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 LumB, Clinical Diagnosis & History: IDC on core biopsy of left breast. Specimens Submitted: 1: SP: Sentinel node #1 level 1 left axilla (fs). 2: SP: Sentinel node #2 level 1 left axilla (fs). 3: SP: Sentinel node #3 level 1 left axilla (fs). 4: SP: Left breast mass. 5: SP: Superior margin left breast. 6 : SP: Medial margin left breast. 7: SP: Inferior margin left breast. 8: SP: Lateral margin left breast. 9: SP: Deep margin left breast. 10: SP: Additional suspicious lymph node left axilla. DIAGNOSIS: 1). SENTINEL LYMPH NODE #1, LEVEL I, LEFT AXILLA; EXCISION: ONE LYMPH NODE SHOWING MICROSCOPIC CLUSTER OF TUMOR CELLS. (APPROXIMATELY 8 CELLS: < 0.2 MM) WITHIN CAPSULAR LYMPHATIC VESSEL. - THE TUMOR IS IDENTIFIED ON CYTOKERATIN STAINS AND CORRESPONDING DEEPER. LEVEL H&E AND NEGATIVE CONTROL SLIDE. 2). SENTINEL LYMPH NODE #2, LEVEL I, LEFT AXILLA; EXCISION: - BENIGN LYMPH NODE (0/1). - ADDITIONAL HEE-STAINED SECTIONS AND STAINS FOR. CYTOKERATINS (AE1:AE3) SHOW NO EVIDENCE OF METASTATIC TUMOR. 3. SENTINEL LYMPH NODE #3, LEVEL I. LEFT AXILLA; EXCISION: - BENIGN LYMPH NODE (0/1). - ADDITIONAL H&E-STAINED SECTIONS AND IMTUNOHISTOCHEMCAL STAINS FOR. CTOKERATINS (AE1:AE3) SHOW NO EVIDENCE OF METASTATIC TUMOR. 4). BREAST. LEFT NASS: EXCISION: - INVASIVE DUCTAL CARCINOMA, POORLY DIFPERENTIATED. HISTOLOGIC GRADE. III/III, NUCLEAR GRADE III/III, MEASURING 1.9 CM MICROSCOPICALLY. - FOCAL DUCTAL CARCINOMA IN SITU (DCIS). SOLID AND CRIBRIFORM TYPE. WITH INTERMEDIATE TO HIGH. NUCLEAR GRADE AND NECROSIS. THE DCIS CONSTITUTES < 25% OF THE TOTAL. TUMOR MASS, AND IS PRESENT ADMIXED WITH AND ADJACENT TO THE INVASIVE. Criteria. I ATTEST THAT THE ABOVE DIAGNOSIS IS BASED UPON MY PERSONAL EXANINATION OF. THE SLIDES (AND/OR OTHER MATERIAL), AND THAT I HAVE REVIEWED AND APPROVED. THIS REPORT. Special Studies: Special Stain. Comment. RECUT. Gross Description: 1. The specimen is received fresh for frozen section consultation, labeled,. "Sentinel node #1, level 1, left axilla", and consists of one lymph. node. measuring 1.0 x 2.6 x 0.5 Cm, which is bisected and entirely submitted. Summary of sections: FSC -- frozen section control (one node). 2. The specimen is received fresh for frozen section consultation, labeled,. "Sentinel node #2, level 1, left axilla", and consists of one lymph. node. measuring 1.1x 0.4 x 0.3 Cm, which is entirely submitted. Summary of sections: FSC -- frosen section control (one node). 3. The specimen is received fresh for frozen section consultation, labeled,. Sentinel node #3, level 1, left axilla', and consists of two possible. lymph nodes measuring 0.3 x 0.3 x 0.2 cm in aggregate. Entirely submitted. Summary of sections: FSC -- frozen section control (two possible nodes). 4) - The specimen in received unoriented, labeled "Left breast mass " and. consists of a piece of fibrofatty tissue measuring 6 x 3.8 x 2.5 cm. The. specimen is entirely inked black. Serial sectioning reveals a 1.5 x 1 x 1. cm tan-white firm mass with central hemorrhage. Sectioning through the. remaining tissue reveals fatty breast parenchyma. The tumor is entirely. submitted and the remaining tissue is representatively submitted. Summary of sections: NT - tumor and closest tissue edge. SS - serial sections of remaining tissue. dimension. All idantified lymph nodes are submitted. Summary of sections: BLN - bisacted lymph nodes. Summary of Sections: Part 1: SP: Sentinel node #1 level 1 left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 2: SP: Sentinel node #2 level 1 left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 3: SP: Sentinel node #3 level 1 left axilla (fs). Block. Sect. Site. PCs. 1. FSC. 1. Part 4: SP: Left breast mass. Block. Sect. Site. PCs. mt. 3. 4. s$. 4. Part 5: SP: Superior margin left breast. Block. Sect. Site. PCs. 4. as. 4. Part 6: SP: Medial margin left breast. Block. Sect. Site. PCs. ss. 4. Part 7: SP: Inferior margin left breast. Block. Sect. Site. PCs. 2. ss. 2. Part 8: SP: Lateral margin left breast. Block. Sect. Site. PCs. 2. ss. 2. Part 9: SP: Deep margin left breast. Block. Sect. Site. PCs. Specimens Submitted: 1: LEFT BREAST (. Test Performed: FISH for detection of gene amplification. PROBE (s) : LSI HER2 so/ CEP 17 SG DNA probes. DIAGNOSTIC INTERPRETATION: HER2/ CEP 17: 1.4/ NOT AMPLIFIED. Her-2/neu gene amplification is NOT detected. (cut off ratio: > 2.2 HER2 gene amplified; < 1.8 HER2 gene not amplified;. 1.8 2.2 equivocal). LAB NOTES: Block #4 (MT3). Specimen fixative type: Formalin. Adequate number of invasive tumor cella present: Yes. Number of invasive tumor cells counted: 20 + 20. Average number of HER2 probe signals per nucleus: 2.4. Average number of CEP17 chromosome probe signals per nucleus: 1.7. Average HER2/CEP 17 ratio: 1.4. The PathVysion HER2 DNA probe kit (Vysis) is an FDA-approved method for. assessment of HER2 gene amplification in breast cancer specimens 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). I ATTEST THAT THE ABOVE DIAGNOSIS IS BASED UPON MY PERSONAL EXAMINATION OF. THE SLIDES (AND/OR OTHER MATERIAL), AND THAT x HAVE REVIEWED AND APPROVED. THIS REPORT. xeport Electronically wuch.

expanded version (tokens=1941) : 
 Histological classification: Invasive ductal carcinoma (IDC), poorly differentiated (histologic grade III/III, nuclear grade III/III), measuring 1.9 cm microscopically. Focal ductal carcinoma in situ (DCIS), solid and cribriform type with intermediate to high nuclear grade and necrosis, constituting less than 25% of the total tumor mass.

Subtype: LumB

Necrosis: Focal necrosis is noted in the DCIS component.

Tumor infiltrating lymphocytes: Not mentioned.

Histological grade: III/III (poorly differentiated).

Nuclear grade: III/III (high).

Lymphovascular invasion: Not mentioned.

Calcification: Not mentioned.

Receptor status: HER2/CEP17: 1.4/not amplified (based on FISH testing); additional receptor status information not provided.

Ancillary testing results: FISH testing for gene amplification showed that the HER2 gene was not amplified.

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=2072) : 
 Report: Left breast invasive ductal carcinoma (IDC), poorly differentiated, measuring 1.9 cm. Focal necrosis in DCIS component. HER2 gene not amplified as determined by FISH testing. No lymphovascular invasion or calcification mentioned. Tumor infiltrating lymphocytes not reported. Histologic grade III/III, nuclear grade III/III. Additional receptor status information was not provided.

