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: TWO LYMPH OF NODE, THREE LEFT LYMPH AXILLARY, NODES POSITIVE SENTINEL FOR NODE METASTATIC #1, BIOPSY CARCINOMA - (2/3) (see comment). A. B. LARGEST METASTATIC FOCUS IS 0.4 CM (Slide 1FS). C. EXTRACAPSULAR EXTENSION IS IDENTIFIED (Slide 1FS). PART NODE, LEFT AXILLARY, SENTINEL NODE #2, BIOPSY -. 2: ONE LYMPH LYMPH NODE, NEGATIVE FOR METASTATIC CARCINOMA (0/1) (see comment). PART A. 3; TWO DIMENSION, BREAST, (2) FOCI LEFT, AND OF TOTAL INYASIVE THE SMALLER MASTECTOMY CARCINOMA, TUMOR - is LARGER LOBULAR TUMOR AND IS MEASURES DUCTAL AND .0 CM MEASUTE IN GREATEST 2.5 CM IN DIMENSION GREATEST (see. comment). LARGER TUMOR NOTTINGHAM GRADE 3 (TUBULE FORMATION 3, NUCLEAR PLEOMORPHISM 3, MITOTIC. B. ACTIVITY SMALLER TUMOR NOTTINGHAM SCORE 9/9). GRADE 2 (TUBULE FORMATION 3, NUCLEAR PLEOMORPHISM 2, MITOTIC. 3; TOTAL. c. D. ACTIVITY DUCTAL CARCINOMA SCORE IN-SITU 6/9). (DCIS), NUCLEAR GRADE 3, SOLID TYPE WITH COMEDO-TYPE NECROSIS,. 1; TOTAL. OF THE LARGER TUMOR. E. COMPRISING RESECTION FOCAL LOBULAR MARGINS 5% CARCINOMA ARE FREE IN OF SITU TUMOR. AND ATYPICAL LOBULAR HYPERPLASIA. F. G. FOCAL SCLEROSING ATYPICAL ADENOSIS DUCTAL AND HYPERPLASIA. FIBROCYSTIC CHANGES WITH ASSOCIATED MICROCALCIFICATIONS. H. PREVIOUS CORE BIOPSY SITES. 1. J. CHANGES TUMOR IS CONSISTENT ESTROGEN AND WITH PROGESTERONE POSITIVE AND HER2/NEU NEGATIVE AS PER CORE BIOPSIES. K. NIPPLE AND SKIN, NEGATIVE FOR CARCINOMA. REPORTS. PART MASTECTOMY. A. 4: FLORID BREAST, DUCTAL RIGHT, EPITHELIAL TOTAL HYPERPLASIA - AND COLUMNAR CELL CHANGE ASSOCIATED WITH. MICROCALCIFICATIONS. 8. SCLEROSING ADENOSIS. c. D. FIBROCYSTIC CHANGES WITH ASSOCIATED MICROCALCIFICATIONS. PSEUDOANGIOMATOUS STROMAL HYPERPLASIA. E. UNREMARKABLE NIPPLE AND SKIN. PART 5: LYMPH TWENTY NODES, LYMPH LEFT NODES, AXILLARY, NEGATIVE DISSECTION FOR METASTATIC - CARCINOMA (0/20) (see comment). sie. SYNOPTIC PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Left. PROCEDURE: Simple mastectomy. Upper outer quadrant. Lower outer quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 2.5 cm. MULTICENTRICITYIMULTIFOCALITY OF INVASIVE FOCI: TUMOR AGGREGATE SIZE: Sum of the sizes of multiple invasive tumors: 3.5 cm. TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS, Infiltrating lobular carcinoma. HISTOLOGIC TYPE: Classical. 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: CALCIFICATION: Yes, benign zones. Yes, malignant zones. TUMOR TYPE, IN SITU: Solid. DCIS admixed with invasive carcinoma. Percent of tumor occupied by in situ component: 5 %. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 5 mm. SURG MARGINS INVOLVED BY IN SITU COMPONENT: Distance of in situ disease to closest margin: 5 mm. PAGETS DISEASE OF NIPPLE: LYMPH NODES POSITIVE: 2. LYMPH NODES EXAMINED: 24. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain, Keratin stain. SENTINEL NODE METASTASIS: ONLY KERATIN POSITIVE CELLS ARE PRESENT: SIZE OF NODAL METASTASES: Diameter of largest lymph node metastasis: 4 mm. LYMPH NODE METASTASIS(-ES) WITH EXTRACAPSULAR EXTENSION: SKIN INVOLVED (ULCERATION): NON-NEOPLASTIC BREAST TISSUE: ADH, FCD. T STAGE, PATHOLOGIC: pT2. N STAGE, PATHOLOGIC: pN1a. M STAGE, PATHOLOGIC: pMX. ESTROGEN RECEPTORS: positive. PROGES ERONE RECEPTORS: positive. HER2/NEU: zero or 1+. Comment: Nottingham grade is recorded for the ductal carcinoma. Nottingham score for the. lobular carcinoma is nuclear grade 2, tubule formation 3, and mitotic activity 1 for a.

expanded version (tokens=1689) : 
 The breast pathology report describes a LumA subtype cancer. The report indicates that the cancer has affected three axillary lymph nodes, with one of them being positive for metastasis. The largest metastatic focus is 0.4 cm, and extracapsular extension has been identified. 

The report also describes two invasive foci in the smaller tumor, one of which is ductal, while the other is lobular. The larger tumor is measures 2.5 cm in greatest dimension and is a Nottingham grade 3 tumor. The smaller tumor is a Nottingham grade 2 tumor. It is also found that the ductal carcinoma in situ (DCIS) has nuclear grade 3 and is a solid type with comedo-type necrosis, and the larger tumor comprises resection focal lobular margins 5% carcinoma-free in situ tumor and atypical lobular hyperplasia.

The report mentions focal sclerosing atypical adenosis ductal and hyperplasia, fibrocystic changes with associated microcalcifications, and pseudoangiomatous stromal hyperplasia.

The receptor status shows positive for estrogen and progesterone, while HER2/NEU is negative, as per the core biopsies. The report indicates the presence of benign and malignant zones of calcification and a PAGETS disease of nipple.

The pathologic stage of the cancer is pT2, with pN1a and pMX. The Nottingham score for the ductal carcinoma

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=1862) : 
 Report: LumA subtype cancer affecting three axillary lymph nodes, with one positive for metastasis. Two invasive foci in smaller tumor, ductal and lobular. Larger Nottingham Grade 3 tumor measures 2.5cm; the smaller is a Nottingham Grade 2 tumor. DCIS has nuclear grade 3 and solid type with comedo-type necrosis, presenting benign and malignant zones of calcification along with PAGETS disease of nipple. Positive for estrogen and progesterone status, HER2/NEU negative. Pathologic stage is pT2, with pN1a and pMX stage.

