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, Surgical Pathology: Finat. WUID:12C64846-1CB3-42E4-B307-54C7AD12F530. CLINICAL HISTORY: S/P adenocarcinoma. Invasive adeno carcinoma of breast. GROSS EXAMINATION: A. "Left breast biopsy (AF1)". in formalin. The specimen consists of an. irregular ovoid fragment of firm pink and yellow-tan tissue measuring 2 x 1.5. x 0.8 cm in greatest dimension. A portion of the specimen has been previously. submitted as frozen section AF1, and portion of tissue has been previously. submitted for ER/PR evaluation. The frozen section remnant is submitted in. Block A1 and the remaining tissue is sectioned and submitted in Block A2. B. "Left breast", fresh. The specimen is a 500 gram, 35.5 x 16 x 5.5 cm in. aggregate dimension less mastectomy specimen and attached axillary dissection. The breast measures approximately 24 x 15.5 x 5.5 cm. The skin ellipse is 18.7. x 10.4 cm. The nipple is slightly atypical located on the skin surface away. from the axillary tail. The nipple is 1.4 cm in diameter and is slightly. depressed and surrounding areola is 4 cm in diameter. The tip of skin ellipse. closes to the axillary dissection (upper outer quadrant) exhibit a recent. sutured skin excision which is 4.5 cm long and is 2.7 cm from the superior. upper outer surgical margin. The skin also exhibit three small purple-brown. circumscribed lesion measuring from 0.1 cm to 0.2 cm in greatest dimension. scattered in several areas over the surface. The surgical margin are marked. with blue ink. The deep surface opposite the previously described suture. excision on the skin surface exhibits a focal area of suture material which. closes a 2.1 cm defect in the deep surface. This defect communicates with the. biopsy cavity. The margin in this area is inked carefully. Sectioning reveals. the biopsy cavity is approximately 2.5 x 2 x 1.5 cm in greatest dimension and. is hemorrhagic. Surrounding the biopsy cavity is a firm, poorly demarcated. tan, slightly gritty mass which is 6.2 x approximately 4 x 2.7 cm in greatest. dimension. This is well demarcated from the surrounding adipose tissue in the. outer quadrant, however, but extends toward the center of the specimen it. becomes less easily demarcated. The breast tissue of the remainder of the. specimen is firm, fibrotic with multiple cystic structures measuring up to. 1. cm in greatest dimension and filled with gray-green fluid is a second. relatively circumscribed area of soft pink-tan tissue which bulges above the. cut surfaces and measures 3 x 2.5 x 1.5 cm in greatest dimension. This is. located more centrally but in the lower outer quadrant. The larger firm mass. surrounding the biopsy cavity to within approximately 0.5 cm of the surgical. margin but the fibroadipose tissue on the deep surface is easily clear over. the lesions. Tumor extends to within 1.5 cm of the superior surgical margin. BLOCK SUMMARY: B1-B2- representative sections of mass and adjacent biopsy cavity. B3-B5- representative sections of tumor and adjacent deep surgical margin. B6-B7- representative sections of superior surgical margin closest to tumor. B8- - representative section of nipple. B9- representative section of skin and subcutaneous tissue at surgical. incision. B10- representative section of soft, tan, demarcated lesion in the lower outer. quadrant. B11- representative section through a firm area of breast tissue grossly. separate from the main lesion by approximately 2 cm also near the lower. outer quadrant. B12- representative section of dense and cystic otherwise unremarkable breast. tissue from the upper outer quadrant. B13- representative section of breast tissue from lower outer quadrant. 1 of 2. B14 - representative section of dense breast tissue from upper inner quadrant. B15- - representative section of dense breast tissue from lower inner quadrant. B16- representative section of breast tissue from beneath the nipple. B17 - representative section from small skin lesion. The axillary dissection is approximately 13 x 10 x 2 cm in greatest dimension. The specimen is divided into the usual three levels and examined for lymph. node candidates. There are numerous lymph node each of three levels. The lymph. nodes measures up to 4 cm in greatest dimension. This largest lymph node is. located in level I. Sectioning through this largest lymph node reveals that is. appears to be completely replaced by adipose tissue. BLOCK SUMMARY: B18-B21- lymph nodes from level I as follows: B18- representative section of largest lymph node. B19- two bisected lymph node, one inked blue. B20- one bisected lymph node. B21- one bisected lymph node. B22-B25- lymph nodes from level II as follows: B22- five intact lymph node candidates. B23- one bisected lymph node candidate. B24-B25- one bisected lymph node candidate (one lymph node total in Block. B24-B25) . B26-B30 lymph node candidates from level III as follows: B26- eight lymph node candidates. B27- two bisected lymph node candidates, one ink blue. B28- three intact lymph node candidates. B29- one bisected lymph node candidate. B30- one bisected lymph node candidate. for Dr. INTRA OPERATIVE CONSULTATION: A. "Left breast biopsy": AF1- infiltrating carcinoma. DIAGNOSIS: A. "LEFT BREAST BIOPSY": INFILTRATING CARCINOMA. B. "LEFT BREAST": EXTENSIVE INFILTRATING LOBULAR CARCINOMA (GREATEST DIMENSION IN EXCESS OF 6. CM) SEE COMMENT. METASTATIC CARCINOMA PRESENT IN TWENTY FIVE OF TWENTY SEVEN (25/27). AXILLARY LYMPH NODES. SEE COMMENT. INFILTRATING CARCINOMA EXTENDS INTO SECTIONS OF LACTIFEROUS DUCT AND NIPPLE. AS WELL AS RANDOM SECTIONS OF BREAST QUADRANT. SEE COMMENT. ALL SURGICAL MARGINS APPEAR FREE OF INVOLVEMENT. COMMENT: Because of the multifocal and extensive nature of the tumor, exact. measurement are difficult to assess. Immunohistochemical staining for keratin on each block of lymphoid tissue. reveals extensive infiltration of most lymph nodes. There does not appear to. be associated extracapsular extension. Data. 2 of 2.

expanded version (tokens=1871) : 
 The breast pathology report reveals the following information:

1. Histological classification: The patient has luminal A subtype of breast cancer. The surgical pathology report confirms the presence of invasive lobular carcinoma in the left breast biopsy and the breast tissue. 

2. Necrosis and tumor infiltrating lymphocytes: There is no mention of necrosis in the report. The report states that the lymph nodes, across all three levels, show extensive infiltration of most lymph nodes by the carcinoma. There is no mention of tumor-infiltrating lymphocytes in the report.

3. Histological grade and nuclear grade: The report does not provide information on the histological grade or nuclear grade of the breast cancer. 

4. Lymphovascular invasion: There is no mention of lymphovascular invasion in the report. 

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

6. Receptor status: The report does not provide information on hormone receptor or HER2/neu status.

7. Ancillary testing results: The frozen section remnant is submitted in Block A1 and the remaining tissue is sectioned and submitted in Block A2. The report also mentions that the specimen has been previously submitted for ER/PR evaluation. It is unclear if any other ancillary testing was performed.

Overall, the report confirms the presence of invasive lobular carcinoma in the patient's left breast biopsy and breast tissue. The cancer has extensive involvement in the lymph nodes, but surgical margins appear free of involvement

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=1994) : 
 Report: Luminal A subtype of breast cancer (invasive lobular carcinoma) found in the left breast biopsy and tissue. Extensive involvement of most lymph nodes, but free surgical margins. No mention of histological or nuclear grade, lymphovascular invasion, calcification or receptor status. Prior ER/PR evaluation done on the specimen with unclear other ancillary testing performed.

