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 Basal, PATIENT HISTORY: CHIEF COMPLAINT/PRE-OP/POST-OP DIAGNOSIS: Right breast cancer. LMP DATE: PROCEDURE: Right needle localized segmental mastectomy and right axilla sentinel node biopsy. SPECIFIC CLINICAL QUESTION: Not provided. OUTSIDE TISSUE DIAGNOSIS: No. PRIOR MALIGNANCY: No. CHEMORADIATION THERAPY: No. OTHER DISEASES: No. FINAL DIAGNOSIS: PART 1: RIGHT AXILLARY SENTINEL LYMPH NODE #1, BIOPSY -. ONE (1) LYMPH NODE, NEGATIVE FOR NEOPLASM (0/1). PART 2: RIGHT BREAST AT 8 O'CLOCK, NEEDLE LOCALIZED SEGMENTAL MASTECTOMY -. A. INVASIVE DUCIAL CARCINOMA, NOTTINGHAM GRADE 3 (NUCLEAR GRADE 3, TUBULE SCORE 3, MITOTIC. ACTIVITY SCORE 2; TOTAL SCORE: 8/9). B. TUMOR MEASURES 2.7 CM (GROSS MEASUREMENT). C. NO LYMPHOVASCULAR SPACE INVASION IS IDENTIFIED. D. MARGINS ARE NEGATIVE FOR NEOPLASM; TUMOR APPROACHES MOST CLOSELY TO THE SUPERIOR. MARGIN (0/9) CM. E. ATYPICAL DUCTAL HYPERPLASIA, AND RADIAL SCAR. F. SCLEROSING ADENOSIS AND FIBROCYSTIC CHANGES. G. FIBROSIS, SUGGESTIVE OF PREVIOUS BIOPSY. H. SKIN, NEGATIVE FOR TUMOR. TUMOR PREVIOUSLY REPORTED TO BE POSITIVE FOR ER AND PR AND NEGATIVE FOR HER-2/neu. J. PATHOLÓGIC STAGE: PT2 pNO pMX. PART 3: RIGHT BREAST, EXCISION (102 GRAMS) -. A. FAT NECROSIS AND FIBROSIS. B. FIBROCYSTIC CHANGES AND COLUMNAR CELL CHANGE. C. SKIN WITH NO SIGNIFICANT PATHOLOGIC DIAGNOSIS. PART 4: LEFT BREAST TISSUE, EXCISION (254 GRAMS) -. A. SCLEROSING ADENOSIS, COLUMNAR CELL CHANGE, AND FIBROCYSTIC CHANGES. 8. SKIN WITH NO SIGNIFICANT PATHOLOGIC DIAGNOSIS. CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Right. PROCEDURE: Segmental. Lower outer quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 27 mm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 3. Tubule formation: 3. Mitotic activity score: 2. Total Nottingham score: 8. Nottingham grade (1, 2. 3): 3. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: CALCIFICATION: SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 9 mm. LYMPH NODES POSITIVE: 0. LYMPH NODES EXAMINED: 1. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. T STAGE, PATHOLOGIC: pT2. N STAGE MODIFIER: (sn). N STAGE, PATHOLOGIC: pNO. M STAGE: Not applicable. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: 1+.

expanded version (tokens=1256) : 
 The breast pathology report reveals the following information: 

1. Histological Classification:
a) Subtype: Basal
b) Invasive Ductal Carcinoma, Nottingham Grade 3 (Nuclear grade 3, Tubule score 3, Mitotic activity score 2; Total score: 8/9)

2. Description:
a) Tumor measures 2.7 cm (gross measurement)
b) No lymphovascular space invasion is identified
c) Margins are negative for neoplasm
d) Atypical ductal hyperplasia and radial scar 
e) Sclerosing adenosis and fibrocystic changes 
f) Fat necrosis and fibrosis 
g) Skin, negative for tumor 

3. Ancillary testing results:
a) ER positive 
b) PR positive 
c) HER2/neu 1+ 
d) Pathologic stage: PT2 pNO pMX

4. Other observations:
a) Surgical margins approach most closely to the superior margin (0/9 cm)
b) Lymph node biopsy negative for neoplasm (0/1)
c) No mention of tumor infiltrating lymphocytes 

In summary, the breast pathology report indicates that the patient has an invasive ductal carcinoma of basal subtype with Nottingham Grade 3, measuring 2.7 cm. The tumor does not invade lymphovascular space, and margins are negative for neoplasm. The patient tested positive for ER and

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 Basal, PATIENT HISTORY: CHIEF COMPLAINT/PRE-OP/POST-OP DIAGNOSIS: Right breast cancer. LMP DATE: PROCEDURE: Right needle localized segmental mastectomy and right axilla sentinel node biopsy. SPECIFIC CLINICAL QUESTION: Not provided. OUTSIDE TISSUE DIAGNOSIS: No. PRIOR MALIGNANCY: No. CHEMORADIATION THERAPY: No. OTHER DISEASES: No. FINAL DIAGNOSIS: PART 1: RIGHT AXILLARY SENTINEL LYMPH NODE #1, BIOPSY -. ONE (1) LYMPH NODE, NEGATIVE FOR NEOPLASM (0/1). PART 2: RIGHT BREAST AT 8 O'CLOCK, NEEDLE LOCALIZED SEGMENTAL MASTECTOMY -. A. INVASIVE DUCIAL CARCINOMA, NOTTINGHAM GRADE 3 (NUCLEAR GRADE 3, TUBULE SCORE 3, MITOTIC. ACTIVITY SCORE 2; TOTAL SCORE: 8/9). B. TUMOR MEASURES 2.7 CM (GROSS MEASUREMENT). C. NO LYMPHOVASCULAR SPACE INVASION IS IDENTIFIED. D. MARGINS ARE NEGATIVE FOR NEOPLASM; TUMOR APPROACHES MOST CLOSELY TO THE SUPERIOR. MARGIN (0/9) CM. E. ATYPICAL DUCTAL HYPERPLASIA, AND RADIAL SCAR. F. SCLEROSING ADENOSIS AND FIBROCYSTIC CHANGES. G. FIBROSIS, SUGGESTIVE OF PREVIOUS BIOPSY. H. SKIN, NEGATIVE FOR TUMOR. TUMOR PREVIOUSLY REPORTED TO BE POSITIVE FOR ER AND PR AND NEGATIVE FOR HER-2/neu. J. PATHOLÓGIC STAGE: PT2 pNO pMX. PART 3: RIGHT BREAST, EXCISION (102 GRAMS) -. A. FAT NECROSIS AND FIBROSIS. B. FIBROCYSTIC CHANGES AND COLUMNAR CELL CHANGE. C. SKIN WITH NO SIGNIFICANT PATHOLOGIC DIAGNOSIS. PART 4: LEFT BREAST TISSUE, EXCISION (254 GRAMS) -. A. SCLEROSING ADENOSIS, COLUMNAR CELL CHANGE, AND FIBROCYSTIC CHANGES. 8. SKIN WITH NO SIGNIFICANT PATHOLOGIC DIAGNOSIS. CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Right. PROCEDURE: Segmental. Lower outer quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 27 mm. MULTICENTRICITY/MULTIFOCALITY OF INVASIVE FOCI: TUMOR TYPE (invasive component): Ductal adenocarcinoma, NOS. NOTTINGHAM SCORE: Nuclear grade: 3. Tubule formation: 3. Mitotic activity score: 2. Total Nottingham score: 8. Nottingham grade (1, 2. 3): 3. ANGIOLYMPHATIC INVASION: DERMAL LYMPHATIC INVASION: CALCIFICATION: SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 9 mm. LYMPH NODES POSITIVE: 0. LYMPH NODES EXAMINED: 1. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. T STAGE, PATHOLOGIC: pT2. N STAGE MODIFIER: (sn). N STAGE, PATHOLOGIC: pNO. M STAGE: Not applicable. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: 1+.

expanded version (tokens=1256) : 
 Histological Classification: 

The subtype of breast cancer is basal, and the histological type is invasive ductal carcinoma (NOS).

Description of the Tumor:

The tumor measures 2.7 cm, and it's located in the right breast at the 8 o'clock position. The tumor is a Nottingham Grade 3 (nuclear grade 3, tubule score 3, mitotic activity score 2), giving a total score of 8/9. Fibrosis suggestive of previous biopsy, sclerosing adenosis, atypical ductal hyperplasia, radial scar, and fibrocystic changes are present.

Necrosis, Calcification, and Lymphovascular Invasion:

No necrosis in the tumor is identified, there is no invasion of lymphovascular space, and calcification is not mentioned.

Ancillary testing results:

The tumor previously reported positive for estrogen receptors (ER) and progesterone receptors (PR) and negative for HER2/neu.

Lymph Nodes Involvement:

Sentinel lymph node #1 is negative for neoplasm with a total of 1 lymph node examined. There are no positive lymph nodes for cancer.

Pathologic Stage:

PT2 pNO pMX 

Other Findings:

Fat necrosis, fibrosis, fibrocystic changes, columnar cell change, and sclerosing adenosis are present in the surrounding tissues.

In summary, the patient has invasive ductal carcinoma (NOS) with

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=1401) : 
 The patient underwent a right breast segmental mastectomy and sentinel node biopsy, and was diagnosed with basal subtype invasive ductal carcinoma (Nottingham Grade 3). The tumor measures 2.7 cm with no lymphovascular invasion or necrosis detected. There is no evidence of lymph node involvement, and the tumor is ER/PR positive and HER2/neu negative. Additional findings include fibrosis, columnar cell change, and sclerosing adenosis in the surrounding tissues.

