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 - FINAL DIAGNOSIS: PART. 1: BREAST AND NODES, LEET, MODIFIED RADICAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA, NOTTINGHAM GRADE 3 (TUBULE FORMATION 3, NUCLEAR. PLEOMORPAISM 3, MITOTIC ACTIVITY 3, TOTAL SCORE 9/9). B. INVASIVE CARCINOMA MEASURES 2.2 CM (MICROSCOPIC MEASUREMENT). C. INVASIVE CARCINOMA EXTENSIVELY INVOLVES NIPPLE PAPILLARY DERMIS UNDER THE BASAL LAYER. OF THE EPIDERMIS. D. DUCTAL CARCINOMA IN SITU (DCIS), NUCLEAR GRADE 2, SOLID TYPE, CONSTITUTES 2% OF TOTAL. TUMOR MASS, ADMIXED WITH INVASIVE CARCINOMA. E. ALL RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA; INVASIVE CARCINOMA IS 1.1 CM TO THE. CLOSEST MARGIN. F. SIX OUT OF TEN AXILLARY LYMPH NODES ARE POSITIVE FOR METASTATIC CARCINOMA, WITH. MULTIPLE AREAS OF EXTRACAPSULAR EXTENSION. H. NO DEFINITIVE LYMPHVASCULAR INVASION NOTED. G. METASTATIC TUMOR MEASURES 2.5 CM IN GREATEST DIMENSION (RANGING FROM 0.7 CM TO 2.5 CM). I. FIBROCYSTIC CHANGES ARE PRESENT. PART 2: LYMPH NODE, LEFT, BIOPSY -. A. FIBROADIPOSE TISSUE. B. NO LYMPHATIC TISSUE IS IDENTIFIED. C. ENTIRE SPECIMEN SUBMITTED FOR MICROSCOPIC EXAMINATION. SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Left. PROCEDURE: Modified radical mastectomy. Not specified. SIZE OF TUMOR: Maximum dimension invasive component: 2.2 cm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 3. Tubule formation: 3. Mitotic activity score: 3. Total Nottingham score: 9. Nottingham grade (1,2, 3): 3. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: Not applicable. CALCIFICATION: TUMOR TYPE, IN SITU: Solid. Percent of tumor occupied by in situ component: 2 %. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: SURG MARGINS INVOLVED BY IN SITU COMPONENT: LYMPH NODES POSITIVE: 6. LYMPH NODES EXAMINED: 10. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SENTINEL NODE METASTASIS: SIZE OF NODAL METASTASES: Diameter of largest lymph node metastasis: 25 mm. LYMPH NODE METASTASIS(-ES) WITH EXTRACAPSULAR EXTENSION: NON-NEOPLASTIC BREAST TISSUE: FCD. T STAGE, PATHOLOGIC: pT2. N STAGE, PATHOLOGIC: pN2a. M STAGE, PATHOLOGIC: pMX. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: 2+.

expanded version (tokens=1220) : 
 The breast pathology report reveals the following:

1. Histological classification: The patient is diagnosed with invasive ductal carcinoma, Nottingham grade 3 (tubule formation 3, nuclear pleomorphism 3, mitotic activity 3, total score 9/9) and ductal carcinoma in situ (DCIS), nuclear grade 2, solid type, constituting 2% of the total tumor mass, admixed with invasive carcinoma.

2. Subtype: The tumor type is a ductal adenocarcinoma.

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

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

5. Histological grade: The patient's tumor is classified as Nottingham grade 3.

6. Nuclear grade: The nuclear grade of DCIS is 2, and the total nuclear grade for invasive ductal carcinoma is 3.

7. Lymphovascular invasion: No definitive lymphovascular invasion is noted.

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

9. Receptor status: The patient's tumor is positive for estrogen receptors (ER) and progesterone receptors (PR) but HER2/neu is 2+.

10. IHC and ancillary testing results: No specific details are provided regarding any ancillary testing or immunochemistry (IHC) in the report.

Additional important

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=1382) : 
 The final diagnosis reports invasive ductal carcinoma, Nottingham grade 3 with no mention of necrosis or lymphovascular invasion. The tumor is positive for ER and PR but HER2/neu is 2+. The patient also has DCIS at nuclear grade 2, solid type, making up 2% of the total tumor mass. All resection margins are negative for carcinoma with axillary lymph nodes showing metastatic carcinoma in six out of ten nodes with extracapsular extension. Fibrocystic changes are present with no definitive lymphovascular invasion detected.

