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, urgical Pathology: Add. CLINICAL HISTORY: Cervical cancer and breast cancer. GROSS EXAMINATION: A. "True cut breast biopsy", AF1. Frozen tissue remnant labeled AF1 submitted. in toto in block A1. B. "Cervical tumor", tissue fragment labeled BF1 in submitted in toto in block. B1. A 4.2 x 3 x 2.3 cm aggregate of tan tissue containing multiple edematous. papillary structures. Representative sections are submitted in blocks B2 and. B3. A representative sample of the specimen is placed in a tea bag for gross. photography. C. "Right breast and axillary nodes", received unfixed and placed in. formalin. A sample of fresh tissue has been sent for ER/PR. A 580 gm,. 28.4 x 15.3 x 3.9 cm modified radical mastectomy specimen containing a 22.0. x. 15.3 x 3.9 cm breast with an 8.5 x 5.8 x 2 cm axillary tail, and a 2 cm nipple. within a 5.5 cm areola. The specimen is remarkable for a 4.1 x 2.6 x 4 cm. white hard mass located within the upper inner portion of the breast 1.1 cm. from the inked deep margin and 1.7 cm from the skin surface. The axillary. tail contains multiple firm matted lymph nodes within the proximal mid and. distal portions, the largest measuring 3.5 x 1.4 x 1 cm. The breast also. contains a soft pale pink 5 x 1.2 x 1.5 cm. The axillary tail is removed and. dissected for lymph nodes. BLOCK SUMMARY: C1-C2 - tumor with soft tissue margins. C3-C4 - random soft tissue margins. C5-C7 - tumor. C8-C9 - unremarkable breast tissue. C10-C11 - representative sections of skin. C12 - section of areola. C13 - section of nipple. C14 - one bisected lymph node candidate from the proximal axillary lymph. nodes. C15 - three lymph node candidates from the proximal axillary lymph nodes. C16 - six lymph node candidates from the mid axillary lymph nodes. C17 - one bisected lymph node candidate from mid axillary lymph nodes. C18 - two lymph node candidates from the distal axillary lymph nodes. C19 - one bisected lymph node candidate from the distal portion of axillary. lymph nodes. Dr. i/Dr. (Slides to Dr. INTRA OPERATIVE CONSULTATION: A. "True cut breast", AF1: invasive carcinoma (Dr. B. "Cervical tumor", BF1: papillary squamous cell carcinoma in situ at. least (Dr. DIAGNOSIS: A. "TRUE CUT BIOPSY": INFILTRATING DUCTAL CARCINOMA. N.S.A.B.P. NUCLEAR GRADE 2 OF 3. N.S.A.B.P. HISTOLOGIC GRADE 3 OF 3. LYMPHATIC/VASCULAF INVASION PRESENT. https:/. B. "CERVICAL TUMOR": POLYPOID PAPILLARY SQUAMOUS CELL CARCINOMA IN-SITU WITH EQUIVOCAL EARLY. STROMAL INVASION. (SEE COMMENT). C. "RIGHT BREAST AND AXILLARY NODES" (MODIFIED RADICAL MASTECTOMY) : RESIDUAL INFILTRATING DUCTAL CARCINOMA. N.S.A.B.P. NUCLEAR GRADE 2 OF 3. N.S.A.B.P. HISTOLOGIC GRADE 3 OF 3. GROSS TUMOR SIZE 4.1 X 2.6 x 4.0 CM (GROSSLY) . SIZE OF INVASIVE COMPONENT 4.1 CM. LOCATION OF THE TUMOR, UPPER INNER QUADRANT. LYMPHATIC/VASCULAR INVASION PRESENT. MULTIFOCAL TUMOR NO. IN SITU CARCINOMA PRESENT, OCCUPYING APPROXIMATELY 5% OF TUMOR. TYPE OF IN-SITU CARCINOMA CRIBRIFORM WITH NECROSIS AND SOLID TYPES. (SLIDES C4, C6, C7). EXTENSIVE INTRADUCTAL COMPONENT, NO. NIPPLE STATUS, FREE OF TUMOR. SKIN STATUS, FREE OF TUMOR. MUSCLE STATUS, NOT SAMPLED. STATUS OF NON-NEOPLASTIC BREAST TISSUE: FIBROSIS. SURGICAL MARGIN STATUS: NEGATIVE. LYMPH NODE STATUS: METASTATIC CARCINOMA IN EIGHT OF 15 RIGHT AXILLARY. LYMPH NODES. SIZE OF LARGEST LYMPH NODE METASTASIS 1.5 CM (SLIDE C14). EXTRANODAL INVASION PRESENT (SLIDE C14). ESTROGEN/PROGESTERONE RECEPTOR AND CELL CYCLE ANALYSIS PENDING. METHODOLOGY: IMMUNOHISTOCHEMISTRY, PARAFFIN BLOCK (C6). COMMENT: The lesion displays in-situ form of cancer that architecturally. resembles the papillary transitional cell cancer, grade 1, commonly seen in. the bladder. In multiple areas, the base of the epithelium is cut on a bais,. so that it cannot be determined whether the few cells seen in the superficial. stroma are artifactual or the earliest form of microinvasion. While such a. lesion, if seen in the bladder, would be called low grade, there is no. recorded experience with such a neoplasm in the cervix. Dr. has reviewed the slides of the cervical tumor and concurs with the. diagnosis. I certify that I personally conducted the diagnostic evaluation of the above. specimen (s) and have rendered the above diagnosis (es). M.D. Page#. ADDENDUM 2: Breast tissue was sent to the -. for assay of the. estrogen and progesterone receptors. The estrogen receptor activity was. judged to be POSITIVE with an estimated FMOL value of 99. The progesterone. receptor activity was judged as POSITIVE with an estimated FMOL value of 15. Please refer to. for a complete report. I certify that I personally conducted the diagnostic evaluation of the above. specimen (s) and have rendered the above diagnosis (es) . http.

expanded version (tokens=1820) : 
 Histological classification: The report indicates invasive ductal carcinoma in the true cut breast biopsy and residual invasive ductal carcinoma in the right breast and axillary nodes after a modified radical mastectomy. The subtype is LumB.

Subtype: LumB

Description of necrosis: The report mentions necrosis in the in situ carcinoma occupied approximately 5% of the tumor and was of the cribriform with necrosis and solid types.

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

Histological grade: The histologic grade is 3 of 3, according to the NSAIBP classification, in both the true cut breast biopsy and the residual invasive ductal carcinoma after a modified radical mastectomy.

Nuclear grade: The nuclear grade, according to the NSAIBP classification, is 2 of 3 in both the true cut breast biopsy and the residual invasive ductal carcinoma after a modified radical mastectomy.

Lymphovascular invasion: The report mentions the presence of lymphatic/vascular invasion in the true cut breast biopsy and the residual invasive ductal carcinoma after a modified radical mastectomy.

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

Receptor status (IHC): Estrogen receptor activity was judged positive with an estimated FMOL value of 99, and progesterone receptor activity was judged positive with an estimated FMOL value of 15. However, the methodology used for the receptor assay is not

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=1956) : 
 The breast pathology report indicates that the case is LumB subtype with invasive ductal carcinoma present in the true cut biopsy and after a modified radical mastectomy. Lymphovascular invasion was observed, histological grade was 3 of 3, and nuclear grade was 2 of 3 in both specimens. There was positive estrogen and progesterone receptor activity observed. In-situ carcinoma with necrosis and solid types were also present.

