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, FINAL DIAGNOSIS: PART 1: BREAST, LEFT, 12 O'CLOCK, NEEDLE LOCALIZED EXCISIONAL BIOPSY -. A. ATYPICAL DUCTAL EPITHELIAL HYPERPLASIA (see comment). B. COMPLEX PAPILLARY PROLIFERATIVE LESIONS. C. DUCTAL EPITHELIAL HYPERPLASIA. D. ADENOSIS AND SCLEROSING ADENOSIS. E. COLUMNAR CELL CHANGES AND HYPERPLASIA WITH ASSOCIATED MICROCALCIFICATIONS. F. FIBROCYSTIC CHANGES WITH APOCRINE METAPLASIA. G. DUCT ECTASIA. H. MICROSCOPIC RADIAL SCARS. I. MARKED CAUTERY ARTIFACT. J. BIOPSY RELATED CHANGES. PART 2: BREAST. RIGHT. 9 O'CLOCK, NEEDLE LOCALIZED SEGMENTAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA WITH LOBULAR FEATURES, 3.2 CM (GROSS), NOTTINGHAM GRADE 2/3. (COMBINED NOTTINGHAM SCORE 6/9: TUBULE FORMATION 3/3, NUCLEAR ATYPIA 2/3, MITOTIC ACTIVITY. 1/3) (see comment). B. DEFINITIVE DUCTAL CARCINOMA IN SITU is NOT IDENTIFIED. C. EXTENSIVE LYMPHOVASCULAR INVASION. D. MARGINS FREE, CLOSEST MEDIAL, ANTERIOR, DEEP AND INFERIOR WITHIN 0.5 CM. E. ATYPICAL DUCTAL EPITHELIAL HYPERPLASIA. F. FIBROCYSTIC CHANGES. G. INTRADUCTAL PAPILLOMA. H. BIOPSY SITE CHANGES. I. MARKED CAUTERY ARTIFACT. J. PATHOLOGIC STAGE (see comment). PART 3: BREAST, RIGHT, NEW MARGIN, EXCISION -. A. COMPLEX PAPILLARY PROLIFERATIVE LESION. B. DUCTAL EPITHELIAL HYPERPLASIA. C. ADENOSIS AND SCLEROSING ADENOSIS. D. COLUMNAR CELL CHANGES AND HYPERPLASIA. E. FIBROCYSTIC CHANGES WITH APOCRINE METAPLASIA. F. DUCT ECTASIA. G. MARKED CAUTERY ARTIFACT. PART 4: SENTINEL LYMPH NODE # 1, RIGHT, BIOPSY -. A. METASTATIC CARCINOMA INVOLVING ONE LYMPH NODE. B. METASTATIC FOCUS, 1.2 CM IN GREATEST DIAMETER (ENTIRE LYMPH NODE). C. EXTRACAPSULAR EXTENSION IS IDENTIFIED, 0.5 CM X 0.2 CM. CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Right. PROCEDURE: Segmental. Not specified. SIZE OF TUMOR: Maximum dimension invasive component: 3.2 cm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 2. Tubule formation: 3. Mitotic activity score: 1. Total Nottingham score: 6. Nottingham grade (1, 2, 3): 2. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: CALCIFICATION: SURG MARGINS INVOLVED BY IN SITU COMPONENT: LYMPH NODES POSITIVE: 1. LYMPH NODES EXAMINED: 1. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SIZE OF NODAL METASTASES: Diameter of largest lymph node metastasis: 15.0 mm. LYMPH NODE METASTASIS(-ES) WITH EXTRACAPSULAR EXTENSION: NON-NEOPLASTIC BREAST TISSUE: ADH. T STAGE, PATHOLOGIC: pT2. N STAGE, PATHOLOGIC: pN1. M STAGE, PATHOLOGIC: pMX. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: zero or 1+.

expanded version (tokens=1409) : 
 Based on the breast pathology report provided, the following information can be extracted:

1. Histological classification: Invasive ductal carcinoma with lobular features, 3.2 cm (Gross), Nottingham Grade 2/3, Luminal A subtype.

2. Subtype: Luminal A.

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

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

5. Histological grade: Nottingham Grade 2/3 (Combined Nottingham Score 6/9: Tubule Formation 3/3, Nuclear Atypia 2/3, Mitotic Activity 1/3).

6. Nuclear grade: 2/3.

7. Lymphovascular invasion: Extensive Lymphovascular Invasion.

8. Calcification: The report mentions calcification, but it is associated with fibrocystic changes and microcalcifications, not with the tumor.

9. Receptor status: ER and PR positive (Luminal A subtype) and HER2 negative (HER2/NEU: 0 or 1+).

10. IHC and ancillary testing results: There is no mention of any other IHC or ancillary testing results, except for H/E staining method used for lymph node examination.

Additionally, the report identifies different findings in multiple biopsies and excisions taken from the left and right breasts, including at

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=1575) : 
 The patient was diagnosed with Luminal A subtype Invasive Ductal Carcinoma with lobular features of the right breast. The tumor size was 3.2 cm with extensive lymphovascular invasion. The Nottingham Grade was 2/3 with a Combined Nottingham Score of 6/9. The tumor was ER and PR positive but HER2 negative, and there were metastases in one lymph node with extracapsular extension. No necrosis or tumor-infiltrating lymphocytes were observed. Other findings included fibrocystic changes and microcalcifications within the breasts.

