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. SENTINEL LYMPH NODE 1. B. SENTINEL LYMPH NODE 2. C. SENTINEL LYMPH NODE 3. D. SENTINEL LYMPH NODE 4. E. SENTINEL LYMPH NODE 5. F. SENTINEL LYMPH NODE 6. G. SENTINEL LYMPH NODE 7. H. WLE LEFT BREAST. 1. ADDITIONAL MARGIN LEFT BREAST. DIAGNOSIS: SENTINEL LYMPH NODE, #1, EXCISION (PART A). - FRAGMENT OF FIBROADIPOSE TISSUE, NEGATIVE FOR MALIGNANCY, NEGATIVE FOR. LYMPHOID TISSUE. SENTINEL LYMPH NODE #2, EXCISION (PART B). - METASTATIC DUCTAL CARCINOMA (4 MM IN DIAMETER, FOCAL EXTRACAPSULAR. EXTENSION). SEE COMMENT. SENTINEL LYMPH NODES, #3-#7, EXCISION (PARTS C-G). - FIVE LYMPH NODES, NEGATIVE FOR MALIGNANCY (0/5). LEFI BREAST, WIDE LOCAL EXCISION (PART H). - WELL DIFFERENTIATED INFILTRATING DUCTAL CARCINOMA, WITH A MUCINOUS. COMPONENT (3.7 CM IN GREATEST DIAMETER, SBR GRADE T),. - SEE COMMENT. - SURGICAL MARGINS OF EXCISION, NEGATIVE FOR MALIGNANCY. LEFT BREAST, ADDITIONAL MARGIN, EXCISION (PART I). - FIBROGLANDULAR BREAST TISSUE, NEGATIVE FOR MALIGNANCY. SPECIMEN(S): A. SENTINEL LYMPH NODE 1. B. SENTINEL LYMPH NODE 2. C. SENTINEL LYMPH NODE 3. D. SENTINEL LYMPH NODE 4. E. SENTINEL LYMPH NODE 5. F. SENTINEL LYMPH NODE 6. G. SENTINEL LYMPH NODE 7. H. WLE LEFT BREAST. I. ADDITIONAL MARGIN LEFT BREAST. CLINICAL HISTORY: /r old white female abnormal mammogram left upper outer breast. Cone Biopsy shows well. differentiated infiltrating ductal carcinoma with mucinous features. ER+, Pr+ HER2+ by FISH. Right breast MRI showed mass at left upper outer quadrant 3x3x0.8cm. Second enhancing mass at. posterior aspect 7mm measurement. Questionable satellite lesion. INTRAOPERATIVE CONSULTATION DIAGNOSIS: TPA, TPB: Lymph nodes, left axillary sentinel 1 & 2, excision: No malignancy identified, specimen A is. predominantly fat. TPC, TPD: Lymph nodes, left axillary sentinel 3 & 4, excision: No malignancy identified. TPE, TPF, TPG: Lymph nodes, left axillary sentinel 5, 6 & 7, excision: No malignancy identified. By Dr. called in at. and. GROSS DESCRIPTION: A. SENTINEL LYMPH NODE 1: - Received fresh for touch-prep and labeled, Sentinel Lymph Node #1, Left" is a piece of adipose tissue. measuring 2.4x2x.4cm It is bisected and a touch-prep is performed. Specimen is submitted in toto in. block A1. B. SENTINEL LYMPH NODE 2: - Received in formalin and labeled "Sentinel Lymph Node #2, Left Axilla" is a lymph node with fat. measuring 2x3.5x1.1cm Bisected. A touch-prep is performed and lymph node is submitted in toto in. block B1. C. SENTINEL LYMPH NODE 3: - Received in formalin and labeled Sentinel Lymph Node #3, Left Axilla" is a tan lymph node measuring. 1.3x1.2x0.6cm. Bisected and a touch-prep is performed. Submitted in toto in block C1. D. SENTINEL LYMPH NODE 4: - Received fresh for touch-prep and labeled, Sentinel Lymph Node #4, Left Axilla" is a piece of yellow-. tan fat and a tan lymph node measuring 1.5x1.2x0.3cm. It is bisected and a touch-prep is performed. Specimen is submitted in toto in block D1. E. SENTINEL LYMPH NODE 5: - Received fresh for touch-prep and labeled, Sentinel Lymph Node #5, Left Axilla" is a piece of fat and a. tan lymph node measuring 2.3x1.5x0.7cm. The specimen is serially sectioned and touch-prep is. performed. Lymph node is submitted in toto in block E1-E2. F. SENTINEL LYMPH NODE 6: - Received fresh for touch-prep and labeled, Sentinel Lymph Node #6, Left Axilla" is a piece of yellow-. tan adipose tissue containing a lymph node measuring 1.5x0.7x0.5cm. The lymph node is bisected and. a touch-prep is performed. The lymph node is submitted in toto in block F1. G. SENTINEL LYMPH NODE 7: - Received fresh for touch-prep and labeled, Sentinel Lymph Node #7, Left Axilla" is a piece of yellow-. tan fat containing a lymph node measuring 1.0x9.0x4cm. It is bisectioned and a touch-prep is. performed. Specimen is submitted in toto in block G1. H. WLE LEFT BREAST. - Received fresh and labeled, Wide Local Excision, Left Breast with Needle Localization" is an oval. shaped piece of yellow-tan fibrofatty soft tissue weighing 161 grams and measuring 9.2x8.1x3.2cm. The specimen is received with an accompanying radiogram which shows a needle coursing from the. medial aspect to the lateral aspect. The needle is a stellate area of increased density and a surgical. clip is present. The specimen has been oriented in surgery with short designating superior long lateral. and looped anterior. Specimen is inked as follows: inferior-orange, superior-red, lateral-yellow,. anterior-blue, medial-green and posterior black. Specimen is serially sectioned from superior to inferior. and in the inferior aspect of the specimen is an irregularly shaped firm pink-tan mass measuring. 3.7x3.5x1.5cm. Areas of hemorrhage are seen. The mass is within 1. 1cm from the lateral margin,. 1.2cm from the anterior margin, 2.2cm from the medial margin, 1.7cm from the deep margin, 1.7cm. from the inferior margin and approximately 4.4cm from the superior margin. Superior and slightly. posterior from this mass is a firm tan nodule measuring 0.7cm which is located 0.8cm from the larger. mass. It is possible that it is a continuous mass located 1.2cm from the lateral margin, 3.7cm from the. anterior margin, 1.3cm from the posterior margin and 4.8cm from the medial margin. This mass. corresponds with the increased area of density and second needle localization which is present on the. radiogram which is shown superior to the larger mass. Representative sections are submitted as. follows: H1-H6 larger mass including adjacent margins; H7-H8 breast tissue between larger mass and. smaller mass; H9 smaller mass; H10-H13 additional fibrous breast tissue; H14 superior margin; H15. inferior margin. I. ADDITIONAL MARGIN LEFT BREAST: - Received in formalin and labeled Additional Margin Left Breast. This Marks New Inferior Margin" is. an irregularly shaped piece of yellow-tan fibrofatty breast tissue measuring 4.7x4.7x0.8cm. There is a. stitch present marking the new inferior margin. The margin is inked blue and serially sectioned. On. sectioning little fibrous tissue is seen and no masses or lesions are found. Specimen is submitted in. toto in blocks I1-I10. COMMENT: Review of the original touch prep, for sentinel lymph node #2, shows a single minute focus of metastatic. tumor cells. The metastatic deposit in sentinel lymph node #2 measures 4mm in greatest diameter, and. shows approximately 1mm of extracapsular extension focally. Gross examination of the left breast wide. local excision shows an irregularly shaped 3.7x3.5x1.5cm lesion, which is grossly away from the. margins of excision. On gross examination, there is a separate firm nodule which measures 0.7cm in. diameter which is near the larger tumor mass. Examination of microscopic sections, in the intervening. breast between these two nodules, however shows continuity of the 2nd smaller nodule with the larger. mass, consistent with an irregular, dumbbell shaped single lesion. This patient had ER, PR and HER2. IHC performed on her prior needle core biopsy . These results were ER positive, PR positive and. HER2 was found to be amplified by FISH. Specimens Involved. Specimens: H: WLE LEFT BREAST. BREAST CANCER TEMPLATE. Specimen Type: Excision. Needle Localization: Yes. Laterality: Left. Invasive tumor: Present. Multifocality: No. Specimen size: Size of Invasive focus 3.7cm. Additional dimensions: 3.5cm x 1.5cm. Tumor Site: Upper outer quadrant). Margins: Negative. Distance from closest margin: 0.4cm. Margin: anterior. Tubular score: 1 (>75% tubule). Mitotic score (Olympus 40x): 1 (0-6/10 hpf). Modified Scarff Bloom Richardson Grade: I (3-5 points). Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Nuclear score: 2. Lymph nodes: Sentinel lymph node only. Lymph node status: Positive 1/6 Extranodal extension. DCIS PRESENT?. Pathological staging (pTN): pT 2N1. Microscopic/Diagnostic Dictation: Pathologist,. Microscopic/Diagnostic Dictation: PATHOLOGIST,. Final Review: PATHOLOGIST. Final Review: PATHOLOGIST. Final:PATHOLOGIST,.

expanded version (tokens=2728) : 
 Histological Classification - The diagnosis states that there is a well-differentiated infiltrating ductal carcinoma with a mucinous component in the left breast. The subtype of the breast cancer is LumA (luminal A).

Subtype - LumA

Description of Necrosis - There is no necrosis mentioned in the report.

Tumor Infiltrating Lymphocytes - There is no mention of tumor-infiltrating lymphocytes.

Histological Grade - The SBR (Scarff-Bloom-Richardson) grade of the infiltrating ductal carcinoma is T.

Nuclear Grade - The nuclear score is 2.

Lymphovascular Invasion - No vascular or lymphatic invasion has been identified.

Calcification - There is no mention of calcification.

Receptor Status - The cancer is ER+ (positive for estrogen receptors), PR+ (positive for progesterone receptors), and HER2 negative by FISH.

Ancillary Testing Results - No ancillary testing results are mentioned in the report.

Additionally, the report describes the examination of the sentinel lymph nodes, which revealed that one lymph node (#2) had a metastatic deposit, and it measures 4mm in diameter with extracapsular extension focally. The other five sentinel lymph nodes and the additional margin taken from the left breast were negative for malignancy. The surgical margins of excision were reported to be negative for malignancy. High-resolution images showing tumor characteristics and location would be helpful.

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=2883) : 
 A 75-year-old female was diagnosed with a LumA subtype of well-differentiated infiltrating ductal carcinoma which exhibits no necrosis, vascular/lymphatic invasion, or tumor-infiltrating lymphocytes. The SBR grade of T indicates low malignancy. ER and PR are positive, but HER2 is negative. Sentinel node #2 showed a metastatic deposit measuring 4mm in diameter with focal extracapsular extension. Margins of excision were negative, and no additional ancillary testing was conducted.

