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, SPECIMENS: A. WLE LEFT BREAST NEEDLE LOCALIZATION. B. SENTINEL NODE #1 LEFT AXILLA. C. MEDIAL MARGIN LEFT BREAST. SPECIMEN(S): A. WLE LEFT BREAST NEEDLE LOCALIZATION. B. SENTINEL NODE #1 LEFT AXILLA. C. MEDIAL MARGIN LEFT BREAST. INTRAOPERATIVE CONSULTATION DIAGNOSIS: Part A, Left breast, wide local excision, gross examination: Tumor (at least 3 cm in size) seen at inked green medial. margin. TPB, Sentinel lymph node #1, left axilla: Negative for tumor cells. Diagnoses called at. by Dr. GROSS DESCRIPTION: A. WLE LEFT BREAST NEEDLE LOCALIZATION. Received fresh labeled with the patient's identification and designated "wide local excision left breast needle localization". is an oriented, previously inked, 63-g, 8 x 5.5 x 3.7 cm needle localized lumpectomy specimen accompanied by two. radiographs. The single suture designates anterior, double-lateral. Ink code: Anterior-yellow, posterior-black, medial-. green, lateral-red, superior-blue, inferior-orange. The specimen is serially sectioned from medial to lateral into 7 slices. revealing firm tan mass (clip in slice 3), 3.5 x 2 x 1.5 cm, located at the medial margin. A second ill-defined hemorrhagic. firm area, 1 x 0.9 x 0.6 cm, is identified in slice 6, approximately 1 cm from the mass, and approaches the nearest anterior. margin at distance of 0.6-cm. A portion of the specimen is submitted for tissue procurement. The specimen is. representatively submitted: A1-A4: Perpendicular sections medial margin, entirely submitted. A5-A8: Slice 2, entirely submitted, A5-A6 demonstrate mass. A9-A12: Slice 3, entirely submitted, A10 demonstrates clip. A13: Slice 4, posterior/superior. A14: Slice 4, superior/anterior. A15: Slice 4, posterior/inferior. A16: Slice 5, posterior/superior. A17-A18: Slice 6, hemorrhagic firm area submitted entirely. A19-A20: Representative perpendicular sections, lateral margin. B. SENTINEL NODE #1 LEFT AXILLA. Received fresh labeled with the patient's identification and designated "sentinel lymph node number one left axilla" is a tan. lymph node measuring 3 x 1.5 x 1 cm. Touch preparations are performed. The entire specimen is submitted, B1-B2. C. MEDIAL MARGIN LEFT BREAST. Received in formalin labeled with the patient's identification and designated "medial margin left breast" is an oriented. (suture at final margin), 6g, 5.5 x 2.5 x 1 cm fragment of fibroadipose tissue. The final margin inked black. The specimen. is sectioned and submitted entirely, C1-C5. DIAGNOSIS: A. BREAST, LEFT, WIDE LOCAL EXCISION: - INVASIVE MIXED (DUCTAL/LOBULAR) CARCINOMA, SBR GRADE II,. MEASURING 3.5 CM. FOCAL DUCTAL CARCINOMA-IN-SITU, NUCLEAR GRADE 2/3, SOLID AND. CRIBRIFORM TYPE WITH MICROCALCIFICATIONS. - FIBROADENOMA / FIBROCYSTIC CHANGES. - PREVIOUS BIOPSY SITE CHANGES. (SEE SYNOPTIC REPORT). B. LYMPH NODE, SENTINEL #1, LEFT AXILLA, EXCISION: - ONE REACTIVE LYMPH NODE. - NO METASTATIC CARCINOMA IS SEEN (0/1). C. BREAST, LEFT, MEDIAL MARGIN, EXCISION: - BREAST TISSUE WITH FIBROCYSTIC CHANGES. NO MALIGNANCY IS SEEN. SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: A: WLE LEFT BREAST NEEDLE LOCALIZATION. B: SENTINEL NODE #1 LEFT AXILLA. C: MEDIAL MARGIN LEFT BREAST. Specimen Type: Excision. Needle Localization: Yes For mass. Laterality: Left. Invasive Turnor: Present. Multifocality: WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Mixed type carcinoma. Tumor size: 3.5cm. Additional dimensions: 2cm x 1.5cm. Tumor Site: Upper outer quadrant. Margins: Negative. Tubular Score: 3. Nuclear Grade: 2. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/1. Micrometastases: No. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 2%. DCIS Type: Solid. Cribriform. DCIS Location: Associated with invasive tumor. Nuclear grade: Intermediate. Necrosis: Absent. Location of CA++: DCIS. Stroma. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by IHC. Performed on Case:outside slides (our consultation report). Pathological staging (pTN): pT2NO. CLINICAL HISTORY: Invasive carcinoma, UOQ left breast, with enhancement patient for intraductal extension going anteriorly. PRE-OPERATIVE DIAGNOSIS: Invasive carcinoma. ADDENDUM: ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 4. CLINICAL EXPERIENCE: Patients with a recurrence score of: 4 in the clinical validation study had an average. rate of Distant Recurrence at 10 years of 5%. ER Score: 11.5 Positive. PR Score: 9.9 Positive. Her2 Score: 8.8 Negative. Interpretation: ER Negative < 6.5 Positive >= 6.5. PR. Negative < 5.5. Positive >= 5.5. Her2 Negative <10.7. Positive >=11.5 Equivocal = 10.7 - 11.4. See separate. report for further information. Microscopic/Diagnostic Dictation: Pathologist,. Final Review: Pathologist,. Final Review: Pathologist,. Final: Pathologist,. Addendum: Pathologist,. Addendum Final: Pathologist.

expanded version (tokens=1862) : 
 The breast pathology report reveals that the patient has Luminal A type breast cancer. The report mentions various specimens that were studied, including a wide local excision (WLE) left breast needle localization, sentinel node #1 in the left axilla, and medial margin left breast tissue. 

Histological classification: The invasive tumor is diagnosed as mixed (ductal/lobular) carcinoma with SBR grade II and measuring 3.5 cm. Additionally, focal ductal carcinoma in situ (DCIS), nuclear grade 2/3, solid and cribiform type with microcalcifications was seen. 

Subtype: Luminal A

Necrosis: Absent

Tumor infiltrating lymphocytes (TILs): Not mentioned

Histological grade: SBR grade II (Intermediate grade)

Nuclear grade: 2

Lymphovascular invasion: None identified

Calcification: Microcalcifications seen in the DCIS component

Receptor status: ER and PR positive

IHC: HER2 negative by IHC

Ancillary testing results: The Oncotype DX breast cancer assay results indicate a recurrence score of 4, which according to clinical validation studies, have an average rate of distant recurrence at 10 years of 5%. The ER score is positive with a score of 11.5, while the PR score is positive with a score of 9.9. The HER2 score is negative with a score of 8.8.

Overall, the

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=2027) : 
 Luminal A subtype breast cancer was diagnosed in the left breast of the patient. The tumor was mixed (ductal/lobular) carcinoma with SBR grade II and measured 3.5 cm. Focal DCIS was also identified. ER/PR were found to be positive while HER2 was negative by immunohistochemistry (IHC). Oncotype DX test yielded a recurrence score of 4 which correlates with a 5% rate of distant recurrence at 10 years. No necrosis or lymphovascular invasion was detected and TILs were not mentioned.

