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. RIGHT TUBE AND OVARY. B. UTERUS WITH LEFT TUBE, OVARY AND CERVIX. C. SENTINEL LYMPH NODE #1 LEFT AXILLA. D. SENTINEL LYMPH NODE #2 LEFT AXILLA. E. SLN #3. F. SLN #4. G. WLE LEFT BREAST NEEDLE LOCALIZATION. SPECIMEN(S): A. RIGHT TUBE AND OVARY. B. UTERUS WITH LEFT TUBE, OVARY AND CERVIX. C. SENTINEL LYMPH NODE #1 LEFT AXILLA. D. SENTINEL LYMPH NODE #2 LEFT AXILLA. E. SLN #3. F. SLN #4. G. WLE LEFT BREAST NEEDLE LOCALIZATION. GROSS DESCRIPTION: A. RIGHT TUBE AND OVARY. Received fresh is a 90 gm ovary and fallopian tube. There is a 7 x 5 x 4.5 cm thin walled multiloculated, translucent. paratubal cyst filled with clear fluid. There are no papillary excrescences seen. Representative sections submitted for. frozen section and resubmitted for permanent examination in cassette FSA1. The ovary measures 3.5 x 3 x 2 cm. The ovary is bisected to reveal pale yellow cut surface. One corpus luteum cyst is present measuring 1.5x0.8x0.7. cm. The fallopian tube measures 7.5 cm in length, 0.5 cm in diameter. Serial section through the fallopian tube to. reveal unremarkable cut surface. Representative sections submitted for microscopic examination as follows: A1: cyst. A2: section from the ovary. A3: 3 sections from the fallopian tube. A4: 2 sections from the paratubal cyst. B. UTERUS WITH LEFT TUBE, OVARY AND CERVIX. Received in formalin is a 1,421 gm uterus with left fallopian tube and ovary. The uterus measures 19 cm from. superior to inferior, 10 cm from right to left, 14 cm from anterior to posterior. The cervix measures 5.5 cm in length, 4. cm in diameter. Serosal surface is pale, smooth and glistening. Multiple leiomyomas are identified protruding from. the anterior surface ranging in size from 2.5 cm in diameter to 9 x 5.5 x 4 cm. The anterior uterus is inked in blue,. posterior is inked in black. The uterus is bivalved to reveal multiple leiomyomas in the myometrium and right under. endometrium ranging in size from 0.7 cm in diameter to 8 cm in diameter. The endometrial cavity is distorted by the. leiomyomas. The leiomyoma is serial sectioned to reveal white whorled cut surface with focal necrosis. The uterine. cervix is sectioned to reveal a cystic lesion containing yellow sticky material at posterior cervix measuring 2.5 cm in. diameter. The left ovary measures 3 x 2 x 1.5 cm. The left fallopian tube measures 8 cm in length and 0.6 cm in. diameter. A paratubal cyst measuring 2 cm in diameter is identified with thin wall and contains clear fluid. The ovary. and fallopian tube are serial sectioned to reveal unremarkable cut surface. Summary of sections submitted for. microscopic examination as follows: B1: anterior cervix. B2: posterior cervix with cyst. B3-B4: 2 sections from the anterior uterus endometrium. B5-B6: 2 sections from the posterior uterus endometrium. B7-B10: each has 2 sections from the largest leiomyoma. B11-B12: each has 2 sections from the 2nd largest leiomyoma. B13: section from left ovary including cyst. B14: 3 sections from the fallopian tube. B15-B16: each has 2 sections from the largest leiomyoma. C. SENTINEL LYMPH NODE #1 LEFT AXILLA. Received fresh are two tan pink lymph nodes 1.5 x 1.2 x 0.7cm and 2 x 1.5 x 1cm. The specimens are sectioned and. a touch prep is taken. C1: 1 lymph node. C2: 1 lymph node. D. SENTINEL LYMPH NODE #2 LEFT AXILLA. Received fresh is a tan pink lymph node 0.5 x 0.4 x 0.4cm. The specimen is sectioned and a touch prep is taken. Toto D1. E. SLN #3. Received fresh is a tan pink lymph node 1 x 0.5 x 0.4cm. The specimen is sectioned and a touch prep is taken. Toto. E1. F. SLN #4. Received fresh is a tan pink lymph node 0.5 x 0.4 x 0.4cm. The specimen is sectioned. Toto F1. G. WLE LEFT BREAST NEEDLE LOCALIZATION. Received fresh labeled with the patient's identification and "left breast needle localization" is an oriented 58g, 6.5 x. 6.5 x 4.8cm needle localized lumpectomy with radiograph. Ink code: anterior-orange, posterior-black, superior-blue,. inferior-yellow, medial-green, lateral-red. Specimen is serially sectioned from medial to lateral into 7 slices revealing. a. 2x2 x 2cm tan white firm well circumscribed mass, 0.6cm from the closest posterior margin in slices 3-5. A portion. of the specimen is submitted for tissue procurement. Representatively submitted: G1: medial margin slice 1. G2-G3: next to mass slice 2. G4-G5: superior margin slice 3. G6: deep margin slice 3. G7-G8: inferior margin slice 3. G9: anterior margin slice 3. G10-G11: mass slice 3. G12-G17: slice 4. G18: mass slice 5. G19: deep margin slice 5. G20: next to mass slice 6. G21-G24: lateral margin slice 7. DIAGNOSIS: A. OVARY AND FALLOPIAN TUBE, RIGHT, SALPINGO-OOPHORECTOMY: BENIGN OVARY. - FALLOPIAN TUBE WITH PARATUBAL CYST. B. UTERUS, OVARY AND FALLOPIAN TUBE, LEFT, HYSTERECTOMY AND SALPINGO-OOPHORECTOMY: - WEAKLY PROLIFERATIVE ENDOMETRIUM. - ADENOMYOSIS. - LEIOMYOMAS, LARGEST MEASURING 9 CM. - BENIGN CERVIX, OVARY AND FALLOPIAN TUBE. C. SENTINEL LYMPH NODE #1, LEFT AXILLA, BIOPSY: - TWO LYMPH NODES, NO TUMOR SEEN (0/2). D. SENTINEL LYMPH NODE #2, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). E. SENTINEL LYMPH NODE #3, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NO TUMOR SEEN (0/1). F. SENTINEL LYMPH NODE #4, LEFT AXILLA, BIOPSY: - FIBROADIPOSE TISSUE, NO LYMPH NODE OR TUMOR SEEN. G. BREAST, LEFT, NEEDLE LOCALIZATION WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 3, WITH NECROSIS,. LYMPHOID INFILTRATE, AND FOCAL SQUAMOUS FEATURES. - TUMOR MEASURES 2.2 CM. MARGINS, FREE OF TUMOR. - DUCTAL CARCINOMA IN SITU (DCIS), SOLID TYPE, NUCLEAR GRADE 3,. MINOR COMPONENT. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Yes For mass. Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 2.2cm. Tumor Site: 4:00. Margins: Negative. Distance from closest margin: Greater than 0.5cm. all margins. 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 0/4. DCIS present. DCIS Quantity Estimate 5%. DCIS Type: Solid. DCIS Location: Associated with invasive tumor. Nuclear grade: High. ER/PR/HER2 Results. ER: Negative. PR: Negative. HER2: Negative by FISH. Pathological staging (pTN): pT 2NN0. SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimen: Surgical Excision. Block Number: G18. ER: Negative Allred Score: 0 = Proportion Score 0 + Intensity Score 0. PR: Negative Allred Score: 2 = Proportion Score 1. +. Intensity Score 1. 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. Immunohistochemistrv 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. CLINICAL HISTORY: year-old. lemale. G3. P3 asive ductal cancer of the left breast and uterine fibroid. PRE-OPERATIVE DIAGNOSIS: Left breast DCIS, Adnexal cyst and uterine fibroid. INTRAOPERATIVE CONSULTATION: FSA: Right tube and ovary: Benign cyst-defer further classification to permanent. Diagnosis by Dr., called to Dr. at. TPC1-2/TPD/TPE: SLN #1, 2, 3, lert axilla - No tumor seen. F. GROSS EXAMINATION: SLN #4 left axilla: No tumor seen. Diagnosis called to Dr. at. I (C-F) by Dr. Microscopic/Diagnostic Dictation: Pathologis. Final Review: Pathologist 1. Final: Pathologist,.

expanded version (tokens=3000) : 
 The breast pathology report indicates that the patient had a subtype of basal breast cancer. In addition to the breast, specimens were collected from various other organs, including the right tube and ovary, uterus with left tube, ovary, and cervix, sentinel lymph nodes, and needle localization used for a wide local excision. 

The report indicates that the breast tumor was invasive ductal carcinoma, SBR grade 3, with necrosis, lymphoid infiltrate, and focal squamous features measuring 2.2 cm. Ductal carcinoma in situ (DCIS) was also present, solid type, nuclear grade 3, with a minor component accounting for approximately 5% of all tumor cells. 

Ancillary testing revealed negative estrogen receptor (ER), negative progesterone receptor (PR), and negative human epidermal growth factor receptor 2 (HER2) receptor status. The Allred score for estrogen and progesterone receptors was calculated and found to be 0 (Proportion Score 0 + Intensity Score 0) for ER and 2 (Proportion Score 1 + Intensity Score 1) for PR. There was no indication of lobular neoplasia, vascular/lymphatic invasion, or lymph node involvement, with four sentinel lymph nodes examined showing no tumor (0/4). 

The breast cancer was graded as modified Scarff Bloom Richardson Grade 3 on the basis of tubular score (3), nuclear grade (3

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=3148) : 
 The breast pathology report reveals a subtype of basal breast cancer that is invasive ductal carcinoma with necrosis, lymphoid infiltrate, and focal squamous features. Ductal carcinoma in situ (DCIS) was also present. Additionally, the report indicates negative ER, PR, and HER2 receptor status with no lymph node involvement.Four sentinel lymph nodes examined showed no tumor. The cancer was graded as modified Scarff Bloom Richardson Grade 3 with a tumor size of 2.2 cm.

