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 Basal, Clinical Diagnosis & History: Right breast cancer - DCIS. Right mastectomy and SLNB +/- axillary. clearance. Specimens Submitted: 1: SP: Sentinel node #1, level 1, right axilla. 2: SP: Sentinel node #2, level 1, right axilla. 3 : SP: Sentinel node #3, level 1, right axilla. 4: SP: Sentinel node #5, level 2, right axilla. 5: SP: Sentinel node #4, 6, 7, 8, 9, 10, 11 and 12 right axilla, levels. 1. and 2. 6 : SP: Non sentinel tiscue right axilla. 7: SP: Right breast. DIAGNOSIS: 1). SENTINEL NODE #1, LEVEL I. RIGHT AXILLA; EXCISION: - ONE BENIGN LYMPH NODE (0/1). - ADDITIONAL H&E STAINED SECTIONS AND IMMMUNOPEROXIDASE STAINS FOR. CITOKERATINS (AE1:AE3) SHOW NO EVIDENCE OF METASTATIC CARCINOMA. 2). SENTINEL NODE #2, LEVEL I, RIGHT AXILLA; EXCISION: ONE BENIGN LYMPH NODE (0/1). - ADDITIONAL H&E STAINED SECTIONS AND IMMUNOPEROXIDASE STAINS FOR. CYTOKERATINS (AE1:AE3) SHOW NO EVIDENCE OF METASTATIC CARCINOMA. 3). SENTINEL NODE #3, LEVEL I, RIGHT AXILLA; EXCISION: ONE BENIGN LYMPH NODE (0/1). ADDITIONAL H&E STAINED SECTIONS AND IMMUNOPEROXIDASE STAINS FOR. CYTOKERATINS (AE1:AE3) SHOW NO EVIDENCE OF METASTATIC CARCINOMA. 4). SENTINEL NODE #5, LEVEL II, RIGHT AXILLA; EXCISION: - THREE BENIGN LYMPH NODES (0/3). 5). SENTINEL NODES #4,6,7,8,9,10, 11,12, LEVELS I AND II, RIGHT AXILLA;. EXCISION: - EIGHT BENIGN LYMPH NODES (0/8). ION-SENTINEL LYMPH NODES, RIGHT AXILLA; EXCISION: - THREE BENIGN LYMPH NODES (0/3) -. 7). BREAST, RIGHT; TOTAL MASTECTOMY: INVASIVE DUCTAL CARCINOMA, NOS TYPE, HISTOLOGIC GRADE III/III (SLIGHT. OR. NO TUBULE FORMATIONJ. WITH PAPILLARY ARCHITECTURE; NUCLEAR GRADE III/III (MARKED VARIATION IN. SIZE AND SHAPE). MEASURING 4.3 CM IN LARGEST DIMENSION GROSSLY. - DUCTAL CARCINOMA IN SITU (DCIS) IS ALSO IDENTIFIED, SOLID TYPE, WITH. HIGH NUCLEAR GRADE AND. EXTENSIVE NECROSIS. - LOBULAR INVOLVEMENT BY DCIS IS PRESENT. - THE DCIS CONSTITUTES <252 OF THE TOTAL TUMOR MASS AND IS PRESENT. ADMIXED WITH THE INVASIVE COMPONENT. - THE INVASIVE CARCINOMA IS LOCATED IN THE UPPER-OUTER QUADRANT. THE DCIS IS LOCATED IN THE UPPER-OUTER QUADRANT. - NO INVOLVEMENT OF THE NIPPLE BY EITHER IN SITU OR INVASIVE CARCINOMA. IS IDENTIFIED. - CALCIFICATIONS ARE PRESENT IN BOTH THE IN-SITU AND INVASIVE. CARCINOMA. - NO VASCULAR INVASION IS NOTED. - NO INVOLVEMENT OF THE SURGICAL MARGINS BY EITHER INVASIVE OR IN SITU. CARCINOMA IS IDENTIFIED. - NO SKIN INVOLVEMENT ay CARCINOMA IS IDENTIFIED. THE SKIN SHOWS A SCAR. THE NON-NEOPLASTIC BREAST TISSUE SHOWS BIOPSY SITE AND SECRETORY. 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) : 0/1. - RESULTS OF SPECIAL STUDIES ARE AS FOLLOWS: ER: NO NUCLEAR STAINING). PR: NO NUCLEAR STAINING). HER-2/NEU (HERCEPT TEST) : NEGATIVE (STAINING INTENSITY OF 1+). 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. AE1:AE3. NEG CONT. IMM RECUT. AE1:AE3. NEG CONT. IMM RECUT. AE1:AE3. NEG CONT. IMM RECUT. ER-C. nssn. PR-C. HER2-C. NEG CONT. NEG-HER2. IMM RECUT. ER-C. PR-C. HER2- c. 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. right axilla" and consisto of a piece of. fatty tiscue measuring 3.2 x 1.6 x 0.6 cm. A 1.0 cm lymph node is. identified which is bisected and 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 right axilla and consists of a tan lymph. node measuring 0.5 cm. 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 right axilla" and consists of a tan. lymph node measuring 1.0 cm. 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 five level 2 right axilla and consisto of three. tan. lymph nodes measuring 0.2. 0.2, and 0.3 cm. Entirely submitted for frozen. section. Summary of sections: FSC -- frozen section control. 5). The specimen is received in formalin, labeled "Sentinel node number 4. 6, 7, 8, 9, 10, 11, and 12, right axilla levels one and two" and consists of. multiple unoriented pieces of fatty tissue totaling 3.7 x 3.5 x 0.9 cm in. aggregate. Sectioning through the tissue reveals approximately 3 pink-tan. lymph nodes ranging in size from 0.2 to 1.2 cm in greatest dimension. The. lymph nodes are submitted entirely. Summary of sections: U-undesignated. 6). The specimen is received in formalin, labeled "Non-sentinel ticsue,. right axilla and consists of two irregularly shaped unoriented pieces of. yellow-tan soft lobulated tissue measuring 5.5 x 4.9 x1.2 em greatest. dimension. Sectioning through the tissue reveals a rim of pink tan focally. hemorrhagic lymphoid tissue measuring 1.5 x 0.3 cm. Tho lymphoid ticsue is. bisected and entirely submitted. Summary of sections: U-undesignated. 7). The specimen is received fresh labeled, "Right breast, stitch marks. axillary tail" and consists of a breast measuring 22 x 21 x 6.8 em with. overlying white-tan skin ellipse measuring 15.8 x 4.7 cm. Situated. centrally on the skin surface is a slightly retracted nipple measuring 0.8 x. 0.7 cm and areola measuring 2.8 x 2.5 cm. The skin shows a linear scar. measuring of 2.4 cm, situated at the lateral aspect of the skin surface. A. suture demarcates the axillary aspect, which is inked blue. The posterior. surface of the breast is inked black. The specimen is serially sectioned to. reveal an ill-defined white-tan, partially pseudoencapsulated. bulging,. focally hemorrhagic tumor mass measuring 4.3 x 4 x 4.5 cm, located 0.7 cm. from the deep margin of excision at the outer upper quadrant. Cut section. through the mass reveals a 2.5 x 1.7 x 2 cm smooth walled pink-tan. hemorrhagic area at the medial edge of the mass consistent with a possible. previous biopsy site. Cut sections through the mass reveal ill-defined areas. of necrosis and fine granularity. The remaining tissue reveals well-defined. areas of dense white tan fibrocystic tissue with multiple areas of pink-tan. nodularity identified scattered throughout the tissue. Sectioning of the. axillary aspect reveals a single 1.4 cm tan lymph node. Representative. sections are submitted to TPS, and for permanent section. Summary of sections: N - nipple. NB - nipple base. s - skin scar. D - deep margin. T - tumor. UIQ - upper inner quadrant. LIQ - lower inner quadrant. UOQ - upper outer quadrant. LOQ - lower outer quadrant. BLN - bisected axillary lymph node, entirely submitted. Summary of Sections: Part 1: SP: Sentinel node #1, level 1, right axilla. Block. Sect. Site. PCs. 1. fsc. 1. Part 2: SP: Sentinel node #2, level 1, right axilla. Block. Sect. Site. PCs. 1. fac. 1. Part 3: SP: Sentinel node #3, level 1, right axilla. Block. Sect. Site. PCs. fsc. 1. Part 4: SP: Sentinel node #5, level 2, right axilla. Block. Sect. Site. PCs. 1. fsc. 1. Part 5: SP: Sentinel node #4, 6, 7. 8, 9, 10, 11 and 12 right axilla,. levels 1 and 2. Block. Sect. Site. PCs. 2. u. 2. Part 6: SP: Non sentinel tissue right axilla. Block. Sect. Site. PCs. 1. u. 1. Part 7: SP: Right breast. Block. Sect. Site. PCs. 1. bln. 1. 1. d. 1. 2. liq. 2. 2. 2. 1. n. 1. 1. nb. 1. 1. s. 1. 5. 5. 2. uiq. 2. 2. rage o of 6. 2. Procedures/Addenda: Addendum. Date Complete: Addendum Diagnosis. ADDENDUM REPORT. SITE: RIGHT BREAST (PART #7 ). IMMUNOPEROXIDASE STUDIES FOR ER, PR AND HER-2 (HERCEPTEST) ARE REPEATED ON. REMAIN UNCHANGED. A TUMOR TISSUE BLOCK DIFFERENT FROM THE ONE USED PREVIOUSLY. THE RESULTS. Intraoperative Consultation: The diagnoses given in this section pertain only to the tissue sample. examined at the time of the intraoperative consultation. 1). FROZEN SECTION DIAGNOSIS: BENIGN. PERMANENT DIAGNOSIS: SAME. 2). FROZEN SECTION DIAGNOSIS: BENIGN. PERMANENT DIAGNOSIS: SAME. 3). FROZEN SECTION DIAGNOSIS: BENIGN. PERMANENT DIAGNOSIS: SAME. 4). FROZEN SECTION DIAGNOSIS: BENIGN. PERMANENT DIAGNOSIS: SAME.

expanded version (tokens=3099) : 
 Histological classification: Invasive Ductal Carcinoma (NOS type), Ductal Carcinoma In Situ (DCIS) solid type with high nuclear grade.

Subtype: Basal 

Necrosis: Extensive necrosis present in DCIS 

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes 

Histological grade: III/III 

Nuclear grade: III/III 

Lymphovascular invasion: No vascular invasion noted

Calcification: Calcifications present in both DCIS and invasive carcinoma

Receptor status: ER/PR negative, HER2 negative (intensity of 1+)

ANCILLARY testing results: Immunoperoxidase studies for ER, PR, and HER2 (HERCEPT test) repeated on the tumor tissue block different from the one used previously, and the results remain unchanged.

Additionally, the report includes information on the lymph node status of the right axilla, with a total of 15 lymph nodes examined and none found to be positive for metastatic carcinoma. The report also includes information on the gross description of the right breast specimen received, which measured 22 x 21 x 6.8 cm and had an ill-defined, partially pseudoencapsulated tumor mass measuring 4.3 cm in its largest dimension, located in the upper-outer quadrant. The report mentions that no involvement of the nipple or surgical margins by either invasive or in situ carcinoma is identified, and that the

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=3266) : 
 Report: Right breast DCIS carcinoma with extensive necrosis, located in the upper-outer quadrant. The invasive ductal carcinoma is of basal subtype and histological grade III/III with III/III nuclear grade, measuring 4.3 cm. Lymphovascular invasion was not identified, and no lymph node metastasis was found in the 15 nodes examined. ER/PR negative and HER2 negative (intensity of 1+). No involvement of the nipple or surgical margins by either invasive or in situ carcinoma is identified. Calcifications present in both DCIS and invasive carcinoma.

