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: LYMPH NODE, RIGHT AXILLARY, SENTINEL NUMBER 1, EXCISION -. ONE LYMPH NODE, FREE OF METASTATIC CARCINOMA (0/1). PART 2: BREAST,RIGHT, TOTAL MASTECTOMY -. A. MULTIFOCAL INVASIVE DUCTAL CARCINOMA. B. THE LARGEST INVASIVE TUMOR MEASURES 1.7 CM AND IS LOCATED AT THE JUNCTION OF THE UPPER. OUTER QUADRANT AND LOWER OUTER QUADRANT. C. THE SMALLER INVASIVE TUMOR MEASURES 1.0 CM IN GREATEST DIMENSION AND IS LOCATED IN THE. UPPER OUTER QUADRANT, SUPEROMEDIAL TO THE LARGER TUMOR. D. TUMORS ARE SIMILAR IN MORPHOLOGIC APPEARANCE. E. NOTTINGHAM GRADE 2 (TUBULE FORMATION 3, NUCLEAR PLEOMORPHISM 2, MITOTIC ACTIVITY 1,. TOTAL SCORE 6/9). F. DUCTAL CARCINOMA IN SITU (DCIS), NUCLEAR GRADE 2; SOLID, CRIBRIFORM, AND MICROPAPILLARY. TYPES WITH ASSOCIATED MICROCALCIFICATIONS. G. DUCTAL CARCINOMA IN SITU (DCIS) CONSTITUTES APPROXIMATELY 10% OF THE TOTAL LARGER. TUMOR MASS AND APPROXIMATELY 20% OF THE SMALLER TUMOR MASS. H. DCIS IS PRESENT ADMIXED AND ADJACENT TO THE INVASIVE COMPONENT. I. NO LYMPHOVASCULAR SPACE INVASION IS NOTED. J. RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA; ALL MARGINS ARE GREATER THAN 0.5 CM. AWAY FROM CARCINOMA. K. ATYPICAL DUCTAL HYPERPLASIA. L. FIBROCYSTIC CHANGES, COLUMNAR CELL CHANGE, PSEUDOANGIOMATOUS STROMAL HYPERPLASIA,. AND FOCAL MICROCALCIFICATIONS. M. PREVIOUS BIOPSY SITE CHANGES (AT EACH TUMOR). N. BOTH INVASIVE TUMOR CELLS ARE POSITIVE FOR ESTROGEN AND PROGESTERONE RECEPTORS, AND. NEGATIVE FOR HER-2/NEU (BY FISH) AS PER.PREVIOUS PATHOLOGY REPORT. CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Right. PROCEDURE: Simple mastectomy. Upper outer quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 1.7 cm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR AGGREGATE SIZE: Sum of the sizes of multiple invasive tumors: 2.7 cm. 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: Yes, benign zones. Yes, malignant zones. TUMOR TYPE, IN SITU: Cribriform. Solid. Micropapillary. DCIS admixed with invasive carcinoma. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: SURG MARGINS INVOLVED BY IN SITU COMPONENT: PAGET'S DISEASE OF NIPPLE: LYMPH NODES POSITIVE: 0. LYMPH NODES EXAMINED: 1. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. SENTINEL NODE METASTASIS: SKIN INVOLVED (ULCERATION): NON-NEOPLASTIC BREAST TISSUE: ADH, FCD. T STAGE, PATHOLOGIC: pT1c. N STAGE, PATHOLOGIC: pNO. M STAGE, PATHOLOGIC: pMX. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: 2+.

expanded version (tokens=1378) : 
 Here is a breakdown of the important points from the pathology report:

1. Histological Classification: Multifocal invasive ductal carcinoma, with ductal carcinoma in situ (DCIS) admixed with invasive carcinoma.

2. Subtype: Luminal A.

3. Necrosis: There is no mention of necrosis.

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

5. Histological grade: Nottingham grade 2 (tubule formation 3, nuclear pleomorphism 2, mitotic activity 1, total score 6/9).

6. Nuclear grade: Nuclear grade 2.

7. Lymphovascular invasion: None noted.

8. Calcification: There are benign and malignant zones that show calcifications.

9. Receptor status: Both invasive tumors are positive for estrogen and progesterone receptors, and negative for HER-2/neu (by FISH) as per previous pathology report.

10. IHC and other ancillary testing results: None mentioned.

Additional Information:

11. The larger invasive tumor measures 1.7 cm and is located at the junction of the upper outer quadrant and lower outer quadrant. The smaller invasive tumor measures 1.0 cm in greatest dimension and is located in the upper outer quadrant, superomedial to the larger tumor.

12. The DCIS constitutes approximately 10% of the total larger tumor mass and approximately 20% of the smaller tumor mass.



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=1542) : 
 The patient was diagnosed with multifocal, invasive ductal carcinoma with DCIS admixed in the right breast. The tumors were of Luminal A subtype and showed no necrosis, lymphovascular invasion or tumor infiltrating lymphocytes. The largest invasive tumor measured 1.7 cm while the smaller one was 1.0 cm in size, with Nottingham grade 2 nuclear score and a positive receptor status for estrogen and progesterone. Surgical margins were negative, while calcifications were present in benign/malignant zones with associated microcalcifications in DCIS subtypes.

