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, Diagnosis: A: Sentinel lymph node #1, right axillary, excision. - Positive for metastatic adenocarcinoma in one of four lymph nodes (1/4). - Size of metastasis: 0.6 cm. - Extracapsular extension: Present, extensive. - Intraoperative diagnosis confirmed. B: Sentinel lymph node #2, right axillary, excision. - Positive for metastatic adenocarcinoma in one lymph node (1/1) (metastatic focus present on. frozen slide only). - Size of metastasis: 0.1 cm. - Extracapsular extension: Not identified. - Intraoperative diagnosis confirmed. C: Non-sentinel lymph node, right axillary, excision. - Positive for metastatic adenocarcinoma in one lymph node (1/1). - Size of metastasis: 0.6. - Extracapsular extension: Present, extensive. - Intraoperative diagnosis confirmed. D: Sentinel lymph node #3, right axillary, excision. - Positive for metastatic adenocarcinoma in one lymph node (1/1). - Size of metastasis: 0.2. - Extracapsular extension: Not identified. - Intraoperative diagnosis confirmed. E: Breast, right, mastectomy. Tumor type: Invasive ductal carcinoma. Nottingham combined histologic grade: 3. Tubule formation score: 3. Nuclear pleomorphism score: 3. Mitotic count score: 3. Focality of tumor: Unifocal. Tumor size (greatest dimension): 2.4 cm (gross measurement). Tumor location: Outer half (at interface between upper outer and lower outer quadrants). Lymphovascular invasion: Not identified. Perineural invasion. Present. In Situ Component: Present, ductal carcinoma in situ. In Situ Component type/Architecture pattern: Ductal carcinoma in situ, solid and comedo types. In Situ Component nuclear grade: 2-3. In Situ Component necrosis: Present. In Situ Component extent/size: DCIS present admixed with invasive ductal carcinoma, comprising. approximately 5% of the total tumor volume. Extensive intraductal component: Absent. Nipple/skin involvement: Not identified. Margin status: Invasive component: Negative; closest posterior margin 0.4 cm; all other margins more than 1.5. cm away. In Situ component: Negative; more than 1.0 cm away from all margins. Right axillary lymph nodes (none present in this specimen, but the total number includes. specimens A-D and F): Total number with metastasis: 5. Total number examined: 17 (5/17). Size of largest metastasis: 0.6 cm. Extracapsular extension: Present, extensive. Microcalcifications: Present, associated with invasive ductal carcinoma. Other findings: Fibrocystic changes. AJCC PATHOLOGIC TNM STAGE: pT2 pN2a. Note: This pathologic stage assessment is based on information available at the time of this. report, and is subject to change pending clinical review and additional information. F: Lymph nodes, right axillary, lymphadenectomy. - Positive for metastatic adenocarcinoma in 1 of 10 lymph nodes (1/10). - Size of metastasis: 0.1 cm. - Extracapsular extension: Not identified. Comment: For the results of immunohistochemical stains for ER, PR and Her2/neu, please. refer to the addendum report of the prior specimen. Intraoperative Consult Diagnosis: Frozen section was requested. FSA1/FSA2: Right axillary sentinel lymph node #1. - Metastatic carcinoma in one lymph node (1/2); Dr agrees. FSB1: Right axillary sentinel lymph node #2. - Metastatic carcinoma in one lymph node (1/1); Dr agrees. FSC1: Right axillary non-sentinel lymph node. - Metastatic carcinoma in one lymph node (1/1). FSD1: Right axillary sentinel lymph node #3. - At least micrometastatic carcinoma in one lymph node. Frozen Section Pathologist: Clinical History: invasive ductal Ca, right breast, Grade 2. Gross Description: Received are six appropriately labeled containers. Container A: Received fresh for frozen section is a 3 X 3 X 2 cm aggregate of multiple tan lymph. node candidates and adipose tissue. Two larger lymph nodes were isolated, sectioned and frozen. as FSA1 and FSA2. Further examination of the adipose tissue finds four additional lymph node candidates from 5 x 5. x 3 mm to 7 x 4 X 4 mm. All lymph node candidates are submitted as is in block A1. Fibrofatty. tissue is retained in formalin. Container B: Received fresh for frozen section is a 1.5 x 1.0 x 0.5 cm fragment of yellow fibrofatty. tissue within which one lymph node candidate was identified at the time of frozen section. The. lymph node was serially sectioned and was frozen as FSB1. Fibrofatty tissue is retained in. formalin. Container C: Received fresh for frozen section is a 1.0 x 0.5 x 0.5 cm fragment of pink/yellow. fibrofatty lymphoid tissue. The fragment was frozen as FSC1, NTR. Container D: Received fresh for frozen section is a 1 X 1 X 0.5 cm fragment of yellow lobulated. fibrofatty fymphoid tissue. The fragment was serially sectioned, was frozen as FSD1, NTR. Container E: Specimen fixation: formalin. Time in fixative: approximately 8 hours, 45 mins. Type of mastectomy: unspecified. Size of specimen: 880 grams; 22 cm medial to lateral x 25.5 cm superior to inferior x 4 cm. anterior to posterior. Orientation of specimen: Per the specimen requisition, a short stitch indicates superior and a long. stitch indicates lateral. At the time of Tissue Procurement triage, the specimen is inked as follows: anterior=blue,. posterior=black, and lateral=yellow. Skin ellipse dimensions: 18.0 X 13.5 cm; The lightly pigmented skin ellipse is remarkable for some. blue sentinel dye discoloration lateral and slightly inferior to the nipple. Nipple/areola: Nipple: 1.0 cm. Areola: 2.7 cm. The structures are unremarkable. Axillary tail: There is no well delineated axillary tail. The lateral most breast tissue is sectioned,. however, no lymph node candidates are identified. Biopsy site: absent. Residual tumor: present, A 2.4 X 2.0 X 1.9 cm firm white mass with a somewhat gritty cut surface. and stellate borders is identified. This mass has no hemorrhagic areas or necrotic areas readily. identified. Location of tumor: roughly located in the midline between the upper outer quadrant and the lower. outer quadrant. Distance of mass/biopsy site from surgical margin: The mass is focally 6 mm to the black inked. posterior margin, 1.5 cm to the skin (anterior margin), 9 cm to the inferior margin, 11 cm to the. superior margin, at least 4.5 cm to the lateral margin and distant (at least 14 cm) to the medial. margin. Gross involvement of skin or fascia/muscle by tumor: absent. Description of remainder of breast: The remainder of the mastectomy specimen consists of yellow. lobulated fibroadipose tissue separated by thin fibrous septae. Much of the breast consists of. dense white fibrous breast tissue. The breast tissue medial to the mass is intensely stained with a. blue dye. There are some areas within this firm breast tissue which are firmer than others. Other remarkable features: On the superior edge of the tumor a small metal radiographic marker. is identified. Tissue submitted for special investigations: Tumor and normal was taken by Tissue Procurement. Digital photograph taken: no. Block Summary: (Inking: anterior=blue, posterior=black, lateral=yellow). E1 - nipple. E2 - mass and closest black inked deep margin, perpendicular sections. E3 - perpendicular sections to closest skin margin (no tumor represented). E4-E8 - additional tumor (E7,E8 one slice, bisected). E9-E10 - breast tissue immediately surrounding mass. E11 - inner upper quadrant. E12 - inner lower quadrant. E13 - outer upper quadrant. E14 - outer lower quadrant. E15-E16 - lateral breast tissue. Container F is additionally labeled "right axillary contents." It holds a 12 x 9.5 x 3.0 cm aggregate. of multiple fragments of yellow lobulated fibroadipose tissue which are palpated for lymph node. candidates. Multiple lymph node candidates from 4x4x3 mm to 1.4 x 1.0 x 0.6 cm are. identified. Block summary;. F1 - five lymph node candidates. F2 - two lymph node candidates. F3 - one lymph node candidate, serially sectioned. F4 - one lymph node candidate, sectioned. F5 - one lymph node candidate, sectioned. F6-F7 - one lymph node candidate, sectioned. F8 - one lymph node candidate, sectioned. F9 - one lymph node candidate, sectioned. Light Microscopy: Light microscopic examination is performed. I have personally conducted the evaluation of the above specimens and have. rendered the above diagnosis(es).

expanded version (tokens=2487) : 
 Histological classification: 

- Invasive ductal carcinoma (IDC) 
- Ductal carcinoma in situ (DCIS) 
- Metastatic adenocarcinoma in multiple lymph nodes 

Subtype: Luminal A 

Description of necrosis: DCIS component shows the presence of necrosis 

Tumor infiltrating lymphocytes: Not identified

Histological grade: Nottingham combined histologic grade 3

Nuclear grade: 3 

Lymphovascular invasion: Not identified 

Calcification: Present, associated with invasive ductal carcinoma 

Receptor status: For results of immunohistochemical stains for ER, PR and Her2/neu, please refer to the addendum report of the prior specimen. 

Ancillary testing results: None mentioned 

Additional information: 

- Fibrocystic changes were found 
- AJCC PATHOLOGIC TNM STAGE: pT2 pN2a
- Five lymph nodes were identified to have metastasis out of 17 examined 
- Microscopic involvement by tumor was found in the sentinel lymph nodes 
- Extracapsular extension was identified in multiple involved lymph nodes 
- Perineural invasion was present 
- Margin status: Invasive component: Negative; closest posterior margin 0.4 cm; all other margins more than 1.5cm away. In Situ component: Negative; more than 1.0 cm away from all margins. 
- There was an intraoperative consultation

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=2653) : 
 The pathology report indicates a diagnosis of Luminal A subtype invasive ductal carcinoma with ductal carcinoma in situ and fibrocystic changes. One sentinel lymph node and one non-sentinel lymph node contained metastatic adenocarcinoma, both showing extracapsular extension. In total, five out of 17 axillary lymph nodes were positive for metastasis. Necrosis was present in the DCIS component. There was no evidence of lymphovascular invasion, but perineural invasion was present. Margin status was negative for invasive and in situ components with comfortable margin distance.

