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: LEFT BREAST AT 2 O'CLOCK, SEGMENTAL MASTECTOMY -. A. INVASIVE DUCTAL CARCINOMA, NOTTINGHAM GRADE 3 (NUCLEAR GRADE - 3, TUBULE SCORE - 3,. MITOTIC ACTIVITY SCORE - 2; TOTAL SCORE: 8/9). B. CARCINOMA MEASURES 4.0 CM. C. NO DIAGNOSTIC LYMPHOVASCULAR SPACE INVASION (ABUNDANT RETRACTION ARTIFACT IS SEEN). D. DUCTAL CARCINOMA IN SITU (DCIS), NUCLEAR GRADE 2, SOLID AND CRIBRIFORM TYPES WITH. CALCIFICATIONS AND COMEDO NECROSIS. E. MARGINS ARE NEGATIVE; MICROSCOPICALLY TUMOR IS CLOSEST TO THE SUPERIOR MARGIN (0.4 CM). F. FIBROSIS, SUGGESTIVE OF PRIOR BIOPSY. G. FIBROCYSTIC CHANGES. H. TUMOR PREVIOUSLY REPORTED TO BE POSITIVE FOR ER AND PR, AND NEGATIVE FOR HER-2 BY FISH. I. PATHOLOGIC STAGE: pT2 pNO pMX. PART 2: LEFT AXILLARY NON-SENTINEL LYMPH NODE, BIOPSY -. ONE LYMPH NODE, NEGATIVE FOR MALIGNANCY (0/1). PART 3: LEFT AXILLARY SENTINEL LYMPH NODE #1, BIOPSY -. ONE LYMPH NODE, NEGATIVE FOR MALIGNANCY (0/1). PART 4: LEFT AXILLARY SENTINEL LYMPH NODE #2, BIOPSY -. TWO LYMPH NODES, NEGATIVE FOR MALIGNANCY (0/2). CASE SYNOPSIS: SYNOPTIC - PRIMARY INVASIVE CARCINOMA OF BREAST. LATERALITY: Left. PROCEDURE: Segmental. Clock position:2 oclock. SIZE OF TUMOR: Maximum dimension invasive component: 40 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: Not applicable. CALCIFICATION: Yes, malignant zones. TUMOR TYPE, IN SITU: Cribriform. Solid. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 4 mm. SURG MARGINS INVOLVED BY IN SITU COMPONENT: LYMPH NODES POSITIVE: 0. LYMPH NODES EXAMINED: 4. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain. T STAGE, PATHOLOGIC: pT2. N STAGE, PATHOLOGIC: pNO. M STAGE: Not applicable. ESTROGEN RECEPTORS: positive, previously performed, H-score: 255. PROGESTERONE RECEPTORS: positive, previously performed, H-score: 265. HER2/NEU: 2+. HER2/NEU (FISH): Not amplified.

expanded version (tokens=1161) : 
 Histological Classification: The report indicates that the patient has been diagnosed with Luminal A subtype breast cancer. There are two types of carcinoma present in the left breast which include invasive ductal carcinoma and ductal carcinoma in situ (DCIS).

Subtype: The subtype of breast cancer that the patient is diagnosed with is Luminal A.

Necrosis: The report mentions the presence of comedo necrosis, which is associated with DCIS.

Tumor Infiltrating Lymphocytes: There is no mention of tumor infiltrating lymphocytes in the pathology report.

Histological Grade: The Nottingham histologic grading system measures the tubule formation, mitotic count, and nuclear pleomorphism of breast cancer cells. The report indicates that the patient has a Nottingham grade 3 invasive ductal carcinoma.

Nuclear Grade: The report states that the nuclear grade is 3, which signifies a high grade tumor.

Lymphovascular Invasion: No diagnostic lymphovascular space invasion is observed in the biopsy.

Calcification: The report suggests that the malignant zones in the biopsy specimen showed calcification.

Receptor Status: The patient's ER and PR are both positive, previously performed with an H-score of 255 and 265, respectively. HER2/neu is 2+ by IHC and not amplified by FISH.

Ancillary Testing: No other ancillary testing was performed as per the report.

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=1302) : 
 The patient has Luminal A subtype breast cancer. Biopsy indicates the presence of invasive ductal carcinoma and DCIS with comedo necrosis and calcification. The Nottingham grade is 3 with a high nuclear grade. No diagnostic lymphovascular space invasion was observed. ER and PR are positive while HER2/neu is 2+ by IHC and not amplified by FISH, with no indication of tumor infiltrating lymphocytes or other ancillary testing.

