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 Her2, page 1 / 2. copy No. Examination: Histopathological examination. PESEL: Gender: F. Material: Multiple organ resection - right breast. Expected time of examination: up to 8 working days. Clinical diagnosis: Bifocal cancer of the right breast. Results of immunohistochemical examination: Estrogen receptors in neoplastic cell nuclei not found. Progesterone receptors in neoplastic cell nuclei not. found. HER2 protein stained with HercepTest™ by DAKO. Negative reaction in invasive cancerous cells. Score = 1+ ). Results of immunohistochemical examination: Assessment of the receptor status for the other tumour (prep. IH)Estrogen receptors found in 10-75% of. neoplastic cell nuclei. Progesterone receptors found in 10-75% of neoplastic cell nuclei. HER2 protein stained. with HercepTest™ by DAKO. Negative reaction in invasive cancerous cells ( Score = 1+ ). Macroscopic description: Right breast, sized 22.5 x 17 x 4 cm, removed along with axillary tissues sized 9 x 6 x 7 cm and a skin flap of. 20 x 9 cm. Weight 600 g. Tumour sized 4.5 x 2.5 x 2.3 cm on the border of the lower quadrants, placed 6.7 cm from the lower edge,. 1.1 cm from the base and 1.6 cm from the skin. The other tumour, sized 1.3 x 1.2 x 1.2, found 3 cm from the first one (margins: lower area 1.7 cm, base 1.4. cm, skin 0.9 cm). Lymph nodes of 0.4 cm in length, metastatic. Microscopic description: Tumour 1 - Carcinoma ductale invasivum cum necrosi NHG3 (3 + 3 + 3/21 mitoses/10 HPF - visual area 0.55. mm). Focuses of carcinoma ductale in situ DCIS found within and outside the tumour (solid and flat type,. with high nuclear atypia and comedo necrosis < 10% of the tumour). Cancerisatio lobulorum. Tumour 2 - Carcinoma invasivum mixtum partim ductale, partim papilläre, partim cribrosum. Examination: Histopathological examination page 2 / 2. PESEL. Gender: F. NGH2 (2 + 2 + 2/9 mitoses/ 10 HPF/ visual area diameter 0.55 mm). Carcinoma intraductale ductuum mamillae. Glandular tissue showing mastopathia fibrosa et cystica. AXILLARY LYMPH NODES: Metastases carcinomatosae in lymphonodis (No IX/XI). Infiltratio capsulae lymphonodorum. Emboliae carcinomatosae vasorum. Examination result: Carcinoma invasivum bifocale. Tumour 1 - Carcinoma ductale inyasiyum NHG3, pT2. Tumour 2 - Carcinoma invasivum mixtum NHG2, pTlc. (NHG3, pT2, pN2a). ice validated by:

expanded version (tokens=1143) : 
 Histological classification: The report indicates that the right breast cancer is bifocal and is classified into two types: 

1. Carcinoma ductale invasivum cum necrosi NHG3 (3 + 3 + 3/21 mitoses/10 HPF - visual area 0.55 mm). Focuses of carcinoma ductale in situ DCIS found within and outside the tumour (solid and flat type, with high nuclear atypia and comedo necrosis < 10% of the tumour). 

2. Carcinoma invasivum mixtum partim ductale, partim papilläre, partim cribrosum NGH2 (2 + 2 + 2/9 mitoses/ 10 HPF/ visual area diameter 0.55 mm). Carcinoma intraductale ductuum mamillae. 

Subtype: The report mentions the subtype to be Her2.

Necrosis: The first type of cancer mentioned in the report has necrosis of less than 10% of the tumour, while no mention of necrosis is made for the second type of cancer.

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

Histological grade: The first type of cancer is classified as NHG 3 (3 + 3 + 3/21 mitoses/10 HPF), while the second type of cancer is classified as

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=1324) : 
 The patient's right breast cancer is bifocal with Carcinoma Ductale Invasivum cum Necrosi NHG3 and Carcinoma Invasivum Mixtum Partim Ductale. The cancer is HER2 subtype with no tumor-infiltrating lymphocytes. There are two tumors, one has necrosis less than 10%, while the other has no necrosis mentioned. Histological grading places the first tumor in category III and the second in category II. Axillary lymph nodes have metastases carcinoma. Receptor status showed no estrogen or progesterone receptors in both tumors, while HER2 protein was negative for invasive cells.

