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, ourgie. CLINICAL HISTORY: year old female with breast cancer. GROSS EXAMINATION: A. "Right breast biopsy". received fresh and fixed in formalin. An unoriented,. 6.5 x 5.5 x 2.5 cm incisional breast biopsy received cross-sectioned. One. surface of the specimen has previously been inked black, and a frozen section. has been taken from this area. Grossly, the tumor is present at the ink. Serial sectioning reveals an irregular, whitish, infiltrative tumor 3.5 x 1.7. x 2.1 cm in greatest dimension, with focal petechia hemorrhage. A 0.3 cm area. of yellowish gritty texture in the center of the tumor is suspicious of. calcification. There is no gross tumor necrosis. A separate, 0.3 cm well. defined, yellowish nodule is located approximately 0.5 cm from the main. tumor. The specimen is inked and serially sectioned every 0.5 cm. Representative sections are submitted. BLOCK SUMMARY: A1- - remnants of AF1. 2.7 x 1.6 x 0.3 cm soft tissue fragment. A2-A13- serial sections of the specimen every 0.5 cm, of which: A7- tumor including the calcification,. A8- section adjacent to AF1,. A9- 0.3 cm nodule,. A13-normal appearing breast. B. "Right breast", received fresh and fixed in formalin. A modified right. mastectomy 21.1 x 15.2 x 3.5 cm, a skin ellipse 14.2 x 7.1 cm, and axillary. tail 7.5 x 6 x 2 cm. A fresh, horizontal 5 cm incision line is located. superior lateral to the nipple, 1.5 cm below the superior skin resection. margin. The skin surface is smooth with no discoloration, gross mass, or. nipple retraction. The specimen is serially sectioned to reveal a biopsy. cavity 6.5 x 5.5 x 2 cm, which corresponds to the size of the previous biopsy. specimen. The superior wall of the cavity appears to contain a 2.5 x 1.5 x 2. cm residual tumor which has a similar cut surface and texture to that in the. biopsy specimen. The residual tumor is located approximately 1.5 cm from the. closest deep resection margin, and over 4 cm from the superior margin. The. biopsy cavity is otherwise 3 cm from the inferior margin, 4.9 cm from the. superior margin, 1 cm from the deep margin, 4.5 cm from the medial margin, 2.5. cm from the lateral margin, and 1 cm from the skin. The deep resection margin. is inked in blue, superior margin in black, and inferior margin in red. The. axillary tail is dissected for lymph nodes. Multiple lymph node candidates are. found, the largest measuring 1.5 x 1.3 x 1.0 cm. Representative sections of. the breast and lymph nodes are submitted. BLOCK SUMMARY: B1- inner upper quadrant. B2- inner lower quadrant. B3- outer upper quadrant. B4- outer lower quadrant. B5- nipple. B6- skin with incision. B7-B8- tumor in biopsy cavity and the closest deep resection margin. B9- biopsy cavity (superior wall). B10- biopsy cavity (inferior wall) . B11-B17- axillary lymph node candidates. B18- low axillary tail. INTRA OPERATIVE CONSULTATION: A. "Right breast": Af1- adenocarcinoma extending to inked margin. DIAGNOSIS: A. "RIGHT BREAST" (BIOPSY) : INFILTRATING ADENOCARCINOMA OF DUCTAL TYPE, NOT OTHERWISE SPECIFIED. N.S.A.B.P. HISTOLOGIC GRADE, 3 OF 3. N.S.A.B.P. NUCLEAR GRADE, 2 TO 3 OF 3. GROSS TUMOR SIZE IS 3.5 X 2.2 X 1.7 CM. INVASIVE TUMOR SIZE IS 3.5 CM. IN SITU CARCINOMA OF COMEDO TYPE IS PRESENT, OCCUPYING LESS THAN 10% OF. TUMOR. NO EXTENSIVE INTRADUCTAL CARCINOMA OR MULTIFOCAL TUMOR IS PRESENT. NON-NEOPLASTIC BREAST TISSUE SHOWS DUCTAL ECTASIA, FIBROSIS, AND MICROCYST. FORMATION. LYMPHATIC/VASCULAR INVASION IS PRESENT (A9). CARCINOMA EXTENDS TO SURGICAL MARGIN MULTIFOCALLY. ESTROGEN/PROGESTERONE AND CELL CYCLE ANALYSIS IS PENDING. METHODOLOGY: FRESH TISSUE. B. "RIGHT BREAST" (MODIFIED MASTECTOMY) : INFILTRATING ADENOCARCINOMA OF DUCTAL TYPE, NOT OTHERWISE SPECIFIED. N.S.A.B.P. HISTOLOGIC GRADE, 3 OF 3. N. S.A.B. NUCLEAR GRADE, 3 OF 3. GROSS TUMOR SIZE IS AT LEAST 6.0 CM. INVASIVE TUMOR SIZE IS 6.0 CM. CARCINOMA IS LOCATED IN THE UPPER-OUTER QUADRANT. IN SITU CARCINOMA OF COMEDO TYPE: SEE SPECIMEN "A". MULTIFOCAL TUMOR IS NOT PRESENT. NON-NEOPLASTIC BREAST TISSUE SHOWS DUCTAL ECTASIA, FIBROSIS, AND MICROCYST. FORMATION. LYMPHATIC/VASCULAR INVASION PRESENT. CARCINOMA IS FOCALLY TO WITHIN 0.7 CM OF THE DEEP SURGICAL MARGIN (A7). NIPPLE SHOWS NO INVOLVEMENT BY PAGET'S DISEASE. SKIN IS NOT INVOLVED BY CARCINOMA. ONE OF 23 LYMPH NODES POSITIVE FOR CARCINOMA (1/23) . ESTROGEN/PROGESTERONE AND CELL CYCLE ANALYSIS PENDING. RESULTS WILL BE. ISSUED IN AN ADDENDUM. METHODOLOGY: FRESH TISSUE. ADDENDUM 1: Tissue was sent to the. for assay of the Estrogen. and Progesterone receptors. The Estrogen receptor activity was judged as. negative with an estimated fmol valve of 0. The Progesterone receptor activity. was judged as negative with an estimated fmol of valve of 0. The. proliferation index was estimated to be high with a PI of 70%. Please refer. to. for a complete report. 2 of 2.

expanded version (tokens=1919) : 
 Histological classification: Infiltrating adenocarcinoma of ductal type, not otherwise specified, with a comedo type of in situ carcinoma present.

Subtype: Basal.

Description of necrosis: There is no gross tumor necrosis.

Mention of tumor-infiltrating lymphocytes: No mention.

Histological grade: Histologic grade 3 of 3 (NSABP histologic grade), nuclear grade 2 to 3 of 3 (NSABP nuclear grade).

Lymphovascular invasion: Present in biopsy cavity (A9) and lymphatic/vascular invasion present in non-neoplastic breast tissue.

Calcification: Suspicious calcification present in tumor.

Receptor status: Estrogen receptor activity and progesterone receptor activity were both negative, with a high proliferation index of 70%.

IHC and ancillary testing results: Estrogen/progesterone receptor assay performed and reported negative. Cell cycle assay pending. There is no mention of any other ancillary testing. 

Overall, the report identifies a basal subtype of infiltrating ductal carcinoma with histologic grade 3 of 3, present lymphovascular invasion, and comedo-type in situ carcinoma. The biopsy cavity and non-neoplastic breast tissue showed lymphatic and vascular invasion. The receptor status was negative for both estrogen and progesterone, with a high percentage of proliferation index. Additional testing results are still pending.

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=2071) : 
 Report: Biopsy of a basal subtype of infiltrating ductal carcinoma with histologic grade 3 of 3. A suspicious calcification was found, and lymphovascular invasion was present. Estrogen and progesterone receptor activity tested negative, with high proliferation index. Additional test results are pending. In situ comedo-type carcinoma was present, as well as evidence of lymphatic/vascular invasion in the biopsy cavity and non-neoplastic breast tissue. One out of 23 lymph nodes was positive for carcinoma.

