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, SPECIMENS: A. SLN #1 LEFT AXILLA. B. SLN #2 LEFT AXILLA. C. WLE LEFT BREAST. D. POSTERIOR MARGIN LEFT BREAST. SPECIMEN(S): A. SLN #1 LEFT AXILLA. B. SLN #2 LEFT AXILLA. C. WLE LEFT BREAST. D. POSTERIOR MARGIN LEFT BREAST. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA, SLN #1, Left axilla: No carcinoma identified. TPB, SLN #2, Left axilla: No carcinoma identified. Part C, WLE Left breast: Mass immediately adjacent to posterior margin, additional tissue requested. Diagnoses called at. (. (A and B) and. I. (C) by Dr. GROSS DESCRIPTION: A. SLN #1 LEFT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number one. left axilla" is a fragment of adipose tissue measuring 2.5 x 2 x 1.3 cm. One possible lymph node is. identified measuring 1.5 x 1 x 0.5 cm. Touch preparation is performed. The entire lymph node is. submitted, A1. B. SLN #2 LEFT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number two. left axilla" is a fragment of possible lymphoid tissue measuring 1.5 x 1.1 x 1.1 cm. Touch preparation is. performed. The entire specimen is submitted, B1. C. WLE LEFT BREAST. Received fresh labeled with the patient's identification and designated "left breast wide local excision" is. an 81-g, 8 x 7 x 5.5 cm oriented lumpectomy specimen. The long suture designates lateral, short-. superior. Ink code: Anterior-yellow, posterior-black, medial-green, lateral-red, superior-blue, inferior-. orange. The specimen is serially sectioned from medial to lateral into 6 slices revealing a firm beige. mass with granular cut surface, 2.5 x 2.2 x 1.5 cm located right at the posterior margin. A portion of the. specimen is submitted for tissue procurement. Representatively submitted: C1-C2: Perpendicular sections medial margin. C3-C4: Slice 2, mass, posterior/superior margin. C5-C6: Slice 2, mass, posterior/inferior margin. C7-C8: Slice 2, anterior/inferior. C9-C10: Slice 3, remainder of mass, posterior margin. C11: Slice 3, superior/anterior. C12: Slice 3, inferior. C13: Slice 4, posterior. C14: Slice 4, superior. C15: Perpendicular sections lateral margin. D. POSTERIOR MARGIN LEFT BREAST. Received in formalin labeled with the patient's identification and designated "posterior margin left. breast" is an oriented (suture at final margin" 9-g, 4 x 3 x 1.5 cm fragment of fibroadipose tissue. The. final margin inked black. The entire specimen is submitted, D1-D9. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, LEFT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). B. LYMPH NODE, SENTINEL #2, LEFT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). C. BREAST, LEFT, WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 3, MEASURING 2.2-CM. - TUMOR PRESENT T.5-MM FROM CLOSEST POSTERIOR MARGIN (POSTERIOR). - SEE SYNOPTIC REPORT. D. BREAST, LEFT, POSTERIOR MARGIN, EXCISION: - BREAST TISSUE, NEGATIVE FOR TUMOR. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: No. Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 2.2cm. Tumor Site: Not specified. Margins: Negative. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 3. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Present. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/2. DCIS not present. ER/PR/HER2 Results. ER: Pending. PR: Pending. HER2: Negative by IHC. Performed on Case: Pathological staging (pTN): pT 2 NO. CLINICAL HISTORY: None given. PRE-OPERATIVE DIAGNOSIS: Left breast cancer. ADDENDUM: SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimen: Surgical Excision. Block Number: C6. ER: Negative Allred Score: 0 = Proportion Score 0 + Intensity Score. 0. PR: Negative Allred Score: 0 = Proportion Score 0 + Intensity Score 0. COMMENT: The Allred score for estrogen and progesterone receptors is calculated by adding the sum of the. proportion score (0 = no staining, 1 = <1% of cells staining, 2 = 1 - 10% of cells staining, 3 = 11-30% of. cells staining, 4 = 31-60% of cells staining, 5 = >60% of cells staining) to the intensity score (1 = weak. intensity of staining, 2 = intermediate intensity of staining, 3 = strong intensity of staining), with a scoring. range from 0 to 8. ER/PR positive is defined as an Allred score of >2 and ER/PR negative is defined as an Allred score. of less than or equal to 2. METHODOLOGY: Tissue was fixed in 10% neutral buffered formalin for no less than 8 and no longer than 24 hours. Immunohistochemistry was performed using the mouse anti-human ER (ER 1D5, 1:100) and PR (PGR. 136, 1:100) provided by Dako. following the manufacturer S instructions. This. assay was not modified. Interpretation of the ER/PR immunohistochemical stain is guided by published. results in the medical literature, information provided by the reagent manufacturer and by internal. review of staining performance. Microscopic/Diagnostic Dictation: Pathologist. Final Review: Pathologist 1. Final: Pathologist, (. Addendum: Pathologist,. Addendum Final: Pathologist,.

expanded version (tokens=1920) : 
 - Histological classification: Invasive ductal carcinoma, NOS
- Subtype: Basal
- Description of necrosis: Present
- Tumor infiltrating lymphocytes: None identified
- Histological grade: SBR Grade 3
- Nuclear grade: 3
- Lymphovascular invasion: None identified
- Calcification: Not specified
- Receptor status: 
  - ER: Negative (Allred Score: 0)
  - PR: Negative (Allred Score: 0)
  - HER2: Negative by IHC
- Ancillary testing results: None mentioned in the report.

Expanded main points:
- The pathology report describes four specimens - two sentinel lymph nodes from the left axilla, wide local excision of the left breast, and posterior margin left breast excision.
- The lymph nodes are negative for metastases.
- The wide local excision of the left breast shows invasive ductal carcinoma, NOS subtype with basal markers.
- The tumor measures 2.2 cm and is present 0.5 mm from the closest posterior margin.
- The histological grade of the tumor is SBR Grade 3, with nuclear grade 3 and presence of necrosis.
- Lymphovascular invasion was not identified, and there is no mention of calcification.
- Receptor studies show negative estrogen and progesterone receptors, and HER2 is negative by IHC.
- No ancillary testing results were mentioned in

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=2058) : 
 Left breast wide local excision showed basal subtype invasive ductal carcinoma, SBR grade 3, size 2.2 cm, without lymphovascular invasion. ER/PR negative (Allred Score: 0) and HER2 negative by IHC. Lymph nodes are negative for metastases. Necrosis present, and there is no calcification or tumor-infiltrating lymphocytes identified. Posterior margin excision negative for tumor.

