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, P.10/33. AGNOSIS: AXILLARY SENTINEL LYMPH NODE #1, RIGHT, BIOPSY -. ONE (1) LYMPH NODE, POSITIVE FOR METASTATIC CARCINOMA MEASURING 3.0 MM (SEE COMMENT). PART 2: AXILLARY SENTINEL LYMPH NODE #2, RIGHT, BIOPSY -. A. ONE (1) LYMPH NODE, POSITIVE FOR METASTATIC CARCINOMA. B. INVASIVE FOCUS MEASURES 4.0 MM IN LARGEST DIMENSION AND WITH VERY FOCAL CAPSULE. INVOLVEMENT. c. LYMPHOVASCULAR INVASION NOTED. PART 3: AXILLARY SENTINEL LYMPH NODE #3 AND #4, RIGHT, BIOPSY -. A. ONE (1) LYMPH NODE, POSITIVE FOR METASTATIC CARCINOMA. B. METASTATIC TUMOR MEASURES 6.0 MM IN LARGEST DIMENSION WITH FOCAL EXTRACAPSULAR. EXTENSION. c. FIBROADIPOSE TISSUE: PART 4: BREAST, LEEL TOTAL MASTECTOMY -. A ATYPICAL LOBULAR HYPERPLASIA INVOLVING SCLEROSING ADENOSIS. B. RADIAL SCAR WITH FLORID DUCTAL EPITHELIAL HYPERPLASIA. C. EXTENSIVE SCLEROSING ADENOSIS. D. FIBROCYSTIC CHANGE WITH DUCTAL EPITHELIAL HYPERPLASIA. E. COLUMNAR CELL CHANGES. r. INTRADUCTAL PAPILLOMAS. G. MICROCALCIFICATIONS WITH ASSOCIATED ABOVE LESION8. H. NIPPLE, SKIN, UNREMARKABLE. PART 5; BREAST RIGHT, MODIFIED RADICAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA, NOTTINGHAM GRADE 2 (TUBULE FORMATION - 3, NUCLEAR ATYPIA - 2. MITOTIC ACTIVITY - 2; TOTAL SCORE: 7/9). B. INVASIVE TUMOR MEASURES 4.0 CM IN LARGEST DIMENSIÓN (GROSS MEASUREMENT). C. DUCTAL CARCINOMA IN SITU (DCIS), CRIBRIFORM AND SOLID TYPES WITH FOCAL CENTRAL NECROSIS,. NUCLEAR GRADE 2. D. DCIS ACCOUNTS FOR 15% OF THE TOTAL TUMOR VOLUME. ADMIXED WITH INVASIVE COMPONENT. E. LYMPHOVASCULAR INVASION IDENTIFIED. F. RESECTION MARGINS NEGATIVE FOR CARCINOMA (AT LEAST MORE THAN 2.0 CM). G. ATYPICAL DUCTAL HYPERPLASIA. H. ATYPICAL LOBULAR HYPERPLASIA. I. NON-NEOPLASTIC BREAST TISSUE SHOWING RADIAL SCAR, DUCTAL EPITHELIAL HYPERPLASIA,. SCLEROSING ADENOSIS, FIBROCYSTIC CHANGE, COLUMNAR CELL CHANGE, AND INTRADUCTAL. PAPILLOMA. J. INVASIVE CARCINOMA IS MIXED WITH RADIAL SCAR, SCLEROSING ADENOSIS. K. MICROCALCIFICATIONS ASSOCIATED WITH INVASIVE DUCTAL CARCINOMA, DCIS, AND ABOVE BENIGN. LESIONS. L. NIPPLE WITH EPIDERMAL INCLUSION CYST, NEGATIVE FOR CARCINOMA. M. BIOP8Y SITE CHANGE. N. TWENTY-FIVE (25) LYMPH NODE8, NEGATIVE FOR METASTATIC CARCINOMA (0/29). o. INVASIVE TUMOR CELLS ARE POSITIVE FOR ER AND PR AND NEGATIVE FOR HER-2/ncu. CASE SYNOPSIS: LATERALITY: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF RREAST. PROCEDURE: Right. Modified radical mastectomy. SIZE OF TUMOR: Not specified. MUL'TICENTRICITY/MULTIFOCALITY OF Maximum INVASIVE dimension FOCI: Invasive component 4.0 cm. TUMOR TYPE (Invasive component): site : breast, NOS C50.9 3/13/11 for. NOTTINGHAM SCORE: Ductal adenocarcinoma, NOS. Nuclear grade: 2. Tubule formiation. 3. Mitolic activity scorc. 2. Total Nottingham Ecore: 7. ANGIOLYMPHATIC INVASION: Nottingham grade (1, 2, 3): 2. DERMAL LYMPHATIC INVASION: Yey. CALCIFICATION: TUMOR TYPE, IN SITU: Yes, malignant zones. Cribriform. Solid. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: LYMPH NODES EXAMINED: 28. METHOD(S) OF LYMPH NODE EXAMINATION: H/F. stain. SENTINEL NODE METASTASIS: T STAGE, PATHOLOGIC: N STAGE, PATHOLOGIC: pT2. pN1a. M STAGE, PATHOLOGIC: ESTROGEN RECEPTORS: pMX. PROGESTERONE RECEPTORS: possitive. HER2/NEU: positive. zero or 1+.

expanded version (tokens=1629) : 
 The pathology report indicates that the patient has breast cancer with a subtype of LumA. The report notes multiple biopsies, including one where a lymph node was found to have metastatic carcinoma measuring 3.0mm. The invasive tumor measures 4.0cm in the largest dimension and has focal capsular involvement with lymphovascular invasion noted. The histological grade of the breast cancer is Nottingham grade 2 (tubule formation - 3, nuclear atypia - 2. mitotic activity - 2; total score: 7/9) and the nuclear grade is 2. The report also notes the presence of ductal carcinoma in situ (DCIS) accounting for 15% of the total tumor volume with both cribriform and solid types with focal central necrosis. 

Tumor infiltrating lymphocytes are not mentioned in the report. There were multiple other findings noted on biopsy, including atypical lobular hyperplasia, radial scar with florid ductal epithelial hyperplasia, extensive sclerosing adenosis, fibrocystic change with ductal epithelial hyperplasia, and intraductal papillomas. There were microcalcifications associated with all of these benign lesions. 

The report also notes that the invasive tumor cells were positive for estrogen and progesterone receptors and negative for HER2/neu. The margins were negative for carcinoma and there were twenty-five lymph nodes examined, with only one positive for metast

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=1775) : 
 Report: LumA subtype breast cancer with invasive tumor measuring 4.0 cm in largest dimension, involving axillary sentinel lymph nodes and exhibiting focal capsular involvement and lymphovascular invasion. Nottingham grade: 2. DCIS present accounts for 15% of total tumor volume and infiltrating margins are negative. Estrogen and progesterone receptors are positive while HER2/neu is negative in the invasive tumor cells. 25 lymph nodes examined show only one positive for metastasis.

