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 AXILLA, SENTINEL LYMPH NODE #1, EXCISION -. ONE LYMPH NODE,. POSITIVE FOR. PART 2: LEFT AXILLA, SENTINEL LYMPH NODE #2, EXCISION -. METASTATIC CARCINOMA (1/1). Carcinorna, soluular initiating 0852013. ONE LYMPH NODE, POSITIVE FOR METASTATIC CARCINOMA (1/1). PART SENTINEL LYMPH NODE #3, EXCISION. 3: ONE LEFT LYMPH AXILLA, NODE, POSITIVE FOR METASTATIC CARCINOMA - (1/1). Sute L. PART 4: LEFT NIPPLE, POSTERIOR, BIOPSY -. A. ATYPICAL LOBULAR HYPERPLASIA. B. NO INVASIVE CARCINOMA PRESENT. PART 5: LEFT BREAST, NIPPLE SPARING MASTECTOMY -. A. INVASIVE LOBULAR CARCINOMA, CLASSICAL TYPE, 2.5 x 1.5 x 1.2 CM ASSOCIATED WITH. MICROCALCIFICATIONS. B. NOTTINGHAM GRADE 2 (TUBULES 3, NUCLEAR PLEOMORPHISM 2, MITOTIC ACTIVITY 1; TOTAL SCORE. 6/9). C. LOBULAR CARCINOMA IN-SITU (LCIS) WITH PAGETOID EXTENSION INTO DUCTS AND ASSOCIATED. MICROCALCIFICATIONS. D. NO LYMPHOVASCULAR SPACE INVASION IDENTIFIED. E. SURGICAL MARGINS NEGATIVE. F. INVASIVE TUMOR IS 0.3 CM FROM ANTERIOR MARGIN. G. INVASIVE TUMOR IS LOCATED AT JUNCTION BETWEEN UPPER/OUTER AND UPPER/INNER QUADRANTS. H. SUBAREOLAR TISSUE INVOLVED BY LCIS, BUT NEGATIVE FOR INVASIVE CARCINOMA. I. CHANGES CONSISTENT WITH PREVIOUS CORE BIOPSIES. J. FIBROCYSTIC CHANGES WITH FOCAL APOCRINE METAPLASIA. K. FIBROADENOMATOUS CHANGES. L. UNREMARKABLE SKELETAL MUSCLE. M. BENIGN EPITHELIAL CALCIFICATIONS. N. THE INVASIVE TUMOR CELLS WERE REPORTED TO BE POSITIVE FOR ESTROGEN RECEPTORS, POSITIVE. FOR PROGESTERONE RECEPTORS, AND NEGATIVE FOR HER-2, WITH A KI-67 PROLIFERATION INDEX OF. 1%, AS PER PREVIOUS PATHOLOGY REPORT. CASE SYNOPSIS: SYNOPTIC . PRIMARY INVASIVE CARCINOMA OF BREAST. LATERA. JTY: Left. PROCEDURE: Simple mastectomy. Upper outer quadrant. Upper inner quadrant. SIZE OF TUMOR: Maximum dimension invasive component: 25 mm. MULTICENTRICITY/MULTIFOCALTY OF INVASIVE FOCI: TUMOR TYPE (invasive component): Infiltrating lobular carcinoma. HISTOLOGIC TYPE: Classical. 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: Not applicable. CALCIFICATION: Yes, benign zones. Yes, malignant zones. TUMOR TYPE, IN SITU: LCIS. SURGICAL MARGINS INVOLVED BY INVASIVE COMPONENT: Distance of invasive tumor to closest margin: 3 mm. SURG MARGINS INVOLVED BY IN SITU COMPONENT: LYMPH NODES POSITIVE: 3. LYMPH NODES EXAMINED: 3. METHOD(S) OF LYMPH NODE EXAMINATION: H/E stain, Keratin stain. SENTINEL NODE METASTASIS: SIZE OF NODAL METASTASES: Diameter of largest lymph node metastasis: 7 mm. LYMPH NODE METASTASIS(-ES) WITH EXTRACAPSULAR EXTENSION: NON-NEOPLASTIC BREAST TISSUE: ALH, FCD. T STAGE, PATHOLOGIC: pT2. N STAGE, PATHOLOGIC: pN1a. M STAGE: Not applicable. ESTROGEN RECEPTORS: positive. PROGESTERONE RECEPTORS: positive. HER2/NEU: 1+.

expanded version (tokens=1425) : 
 According to the pathology report, the breast cancer subtype is LumA. The left breast specimen showed invasive lobular carcinoma of classical type, measuring 2.5 x 1.5 x 1.2 cm with associated microcalcifications. There was also lobular carcinoma in-situ (LCIS) with pagetoid extension into ducts and associated microcalcifications. The Nottingham grade of the invasive carcinoma was 2 (tubules 3, nuclear pleomorphism 2, mitotic activity 1; total score 6/9). Surgical margins were negative, but the invasive tumor was located at a distance of 0.3 cm from the anterior margin. The report indicated no lymphovascular space invasion identified.  

Three sentinel lymph nodes were examined, and all were positive for metastatic carcinoma. The largest lymph node metastasis measured 7 mm in diameter. The size of the invasive component was 25mm with a pathological T stage of pT2 and N1a. Ancillary testing revealed estrogen receptors and progesterone receptors to be positive and HER2/NEU to be 1+. The Ki-67 proliferation index was 1%. The patient was diagnosed with primary invasive breast carcinoma of the left breast and underwent a simple mastectomy of the upper inner and upper outer quadrants. 

Additionally, the report identified Atypical Lobular Hyperplasia (ALH) on the left nipple biopsy, fibrocystic changes with focal apocrine met

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=1595) : 
 The breast pathology report indicates an invasive lobular carcinoma of classical type, and lobular carcinoma in situ with associated microcalcifications, in the left breast. The Nottingham grade was 2 with negative surgical margins but distant invasion of 0.3cm. Three lymph nodes were positive for metastatic carcinoma, presenting a pathological T stage of pT2 and N1a. Ancillary tests showed positive estrogen receptors and progesterone receptors, HER2/NEU 1+ and Ki-67 proliferation index 1%. The patient underwent a simple mastectomy of the upper inner and upper outer quadrants.

