY: - METASTATIC MAMMARY CARCINOMA IN ONE OF ONE LYMPH NODE (1/1) -. to EXTRANODAL EXTENSION IS PRESENT (>2 MM). LYMPH NODE, SENTINEL #2 LEVEL I LEFT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1) WITH A TUMOR EMBOLUS IN PERINODAL. LYMPHATIC VESSEL. 3). LYMPH NODE, SENTINEL #3 LEVEL I LEFT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1). 4). LYMPH NODE, SENTINEL #4 LEVEL I LEFT AXILLA; BIOPSY: - ONE BENIGN LYMPH NODE (0/1). 5). AXILLARY CONTENTS, LEFT LEVELS I, II AND III; DISSECTION: LEVEL I: A MICROSCOPIC FOCUS OF METASTATIC MAMMARY CARCINOMA IN ONE. OF THREE LYMPH NODES (1/3). - LEVEL II: EIGHTEEN BENIGN LYMPH NODES (0/18) . - LEVEL III: SIX BENIGN LYMPH NODES (0/6). LYMPH NODE, ADDITIONAL LEVEL III LEFT AXILLA; EXCISION: - BENIGN ADIPOSE TISSUE WITH MICROSCOPIC LYMPHOID AGGREGATES. 7). BREAST, LEFT; EXCISION: - MULTIPLE FOCI OF INVASIVE DUCTAL CARCINOMA, NOS TYPE, HISTOLOGIC. Page 2 or 6. GRADE II-III/III, NUCLEAR GRADE II/III, RANGING IN SIZE FROM 0.1 0x UP TO. 2.5 CM (THE TWO LARGEST FOCI OF TUMOR MEASURE 1.4 CM AND 2.5 CM GROSSLY). A FEW FOCI OF DUCTAL CARCINOMA IN SITU (DCIS), SOLID AND CRIBRIFORM TYPES. WITH INTERMEDIATE NUCLEAR GRADE. NO CALCIFICATIONS ARE IDENTIFIED IN EITHER THE INVASIVE OR IN SITU. COMPONENT. - PROMINENT VASCULAR INVASION IS PRESENT. INVASIVE CARCINOMA EXTENDS TO THE FOLLOWING SHAVED MARGINS: LATERAL (IN. 1/8 SLIDES, 0.6 CM) ; INFERIOR (IN 3/8 SLIDES, THE LARGEST FOCUS MEASURING. 0.8 CM). ANTERIOR (IN 4/19 SLIDES, THE LARGEST FOCUS MEASURING 0.5 CM): AND. POSTERIOR (IN 1/15 SLIDES, THE LARGEST FOCUS MEASURING 0.2 CM) IN. ADDITION, LYMPHATIC TUMOR EMBOLI ARE ALSO SEEN AT THE MARGINS. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY DCIS IS IDENTIFIED. - BIOPSY SITE CHANGES. - RESULTS OF SPECIAL STAINS (ER, PR, HER-2/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. Comment. RECUT. RECUT. RECUT. RECUT. NEG CONT. IMM RECUT. ER-C. PR-c. HER2 C. NEG -HER2. Gross Description: 1). The specimen is received fresh for frozen section consultation. labcled, Sentinel node #1, level 1, left axilla", and consists of a piece. of yellow-tan fatty tissue Deasuring 3.5 x 2 x 1 cm, containing firm gray. lymph node measuring 1.4 x 1 x 0.7 cm. Representative section is frozen. The remainder of the specimen is entirely submitted. Summary of Sections: FSC frozen section control. U - undesignated. vage 3 or b. 2). The specimen is received in formalin, labeled, "Sentinel node #2,. level 1, left axilla". It consists of a 0.9 x 0.5 x 0.4 cm tan lymph node. with attached adipose tissue. The entire lymph node is submitted. Summary of Sections: LN - lymph node. 3). The specimen is received in formalin, labeled, "Sentinel node #3,. level 1, left axilla". It consists of a 1.3 x 0.4 x 0.3 cm tan lymph node. The lymph node is entirely submitted. Summary of Sections: LN - lymph node. 4). The specimen is received in formalin, labeled, "Sentinel node #4,. level 1, left axilla". It consists of a 0.3 x 0.3 x 0.2 Cm tan lymph node. with attached adipose tissue. The lymph node is entirely submitted. Summary of Sections: LN - lymph node. 5). The specimen is received in formalin, labeled, "Left axillary. contents levels 1, 2 and 3 (with tags attached) It consists of a. 17.0. x. 15.0 x 4.0 cm fragment of adipose tissue with metallic tags labeling levcls. 1 through 3. Multiple lymph nodes are identified within each level,. measuring from 0.2 to 2.8 ca in greatest dimension. All identified lymph. nodes are submitted. Summary of Sections: LIBLN level one bisected lymph node. LILNSS level one, one lymph node serially sectioned. LII level two lymph nodes. LIII level three lymph nodes. 6). The specimen is received in formalin, labeled, "Additional level. 3. nodes , left axilla". It consists of a 2.0 x 1.8 x 1.0 cm aggregate of. adipose tissue. No definite lymph nodes are identified. Entirely. submitted. Summary of Sections: U - undesignated. 7). The specimen is received fresh, labeled, "Left breast nammographic. mass (short stitch superior, long stitch lateral)". It consists of a 9.5 x. 8.0 x 5.3 cm fragment of fibroadipose tissue with a needle localizing wire. and sutures marking the superior and lateral margins. The specimen is inked. as follows: black-anterior and posterior, yellow-superior, green-inferior,. blue-lateral, red-medial. The margins are entirely shaved and submitted. There is a palpable mass at the lateral/inferior portion of the specimen. Serial sectioning reveals a 2.5 x 2.0 x 1.8 em firm white stellate mass,. located in the center of the specimen. closely approaching the anterior. margin. Noted adjacent to this mass, near or close to the medial margin is. a. second tan firm nodular mass, measuring 1.4 x 1.1 x 0.9 cm. The remaining. breast parenchyma is predominantly fatty with foci of fibrous tissue. NO. other lesions ure identified. Representative sections are submitted. Portions of both the larger and smaller tumors are submitted for TPS. Summary of Sections: M medial. L lateral. I inferior. A anterior. s superior. P posterior. LT larger tumor. ST smaller tumor. ADJ adjacent to tumor mass. RS representative sections. Summary of Sections: Part 1: SP: Sentinel node #1, level 1, left axilla. Block. Sect. Site. PCs. 1. fsc. 1. 1. u. 1. Part 2: SP: Sentinel node #2, level 1, left axilla. Block. Sect. Site. PCs. 1. In. 1. Part 3: SP: Sentinel node #3, level 1, left axilla. Block. Sect. Site. PCs. 1. In. 1. Part 4: SP: Sentinel node #4, level 1, left axilla. Block. Sect. Site. PCs. 1. In. 1. Part 5: SP: Left axillary contents levels 1, 2 and 3 ,. Block. Sect. Site. PCs. yage 5 of 6. 2. LIBLN. 4. 5. LII. 10. 3. LIII. 6. 5. LILNSS. 5. Part 6: SP: Additional level 3 nodes, left axilla. Block. Sect. Site. PCs. 1. u. 1. Part 7: SP: Left breast marmographic mass. Block. Sect. Site. PCs. 19. a. 19. 2. adj. 2. 8. i. 13. 8. 1. 14. 4. 1t. 4. 4. m. 10. 15. p. 15. 5. rs. 5. 4. 10. 2. st. 2. Procedures/Addenda: Addendum. Date Complete: Addendum Diagnosis. ADDENDUM REPORT. SITE: LEFT BREAST (PART #7). ER: 95% NUCLEAR STAINING WITH MODERATE INTENSITY. PR: 40% NUCLEAR STAINING WITH WEAK TO MODERATE INTENSITY. HER-2/NEU (HERCEPTEST) : POSITIVE (STAINING INTENSITY OF 3+). 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.

expanded version (tokens=2713) : 
 Histological classification: Invasive ductal carcinoma (IDC) and ductal carcinoma in situ (DCIS) of the left breast.

Subtype: Not mentioned in the report.

Necrosis: No necrosis mentioned in the report.

Tumor infiltrating lymphocytes: Mentioned, tumor embolus in perinodal lymphatic vessel.

Histological grade: Grade II-III/III.

Nuclear grade: Nuclear grade II/III.

Lymphovascular invasion: Prominent vascular invasion is present.

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

Receptor status: ER positive - 95% nuclear staining with moderate intensity. PR positive - 40% nuclear staining with weak to moderate intensity. HER-2/NEU (HERCEPTEST) positive - staining intensity of 3+.

IHC and ancillary testing results: Special stains for ER, PR, and HER-2/NEU were conducted. Frozen section and permanent diagnosis confirmed metastatic carcinoma. Multiple lymph nodes were submitted for analysis, with some showing metastatic mammary carcinoma. The invasive carcinoma extended to shaved surgical margins. Surgical dissection of axillary contents levels showed no significant involvement of benign lymph nodes except for a microscopic focus of metastatic mammary carcinoma in one of three lymph nodes in level I.

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=2885) : 
 75-word report: A 1.4cm malignant mammary carcinoma identified in 1 out of 1 lymph node with extranodal extension. Multiple foci of invasive ductal carcinoma (IDC) ranging from 0.1 cm to 2.5 cm in size, with a few foci of ductal carcinoma in situ (DCIS), were found in the left breast which invaded shaved surgical margins and showed prominent vascular invasion. Hormonal receptors for estrogen (95%) and progesterone (40%) tested positive, while HER-2/NEU tested positive for staining intensity of 3+.

