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 - Material. Submitted: !eft breast with axillary contents. History: Clinical. Diagnosis: Operating. Dr. Gross Examination: The specimen is received in a single container, labeled with the patient's name, history. number, date and "left breast and axillary contents". Received is a breast measuring. approximately 23.0 x 16.0 x 8.5 cm. Also received is axillary contents measuring 8.0 cm. x. 9.0 cm.x 3.0 cm. There is no previous scars or other lesions on the surface of the breast. Noted grossly was a 5.0 x 5.0x 4.0 cm. mass submitted for receptors. The specimen has. been inked in blue and sectioned extensively before accessioning. Examination of the. specimen reveals a firm white nodule measuring approximately 3.5 x 3.0 cm. in two. dimensions. Gross inspection of the tumor at the deep margin does not show extension. through the deep margin grossly. Representative sections are submitted as follows: Block I: representative section of tumor to show deep margin. Block II: representative section of tumor to show deep margin. Blocks III and IV: representative sections of the tumor. Palpation of the remainder of the breast does not reveal any separate nodules from the. main tumor region. From the main mass, a couple of satellite nodules are noted that appear. to be contiguous with the main mass. A section of this area is submitted in Block V. Block VI: representative section of nipple. Block VII: representative section of skin over tumor. Block VIII: random sample of upper inner quadrant. Block IX: random sample of lower inner quadrant. Block X: random sample of upper outer quadrant. Block XI: random sample of lower outer quadrant. The axillary contents are separate from the remainder of the specimen and palpated for. lymph nodes. Lymph node candidates are submitted from the inferior to the superior. direction. They are submitted as follows: Block XII: two lymph node candidates. Block XIII: three lymph node candidates. Block XIV: three lymph node candidates. Block XV: five lymph node candidates. Block XVI: three lymph node candidates. Block XVII: three lymph node candidates. Block XVIII: five lymph node candidates. (Continued on. ragé 2. Dr. Dr. (Continuation from page 1). Block XIX: five lymph node candidates. Block XX: three lymph node candidates. Block XXI: five lymph node candidates. Block XXII: five lymph node candidates. Block XXIII: three lymph node candidates. Block XXIV: three lymph node candidates. MICROSCOPIC: The apparent satellite nodules seen grossly (Block 5) consist of sclerosis and. hemangioma (so-called "peritubular hemangioma"). Portions of the. carcinoma have intermediate grade nuclei, but areas have a high grade nuclear pattern. DIAGNOSIS: #i"LEFT" BREAST, MASTECTOMY: A. LARGE (5.0 x 5.0 x 4.0 CM.) INFILTRATING DUCTAL. CARCINOMA, N.S.A.B.P. NUCLEAR GRADE POORLY. DIFFERENTIATED, HISTOLOGIC GRADE 3 OF 3. 13. FOCAL INTRATUMORAL INTRADUCTAL CARCINOMA. C. PROMINENT VASCULAR INVASION BY CARCINOMA. D. NO CARCINOMA IDENTIFIED IN SURGICAL MARGINS. E. HEMANGIOMA. F. FIBROCYSTIC CHANGES: 1. MARKED DUCTAL EPITHELIAL HYPERPLASIA. 2. PAPILLARY APOCRINE METAPLASIA. 3. DUCT ECTASIA. 4. SCLEROSIS. #2 "LEFT" AXILLARY DISSECTION: A. METASTATIC CARCINOMA IN 6 OF 32 LYMPH NODES. B. FOCAL CARCINOMA IN PERINODAL BLOOD VESSELS.

expanded version (tokens=1283) : 
 Histological classification: Invasive ductal carcinoma (IDC). 

Subtype: The report does not mention the subtype of the IDC.

Necrosis: There is no mention of necrosis in the report.

Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

Histological grade / nuclear grade: Histological grade: 3 out of 3 (Poorly differentiated). Nuclear grade: Poorly differentiated.

Lymphovascular invasion: The report mentions prominent vascular invasion by carcinoma.

Calcification: There is no mention of calcification in the report.

Receptor status, IHC, and ancillary testing results: The report does not mention the receptor status, IHC, or any other ancillary testing results.

Other findings: 

- Focal intratumoral intraductal carcinoma is observed.
- The surgical margins are clear of carcinoma.
- Fibrocystic changes are noted, including marked ductal epithelial hyperplasia, papillary apocrine metaplasia, duct ectasia, and sclerosis.
- The axillary dissection shows metastatic carcinoma in 6 out of 32 lymph nodes, with focal carcinoma in perinodal blood vessels. 

Overall, the report indicates a diagnosis of a large poorly differentiated invasive ductal carcinoma with focal intraductal carcinoma and prominent vascular invasion. The axillary dissection revealed metastatic carcinoma in several lymph nodes. The fibrocystic changes are an incidental finding

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=1450) : 
 Diagnosis of 5.0 x 5.0 x 4.0 cm., poorly differentiated infiltrating ductal carcinoma, nuclear grade poor, histological grade 3/3, with focal intratumoral intraductal carcinoma and prominent vascular invasion. Fibrocystic changes including marked ductal epithelial hyperplasia, papillary apocrine metaplasia, duct ectasia and sclerosis noted in the report. Axillary dissection revealed metastatic cancer in six out of thirty-two lymph nodes, with focal cancer in perinodal blood vessels. Surgical margins clear.

