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 Her2, SPECIMENS: A. SENTINEL NODE #1 LEFT AXILLA. B. SENTINEL NODE #2 & #3 LEFT AXILLA. C. SENTINEL NODES #4 & #5. D. SENTINEL NODE #6 LEFT AXILLA. E. SENTINEL NODE #7 & #8 LEFT AXILLA. F. SENTINEL NODE #9 LEFT AXILLA. G. LEFT BREAST. H. LEFT AXILLARY CONTENTS. DIAGNOSIS: A. SENTINEL NODE #1 LEFT AXILLA: -METASTATIC CARCINOMA TO ONE OUT OF ONE LYMPH NODE, CONSISTENT WITH. METASTASIS FROM PRIMARY BREAST CARCINOMA (1/1). B. SENTINEL NODE #2 AND #3 LEFT AXILLA: - TWO LYMPH NODES - NEGATIVE FOR TUMOR (0/2). C. SENTINEL NODE #4 AND #5: - TWO LYMPH NODES - POSITIVE FOR METASTATIC CARCINOMA (2/2). D. SENTINE NODE #6 LEFT AXILLA: - METASTATIC CARCINOMA TO TWO OUT OF THREE LYMPH NODES. WITH LYMPHOVASCULAR INVASION (2/3). E. SENTINEL NODE #7 AND #8 LEFT AXILLA: - METASTATIC CARCINOMA TO ONE OUT OF ONE LYMPH NODE. WITH PERINODAL FAT EXTENSION CONSISTENT WITH METASTASIS. FROM PRIMARY BREAST CARCINOMA. F. SENTINEL NODE #9 LEFT AXILLA: - ONE LYMPH NODE - NEGATIVE FOR TUMOR (0/1). G. LEFT BREAST, MASTECTOMY: - INVASIVE DUCTAL CARCINOMA, SBR GRADE III WITH ASSOCIATED. FOCI OF DUCTAL CARCINOMA IN SITU, SOLID, COMEDO PATTERN,. HIGH NUCLEAR GRADE. - SIZE OF TUMOR- 3.2 X 2.2 X 2.0 CM. - DEEP MARGINS OF RESECTION - NEGATIVE FOR TUMOR. - SKIN AND NIPPLE - NEGATIVE FOR TUMOR. - FOCAL COLUMNAR CELL CHANGE WITH FOCAL. MICROCALCIFICATIONS. - FOCAL RESORBING FAT NECROSIS AND HEMORRHAGE ,CONSISTENT WITH POST. BIOPSY SITE CHANGES. H. LEFT AXILLARY CONTENTS: - EIGHTEEN LYMPH NODES - NEGATIVE FOR TUMOR (0/18). BREAST CANCER TEMPLATE. Specimen type: Mastectomy. Needle localization: Laterality: Left. INVASIVE TUMOR: Present. Multifocal: Histologic type: Ductal. Tumor Size (cm): 3.2 x 2.2 x 2.0 cm. Size of Invasive Focus: 3.2 x 2.2 x 2.0 cm. Tumor site: Lower outer quadrant. Grade, Histologic: 3. Grade, Nuclear: 3. Grade, Mitotic: III. Modified Scarff Bloom Richardson grade: Necrosis: Present. Invasion Vasc/Lymphatic: Present. DCIS COMPONENT: DCIS Quantity: Estimate 20%. DCIS Type: Comedo; Solid. DCIS Location: Associated with invasive tumor. DCIS Size: Nuclear grade: High. Necrosis: Present. Location of Ca++: DCIS; Benign Epithelium. DCIS correlates with Ca++ in sections: Margins: Negative. Lobular Neoplasia: None. Lymph nodes: Positive (6/28); Sentinel lymph node. and axillary dissection. Isolated tumor cell clusters: Micrometastases: Extranodal extension: Non-neoplastic areas: columnar cell change. Hormone receptor status (by IHC): Biomarker report (from previous bx -. - ER, negative; PR, negative. HERCEPTEST (by IHC): Her2/neu - positive 3+ (100%). Pathologic Stage : pT2 N2. SPECIMEN(S): A. SENTINEL NODE #1 LEFT AXILLA. B. SENTINEL NODE #2 & #3 LEFT AXILLA. C. SENTINEL NODES #4 & #5. D. SENTINEL NODE #6 LEFT AXILLA. E. SENTINEL NODE #7 & #8 LEFT AXILLA. F. SENTINEL NODE #9 LEFT AXILLA. G. LEFT BREAST. H. LEFT AXILLARY CONTENTS. CLINICAL HISTORY: None given. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA: Lymph node, sentinel #1, excision: Positive for carcinoma. (Microscopic). By Dr called in at. C. Breast, left, mastectomy: Margins are grossly negative for tumor. By Dr called in at. GROSS DESCRIPTION: A. SENTINEL LYMPH NODE #1, LEFT AXILLA. Received fresh for touch prep evaluation labeled with the patient name designated A. sentinel lymph. node #1 left axilla is a beige-tan lymph node measuring 0.8x0.5x0.4cm. The specimen is bisected,. touch preps are performed. The entire specimen is submitted in a cassette labeled A1. B. SENTINEL LYMPH NODES #2 & #3, LEFT AXILLA. Received fresh for touch prep evaluation labeled with the patient name designated B. sentinel lymph. nodes #2 & #3 is a portion of firm red-tan fibroadipose tissue measuring 5.5x2.0x1.0cm Two beige-tan. lymph nodes are identified. The specimen is serially sectioned, touch preps are performed. The. specimen is submitted in toto in blocks B1-B3. C. SENTINAL LYMPH NODES #4 & #5, LEFT AXILLA. Received fresh for touch prep evaluation labeled with the patient name designated C. sentinel nodes #4. & #5 are two beige-tan firm lymph nodes. The larger measuring 1.5x1.0x0.9cm. The smaller. measuring 0.4x0.3x0.3cm. The entire specimen is submitted for microscopic evaluation. Cassettes are. submitted as follows: C1: the smaller lymph node. C2: the larger lymph node serially sectioned. D. SENTINEL LYMPH NODE #6, LEFT AXILLA. Received in formalin in a container labeled with the patient name designated D. sentinel node #6 is a. firm beige-tan lymph node measuring 1.0x0.9x0.7cm. specimen is bisected and submitted entirely in. cassette D1. E. SENTINEL LYMPH NODE #7 & #8, LEFT AXILLA. Received in formalin in a container labeled with the patient name designated E. sentinel node is a group. of beige-tan, firm, matted lymph nodes, measuring in aggregate 2.2x1.9x0.7cm. The specimen is. bisected and submitted entirely in cassette E1-E2. F. SENTINEL LYMPH NODE #9, LEFT AXILLA. Received in formalin in a container labeled with the patient name designated F. sentinel node #9 left. axilla is a firm beige-tan lymph node with attached adipose tissue. The lymph node measures. 0.4x0.4x0.3cm. The entire specimen is submitted in cassette F1. G. LEFI BREAST. Received in fresh state with patient's name and identification number and labeled "left breast". The. specimen consists of a left mastectomy specimen weighing 797 grams and with total dimensions of. 26.0 x 19.0 x 5.5 cm. There is an attached stitch indicating the left axillary tail area of the breast. Overlying skin measures 18.0 x 12.0 cm. The nipple is erect and grossly not remarkable,and shows no. areas of ulceration. There is a firm palpable mass noted along the supero-central aspect of the. specimen, which on serial cut section shows an ill-defined, firm, nodular mass with ill-defined borders. measuring 3.2 x 2.2 and 2.0 cm with focal areas of hemorrhage. The remainder of the specimen. consists mostly of fatty breast tissue parenchyma with alternating strands of fibrous stroma. The deep. margin is inked black. Grossly, the tumor is is seen 0.9 cm from the nearest superior margin. There is. no other identifiable tumor focus and scant axillary fat shows predominantly adipose tissue with possible. tiny 0.1 cm lymph node. Multiple sections are submitted and labeled as follows: G1-G2: bisected anterior margin adjacent to mass. G3: skin and mass. G4-G5: tissue inferior to mass, bisected. G6: deep margin. G7-G12: sections of mass. G13-G14: fibrous tissue from superior inner quadrant. G15-G18: fibrous and firm tissue from superior outer quadrant. G19-G20: fibrous tissue from inferior outer quadrant. G21-G22: fibrous tissue from lower inner quadrant. G23-G24: nipple and subjacent tissue perpendicularly sectioned. G25: 1 possible axillary lymph node. H. LEFT AXILLARY CONTENTS. Received in formalin and labeled "left axillary contents" is an aggregate of pink-yellow soft tissue. measuring 9.0x5.5x1.8cm 16 possible lymph nodes are found, ranging in size from 0.1 to 1.7cm. Nodes are submitted in toto as follows: H1: 6 possible lymph nodes. H2-H6: 2 bisected lymph nodes each. ADDENDUM: Correction of typographical error on template regarding tumor site. Should read as follows: Tumor site - upper outer quadrant. Microscopic/Diagnostic Dictation: Pathologist,. Microscopic/Diagnostic Dictation: Pathologist. Microscopic/Diagnostic Dictation: Pathologist,. Final Review: Pathologist. Final Review: Pathologist,. Final: Pathologist,. Addendum: Pathologist,. Addendum Review: Pathologist,. Addendum Final: Pathologist,.

expanded version (tokens=2621) : 
 The breast pathology report includes the following information:

1. Histological classification: invasive ductal carcinoma with a subtype of Her2, and foci of ductal carcinoma in situ (DCIS).

2. Description of necrosis: present.

3. Tumor infiltrating lymphocytes: not mentioned.

4. Histological grade: SBR grade III.

5. Nuclear grade: 3.

6. Lymphovascular invasion: present.

7. Calcification: present in DCIS.

8. Receptor status: ER and PR negative, HER2 positive.

9. Ancillary testing results: benign epithelium and DCIS correlate with calcium, negative margins, no lobular neoplasia, lymph nodes involved - 6/28, and the pathologic stage is pT2 N2.

To expand on these points:

- The histological classification identifies the type of cancer and its subtype, which has implications for treatment decisions and prognosis. In this case, it is an invasive ductal carcinoma with a subtype of Her2, which means that Her2 targeted therapies will likely be used.

- The description of necrosis indicates that there is tissue death within the tumor, which may affect how the cancer is treated.

- Tumor infiltrating lymphocytes (TILs) can be a prognostic factor for breast cancer, but they are not mentioned in this report.

- The histological grade provides information about the appearance of the cancer cells, their growth patterns, and

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=2773) : 
 The breast pathology report indicates a subtype of Her2 invasive ductal carcinoma with foci of DCIS. Necrosis is present, but there is no mention of tumor infiltrating lymphocytes. The tumor is SBR grade III with a nuclear grade of 3 and lymphovascular invasion. Calcification is present in the DCIS. Receptor status is ER/PR negative and HER2 positive. The pathological stage is pT2 N2, and the cancer has involved 6 out of 28 lymph nodes.

