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 Normal, DIABNOSIS: 16 H&E STAINED SLIDES. PREVIOUS REPORTS: SPECIMEN DATE: LEFT MASTECTOMY: NEILTRATING DUCTAL CARCINOMA, NOT OTHERWISE SPECIFIED. 6.0. RY 2.0 BY 270 CM.. POORLY DIFFERENTIATED INTERMEDIATE. NUCLEAR GRADE EXTENDING TO WITHIN 1 MM OF LINE OF RESECTION. AND MASSIVE VASCULAR PERMEATION, INCLUDING NIPPLE. FIBROCYSTIC CHANGES. THREE OF FIFTEEN: (3/15) AXILLARY LYMPH NODES POSITIVE FOR. METASTATIC TUMOR WITH CAPSULAR AND EXTRACAPSULAR EXTENSION.

expanded version (tokens=497) : 
 Histological classification: Invasive ductal carcinoma (poorly differentiated intermediate)

Subtype: Not Otherwise Specified (NOS)

Necrosis: No information provided in the report

Tumor Infiltrating Lymphocytes: No information provided in the report

Histological grade: Poorly differentiated intermediate

Nuclear grade: Grade extending up to within 1mm of the line of resection

Lymphovascular invasion: Massive vascular permeation, including nipple, mentioned in the report

Calcification: No information provided in the report

Receptor status: No information provided in the report

IHC and other ancillary testing results: No information provided in the report

Additional information: The left mastectomy specimen had infiltrating ductal carcinoma with massive vascular permeation, including the nipple. The carcinoma was poorly differentiated of an intermediate grade extending up to within 1mm of the line of resection. Fibrocystic changes were also present. Out of the 15 axillary lymph nodes examined, three were positive for metastatic tumor with capsular and extracapsular extension.

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 Normal, DIABNOSIS: 16 H&E STAINED SLIDES. PREVIOUS REPORTS: SPECIMEN DATE: LEFT MASTECTOMY: NEILTRATING DUCTAL CARCINOMA, NOT OTHERWISE SPECIFIED. 6.0. RY 2.0 BY 270 CM.. POORLY DIFFERENTIATED INTERMEDIATE. NUCLEAR GRADE EXTENDING TO WITHIN 1 MM OF LINE OF RESECTION. AND MASSIVE VASCULAR PERMEATION, INCLUDING NIPPLE. FIBROCYSTIC CHANGES. THREE OF FIFTEEN: (3/15) AXILLARY LYMPH NODES POSITIVE FOR. METASTATIC TUMOR WITH CAPSULAR AND EXTRACAPSULAR EXTENSION.

expanded version (tokens=491) : 
 Based on the provided report, here is a list of important information: 

1. Histological classification: Invasive ductal carcinoma, not otherwise specified (IDC-NOS)

2. Subtype: Normal 

3. Necrosis: None mentioned in the report

4. Tumor infiltrating lymphocytes: None mentioned in the report

5. Histological grade: Poorly differentiated intermediate 

6. Nuclear grade: Extending to within 1mm of line of resection 

7. Lymphovascular invasion: Massive vascular permeation, including nipple 

8. Calcifications: None mentioned in the report 

9. Receptor status: Not mentioned in the report 

10. Ancillary testing results: Fibrocystic changes seen, three out of fifteen axillary lymph nodes are positive for metastatic tumor with capsular and extracapsular extension 

It is important to note that although the provided report contains some important information, it would be helpful to have more information on receptor status and any IHC testing results to fully understand the biology of the tumor.

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=635) : 
 The pathology report shows an invasive ductal carcinoma, not otherwise specified (IDC-NOS), with poorly differentiated intermediate histological grade. There is massive vascular permeation, including nipple and lymphovascular invasion present. Fibrocystic changes are seen, and capsular and extracapsular extension was observed in 3 out of 15 axillary lymph nodes. Lack of information on receptor status and any IHC testing results limits further understanding of the biology of the tumor.

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 Normal, DIABNOSIS: 16 H&E STAINED SLIDES. PREVIOUS REPORTS: SPECIMEN DATE: LEFT MASTECTOMY: NEILTRATING DUCTAL CARCINOMA, NOT OTHERWISE SPECIFIED. 6.0. RY 2.0 BY 270 CM.. POORLY DIFFERENTIATED INTERMEDIATE. NUCLEAR GRADE EXTENDING TO WITHIN 1 MM OF LINE OF RESECTION. AND MASSIVE VASCULAR PERMEATION, INCLUDING NIPPLE. FIBROCYSTIC CHANGES. THREE OF FIFTEEN: (3/15) AXILLARY LYMPH NODES POSITIVE FOR. METASTATIC TUMOR WITH CAPSULAR AND EXTRACAPSULAR EXTENSION.

expanded version (tokens=553) : 
 Here are the main points from the report that relate to the requested information:

- Histological classification: In the previous report for the left mastectomy, it was diagnosed as invasive ductal carcinoma, not otherwise specified.
- Subtype: The report mentions "subtype normal," but it is unclear what that means without further context.
- Necrosis: The report does not mention necrosis specifically.
- Tumor infiltrating lymphocytes: The report does not mention tumor infiltrating lymphocytes specifically.
- Histological grade: The tumor is described as "poorly differentiated intermediate."
- Nuclear grade: The nuclear grade is described as extending to within 1 mm of the line of resection.
- Lymphovascular invasion: The report mentions "massive vascular permeation, including nipple," which may indicate the presence of lymphovascular invasion.
- Calcification: The report does not mention calcification specifically.
- Receptor status: The report does not mention receptor status specifically.
- IHC and other ancillary testing results: The report does not mention any additional testing results beyond the H&E slides.

In summary, the report describes a poorly differentiated intermediate invasive ductal carcinoma with possible lymphovascular invasion and metastasis to axillary lymph nodes. Further testing or information may be needed to determine receptor status, and there is no specific mention of necrosis or tumor infiltrating lymphocytes.

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=651) : 
 Report: Left mastectomy specimen shows poorly differentiated intermediate invasive ductal carcinoma with possible lymphovascular invasion and metastasis to axillary lymph nodes. Further testing is required to determine receptor status. No mention of necrosis or tumor infiltrating lymphocytes.

