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 LumB, SPECIMENS: A. SENTINEL L NODE 1. B. SENTINEL L NODE 2. C. LEFT BREAST. D. LEFT AXILLARY CONTENTS. E. ADDITIONAL LEFT AXILLARY CONTENTS. F. RIGHT BREAST. G. LEFT TUBE AND OVARY. H. RIGHT TUBE AND OVARY. SPECIMEN(S): A. SENTINEL L NODE 1. B. SENTINEL L NODE 2. C. LEFT BREAST. D. LEFT AXILLARY CONTENTS. E. ADDITIONAL LEFT AXILLARY CONTENTS. F. RIGHT BREAST. G. LEFT TUBE AND OVARY. H. RIGHT TUBE AND OVARY. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA1/TPA2-SLN #1: Negative for carcinoma (0/2). TPB-SLN #2: Positive for carcinoma (1/1). Diagnoses called by Dr. to Dr. at. B). G-H: Gross examination- left tube and ovary-right tube and ovary. No tumor identified. Diagnosis called to Dr. at. by Dr. GROSS DESCRIPTION: A. SENTINEL L NODE 1. Received fresh labeled with the patient's identification and "sentinel lymph node #1" are two lymph node, 0.8 x 0.5 x. 0.4 cm (A1) and 0.2 x 0.2 x 0.2 cm (A2). Two touch preps are performed; is submitted entirely/separately in. cassettes A1-A2. B. SENTINEL L NODE 2. Received fresh labeled with the patient's identification and "sentinel lymph node #2" is a 2 x 1 x 0.8 cm lymph node. Touch prep was performed and the lymph node is submitted entirely in cassette B1. C. LEFT BREAST. Received fresh labeled with the patient's identification and "left breast" is an oriented 254 g, 15 x 15 x 2.5 cm. mastectomy with 15 x 9.5 cm skin ellipse and 1.5 cm everted nipple. Ink code: Anterior/superior-blue,. anterior/inferior-orange, posterior-black. The specimen is serially sectioned into 7 slices from lateral to medial with. nipple in slice 3 revealing an ill-defined pink-tan infiltrating mass, measuring 4.6-cm, located in the upper inner and. upper outer quadrants in slices 2 through 6 that is closest to the posterior margin at 0.2 cm. Tissue is procured. Representatively submitted: C1: slice 1, UOQ-lateral to mass. C2: slice 2, UOQ-mass. C3-C4: slice 3, mid upper-mass. C5: slice 4, UIQ-mass and deep margin. C6: slice 5, UIQ-mass and deep margin. C7: slice 6, UIQ-mass. C8: slice 7, UIQ-medial to mass. C9: slice 5, LIQ. C10: slice 2, LOQ. C11-C12: nipple, perpendicular sections (skin in C12). D. LEFT AXILLARY CONTENTS. Received fresh labeled with the patient's identification and "left axillary contents" is a piece of yellow-tan fat, 6.5 x 3.5. x 1.5 cm containing 8 possible lymph nodes ranging from 0.1 to 0.9 cm in greatest dimension. Submitted entirely: D1-D2: 4 possible lymph nodes in each cassette. D3-D8: remainder of soft tissue. E. ADDITIONAL LEFT AXILLARY CONTENTS. Received fresh are multiple tan pink soft tissue fragments aggregating to 4.5 x 3.5 x 2.4cm. Dissection reveals 7. lymph nodes ranging from 0.3 x 0.3 x 0.3cm to 2.5 x 1.4 x 1cm. E1: 5 lymph nodes. E2: 1 lymph node. E3-E4: 1 lymph node. F. RIGHT BREAST. Received fresh labeled with the patient's identification and "right breast" is a 212g, 19 x 15 x 2cm oriented (stitch in. axilla) simple mastectomy with attached 17 x 8.5cm tan pink skin ellipse and 1.5cm everted nipple. Ink code: anterior-superior: blue, anterior-inferior: orange, posterior-black. The specimen is serially sectioned from lateral to. medial into 13 slices with nipple in slice 9, revealing unremarkable fibrous parenchyma. Representatively submitted: F1: nipple slice 9. F2: UOQ slice 5. F3: LIQ slice 7. F4: UOQ slice 7. F5: UOQ slice 8. F6: UC slice 9. F7: LC slice 9. F8: UIQ slice 10. F9: LIQ slice 10. F10: skin slice 11. F11: LIQ slice 11. F12: UIQ slice 12. G. LEFT TUBE AND OVARY. Received fresh is a 4 x 2 x 1.5cm tan pink ceribriform ovary with attached fimbriated fallopian tube 7 x 0.5 x 0.5cm. The ovary is bivalved to reveal multiple cysts, the largest of which is 0.4cm filled with clear straw like fluid. The. remaining ovarian parenchyma is grossly unremarkable. The fallopian tube is serially sectioned to reveal a patent. lumen. Entirely submitted: G1-G5: left ovary. G6-G9: fallopian tube. H. RIGHT TUBE AND OVARY. Received fresh is a 4.5 x 3 x 1.5cm tan pink ceribriform ovary with attached fimbriated fallopian tube 5.8 x 0.8 x. 0.5cm. The ovary is bivalved to reveal multiple cysts, the largest of which is 0.6cm filled with clear straw like fluid. The remaining ovarian parenchyma is grossly unremarkable. The fallopian tube is serially sectioned to reveal a. patent lumen. Entirely submitted in H1-H7. DIAGNOSIS: A. LYMPH NODES, SENTINEL #1, LEFT AXILLA, EXCISION: - TWO LYMPH NODES, NEGATIVE FOR METASTASES (0/2). B. LYMPH NODE, SENTINEL #2, LEFT AXILLA, EXCISION: - METASTATIC CARCINOMA TO ONE OF ONE LYMPH NODE (1/1), MEASURING 0.8-CM WITH NO. EXTRANODAL EXTENSION. C. BREAST, EFT,MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 3, MEASURING 4.6-CM. - INTERMEDIATE NUCLEAR GRADE, DUCTAL CARCINOMA IN SITU, SOLID AND CRIBRIFORM TYPES WITH. CENTRAL NECROSIS AND MICROCALCIFICATIONS. - SURGICAL RESECTION MARGINS NEGATIVE FOR TUMOR. - EXTENSIVE LYMPHOVASCULAR INVASION IDENTIFIED. - SEE SYNOPTIC REPORT. D. LYMPH NODES, LEFT, AXILLARY DISSECTION: - SEVEN LYMPH NODES, NEGATIVE FOR METASTASES (0/7). E. LYMPH NODES, LEFT, AXILLARY DISSECTION: - SEVEN LYMPH NODES, NEGATIVE FOR METASTASES (0/7). F. BREAST, RIGHT, MASTECTOMY: - BREAST TISSUE, NO TUMOR SEEN. G. OVARY AND FALLOPIAN TUBE, LEFT, RESECTION: - OVARY AND FALLOPIAN TUBE, NO TUMOR SEEN. H. OVARY AND FALLOPIAN TUBE, RIGHT, RESECTION: - OVARY AND FALLOPIAN TUBE, NO TUMOR SEEN. SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: A: SENTINEL L NODE 1. B: SENTINEL L NODE 2. C: LEFT BREAST. D: LEFT AXILLARY CONTENTS. E: ADDITIONAL LEFT AXILLARY CONTENTS. Specimen Type: Mastectomy. Needle Localization: Laterality: Left. Invasive Tumor. Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 4.6cm. Tumor Site: Upper outer quadrant. Upper inner quadrant. Margins: Negative. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 3. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Absent. Vascular/Lymphatic Invasion: Present. Extent: extensive. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node. Axillary dissection. Lymph node status: Positive 1 /17. Micrometastases: DCIS present. Margins uninvolved by DCIS. DCIS Quantity: Estimate 20%. DCIS Type: Solid. Cribriform. DCIS Location:Associated with invasive tumor. Nuclear grade: High. Necrosis: Present. ER/PR/HER2 Results. ER: Positive. PR: Negative. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT 2 N 1. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. CLINICAL HISTORY: year-old BRCA2 (+) left breast invasive ductal carcinoma DCIS, right prophylactic mastectomy, left therapeutic. breast mastectomy with sentinel lymph node dissection. PRE-OPERATIVE DIAGNOSIS: Left breast cancer. Microscopic/Diagnostic Dictation: t. Final Review: Pathologist,. Final: Pathologist, (.

expanded version (tokens=2621) : 
 Histological classification: The report describes the left breast as having invasive ductal carcinoma and intermediate nuclear grade ductal carcinoma in situ with central necrosis and microcalcifications. The tumor size is 4.6 cm, and it is classified as SBR grade 3. The lymph nodes are mentioned as negative in two sentinel lymph nodes and 0/7 lymph nodes in both left axillary contents specimens.

Subtype: The subtype of the cancer is mentioned as LumB.

Description of necrosis: The report mentions central necrosis in the case of the ductal carcinoma in situ.

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes is present in the report.

Histological grade: The invasive ductal carcinoma is classified as SBR grade 3 with an intermediate nuclear grade for the ductal carcinoma in situ.

Nuclear grade: The nuclear grade for the ductal carcinoma in situ is intermediate.

Lymphovascular invasion: Extensive lymphovascular invasion is identified.

Calcification: Microcalcifications are identified in the case of the ductal carcinoma in situ.

Receptor status: ER is positive, and PR and HER2 are negative by FISH.

IHC and ancillary testing results: There is no further mention of ancillary testing apart from the FISH test for HER2, which is negative. The report also states that the margins are negative.

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=2754) : 
 LumB subtype identified in a left breast invasive ductal carcinoma and intermediate nuclear grade ductal carcinoma in situ with central necrosis and microcalcifications, classified as SBR grade 3. Extensive lymphovascular invasion present with positive lymph node status in one sentinel lymph node and zero/17 nodes in axillary dissection. ER-positive, PR-negative, HER2-negative by FISH. Margins are negative.

