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. RIGHT BREAST NEEDLE LOCALIZATION. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. C. SENTINEL LYMPH NODE #2 RIGHT AXILLA. SPECIMEN(S): A. RIGHT BREAST NEEDLE LOCALIZATION. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. C. SENTINEL LYMPH NODE #2 RIGHT AXILLA. INTRAOPERATIVE CONSULTATION DIAGNOSIS: A- right breast: 1.5-cm mass at 0.5 cm from posterior margin. TPB/TPC- SLN #1, #2 right axilla: Negative for tumor. Diagnoses called by Dr. to Dr. at : (A) and. (B,C). GROSS DESCRIPTION: A. RIGHT BREAST NEEDLE LOC. Received fresh labeled with the patient's identification and "right breast needle loc" is a previously inked, oriented. (single stitch-anterior, double-lateral, triple-anterior) 31 g, 3.5 x 3.1 x 3.1 cm needle localized lumpectomy with. radiograph. Ink code: Anterior-yellow, posterior-black, medial-green, lateral-red, superior-blue, inferior-orange. Specimen is serially sectioned from superior to inferior into 8 slices revealing a 1.5x1.3 x 1.1 cm firm tan stellate. mass that is closest to the posterior margin at 0.5 cm. Tissue is procured. Representatively submitted: A1: superior margin, perpendicular sections. A2: slice 2, posterior medial. A3: slice 3, anterior medial. A4: slice 4, posterior lateral. A5: slice 5, anterior lateral (mass, clip). A6: slice 5, posterior lateral (mass). A7: slice 5, mid anterior. A8: slice 5, mid posterior. A9: slice 5, medial. A10: slice 6, anterior lateral (mass). A11: slice 6, posterior lateral. A12: slice 7, anterior lateral. A13: slice 7, posterior lateral. A14: slice 7, anterior medial. A15: slice 7, posterior medial. A16: inferior margin, perpendicular sections. B. SENTINEL LYMPH NODE #1 RIGHT AXILLA. Received fresh labeled with the patient's identification and "sentinel lymph node #1" is a 2 x 1 x 0.8 cm lymph node. Sectioned, touch preps are performed; lymph node is submitted entirely in cassette B1. C. SENTINEL LYMPH NODE #2 RIGHT AXILLA. Received fresh labeled with the patient's identification and "sentinel lymph node #2" is a 1 x 0.8 x 0.5 cm lymph. node. Sectioned, touch preps are performed; lymph node is submitted entirely in cassette C1. DIAGNOSIS: A. BREAST, RIGHT, WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 2, MEASURING 1.1-CM. INTERMEDIATE NUCLEAR GRADE; DUCTAL CARCINOMA IN SITU, SOLID TYPE. - SURGICAL RESECTION MARGINS NEGATIVE FOR TUMOR. - FIBROADENOMA (0.2-CM). BIOPSY SITE CHANGES WITH FIBROSIS AND FOREIGN BODY GIANT CELL REACTION. - SEE SYNOPTIC REPORT. B. LYMPH NODE, SENTINEL #1, RIGHT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). C. LYMPH NODE, SENTINEL #2, RIGHT AXILLA, EXCISION: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Laterality: Right. Invasive Tumor. Absent. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 1. 1cm. Margins: Negative. Distance from closest margin: 0.5cm. deep. 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. Lymph node status: Negative 0/2. DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 10%. DCIS Type: Solid. DCIS Location:Associated with invasive tumor. Nuclear grade: Intermediate. Necrosis: Absent. ER/PR/HER2 Results. ER: Pending. PR: Pending. HER2: Negative by IHC. Performed on Case: Pathological staging (pTN): pT 1c N 0. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY: Right lateral breast 1.5-cm invasive breast cancer, posterior near fascia, fascia included with specimen. PRE-OPERATIVE DIAGNOSIS: None given. ADDENDUM: SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimen: Surgical Excision. Block Number: A6. ER: Positive Allred Score: 8 = Proportion Score 5 + Intensity Score 3. PR: Positive. Allred Score: 4 = Proportion Score 2 +. Intensity Score 2. 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. Immunohistochem was performed using the mouse anti-human ER (ER 1D5, 1:100) and PR (PGR 136, 1:100). provided by Dakc. following the manufacturer S instructions. This assay was not modified. Interpretation of the ER/PR immunohistocnemical stain is guided by published results in the medical literature,. information provided by the reagent manufacturer and by internal review of staining performance. ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 22. CLINICAL EXPERIENCE: Patients with a recurrence score of: 22 in the clinical validation study had an average. rate of Distant Recurrence at 10 years of 14%. ER Score: 11.1 Positive. PR Score: 4.4 Negative. Her2 Score: 10. 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: Pathologist,. Addendum: Pathologist,. Addendum Final: Pathologist. Addendum: Pathologist,. Addendum Final: Pathologist,.

expanded version (tokens=2116) : 
 The breast pathology report shows that the patient has Luminal A subtype breast cancer. The report includes information on the histological classification of the cancer, subtype, necrosis, tumor infiltrating lymphocytes, histological grade, nuclear grade, lymphovascular invasion, calcification, receptor status, IHC, and ancillary testing results. Here are some of the main points of the report:

- Histological classification: Invasive ductal carcinoma (NOS) and ductal carcinoma in situ (solid type).
- Subtype: Luminal A.
- Necrosis: Absent.
- Tumor infiltrating lymphocytes: None identified.
- Histological grade: SBR grade 2, modified Scarff Bloom Richardson Grade 2.
- Nuclear grade: Intermediate.
- Lymphovascular invasion: None identified.
- Calcification: Not mentioned.
- Receptor status: ER-positive, PR-positive, HER2-negative.
- IHC: ER and PR positive with Allred score of 8 and 4, respectively; HER2 negative by IHC.
- Ancillary testing results: Oncotype DX Breast Cancer Assay recurrence score of 22, ER score of 11.1 (positive), PR score of 4.4 (negative), Her2 score of 10 (negative).

The report also includes information on the specimens received and diagnoses for each specimen, margins, lymph node status, and clinical history.

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=2263) : 
 The pathology report indicates Luminal A subtype breast cancer. The 1.5 cm tumor with intermediate nuclear grade and no necrosis or lymphovascular invasion was excised with clear margins. One sentinel lymph node on each right axilla was negative for metastases. Estrogen and progesterone receptor status were positive, with HER2-negative status by IHC staining and Oncotype DX recurrence score of 22. No lobular neoplasia or calcifications were identified in the samples.

