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. LEFT AXILLARY SENTINEL LYMPH NODE #1. B. LEFT AXILLARY SENTINEL LYMPH NODE #2. C. LEFT AXILLARY SENTINEL LYMPH NODE 3#. D. WLE LEFT BREAST NEEDLE LOCALIZATION. E. ADDITIONAL RETROAREOLAR TISSUE LEFT BREAST. F. LEFT AXILLARY LYMPH NODES. SPECIMEN(S): A. LEFT AXILLARY SENTINEL LYMPH NODE #1. B. LEFT AXILLARY SENTINEL LYMPH NODE #2. C. LEFT AXILLARY SENTINEL LYMPH NODE 3#. D. WLE LEFT BREAST NEEDLE LOCALIZATION. E. ADDITIONAL RETROAREOLAR TISSUE LEFT BREAST. F. LEFT AXILLARY LYMPH NODES. GROSS DESCRIPTION: A. LEFT AXILLARY SENTINEL LYMPH NODE #1. Received fresh is a tan pink lymph node 1.5 x 0.8 x 0.5cm. The specimen is serially sectioned and a. touch prep is taken. Toto A1. B. LEFT AXILLARY SENTINEL LYMPH NODE #2. Received fresh is a tan pink lymph node 1.0 x 0.8 x 0.6cm. The specimen is serially sectioned and a. touch prep is taken. Toto B1. C. LEFT AXILLARY SENTINEL LYMPH NODE #3. Received fresh are 2 tan pink lymph nodes 1.2 x 0.8 x 0.8cm and 1.9 x 1.5 x 0.8cm. The specimens are. serially sectioned and 2 touch preps are taken. C1: 1 lymph node. C2: 1 lymph node. D. LEFT BREAST NEEDLE LOCALIZATION. Received fresh labeled with matching patient identifiers and designated "wide local excision left breast". is a portion of resected breast tissue weighing 290 g and measuring 11 x 9 6 cm. The specimen is. accompanied by a mammogram and needle localization wire. The specimen is received with. orientation, the single short suture designates superior, long suture designates the lateral. The. specimen is inked as follows: Anterior-blue, posterior-black, superior-rer4 orange, medial-green,. lateral-yellow. The specimen is serially sectioned from lateral to medial into 10 sections. Cut section. shows a firm beige ill-defined mass located 0.4-cm from the anterior/inferior margin. The mass. measures 1.7 x 1.1 x 1 cm. the remainder of the specimen shows areas of white fibrous streaking. septae adjacent to the lesion (medial aspect). The specimen was taken to mammography, sections. were x-rayed. Representative sections are submitted as follows: D1: Perpendicular sections lateral margin (section 1). D2: Anterior, demonstrates metallic clip (section 4). D3-D4: Anterior, dense tissue (section 4). D5: Inferior, dense tissue (section 4). D6-D9: Mass, anterior/inferior margin (section 5). D10-D12: Anterior/inferior (section 6). D13-D15: Anterior/superior (section 7). D16-D17: Anterior/posterior (section 8). D18-D19: Anterior/inferior (section 9). D20-D21: Perpendicular sections medial margin (section 10). t. ADDITIONAL RETROAREOLAR TISSUE LEFT BREAST. Blue-Anterior portion. Received in formalin is an oriented tan pink fragment of fibrofatty tissue 1.0 x 0.8 x 0.5cm. The anterior. portion is inked Blue and the specimen is trisected. Toto E1. F. LEFT AXILLARY NON SENTINEL LYMPH NODES. Received in formalin are multiple tan pink soft tissue fragments aggregating to 5.0 x 3.0 x 2.0cm. Dissection reveals 1 fatty lymph node 2.2 X 2.0 x 1.4cm. F1-F2: 1 lymph node. F3: remainder of specimen. DIAGNOSIS: A. LYMPH NODE, SENTINEL #1, LEFT AXILLARY, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). - AE 1/3 NEGATIVE. B. LYMPH NODE, SENTINEL #2, LEFT AXILLARY, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). - AE 1/3 NEGATIVE. C. LYMPH NODE, SENTINEL #3 AND #4, LEFT AXILLARY, BIOPSY: - TWO LYMPH NODES, NEGATIVE FOR METASTASES (0/2). - AE 1/3 NEGATIVE. - S100 MARKS CAPSULAR NEVUS. D. BREAST, LEFT, WIDE LOCAL EXCISION: INVASIVE, LOBULAR CARCINOMA, SBR GRADE 2, MEASURING 2.1-CM. - INVASIVE TUMOR PRESENT AT THE ANTERIOR SURGICAL RESECTION. MARGIN. - PLEOMORPHIC LOBULAR CARCINOMA IN SITU. - SEE SYNOPTIC REPORT AND SEE NOTE. E. BREAST, ADDITIONAL RETROAREOLAR TISSUE, BIOPSY: - INVASIVE LOBULAR CARCINOMA PRESENT AT INKED SURGICAL. RESECTION MARGIN, SEE NOTE. F. LYMPH NODE, LEFT AXILLARY, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR METASTASES (0/1). NOTE: The specimen was serially sectioned and x-rayed. The main mass was identified in slice #5. In. slices #6 and 7, suspicious density is identified. This corresponds to the extending density seen on the. mammogram. The main mass and the extending density microscopically are invasive lobular. carcinoma. Also identified is metallic clip (area submitted in #D2). This are shows focus of LCIS. The. largest invasive tumor measured on the slide (2.1-cm). The tumor is present at the anterior surgical resection margin (slide #D7) at a distance of 7-mm. The. additional retroareolar tissue (part E.) also shows invasive tumor, presents at the anterior marked. margin at a distance of 2-mm. Breast biomarkers pending and addendum report to follow. SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Yes - For mass. Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive lobular carcinoma 8520/3. Tumor size: 2.1cm. Tumor Site: Not specified. Margins: Involved at. anterior. Extent:: see note. Tubular Score: 3. Nuclear Grade: 2. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/5. DCIS not present. ER/PR/HER2 Results. ER: Pending. PR: Pending. HER2: Pending. Pathological staging (pTN): pT 2N0. CLINICAL HISTORY: 46 year old with Left Breast Cancer. PRE-OPERATIVE DIAGNOSIS: Left Breast Cancer. INTRAOPERATIVE CONSULTATION. TPA-TPB: Negative for tumor. Diagnosis called to Dr at. (A) and. (B) by Dr. TPC1-TPC2: Atypical (both lymph nodes). Diagnosis called to Dr. at. by Dr. ADDENDUM: E-cadherin is negative compatible with lobular carcinoma phenotype. SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimen: Surgical Excision. Block Number: D7. ER: Positive. Allred Score: 8 = Proportion Score 5. +. Intensity Score 3. PR: Positive. Allred Score: 5. = Proportion Score. 2. +. Intensity Score 3. 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. Immunohistochemistry was performed using the mouse anti-human ER (ER 1D5, 1:100) and PR (PGR. 136, 1:100) provided by Dako (Dako, Carpenteria, CA) following the manufacturer S instructions. This. assay was not modified. Interpretation of the ER/PR immunohistochemical stain is guided by published. results in the medical literature, information provided by the reagent manufacturer and by internal. review of staining performance. SYNOPTIC REPORT - BREAST HER-2 RESULTS. Specimen: Surgical Excision. Block Number: D7. Interpretation: NEGATIVE. Intensity: 0. % Tumor Staining: 0%. Fish Ordered: METHODOLOGY: Tissue was fixed in 10% neutral buffered formalin for no less than 8 and no longer than 24 hours. Her2 analysis was performed using the FDA approved Dako HercepTest (TM) test kit (. sing rabbit anti-human HER2. This assay was not modified. External kit-slides. provided by the manufacturer (cell lines with high, low and negative HER2 protein expression) and in-. house known HER2 amplified control tissue were evaluated along with the test tissue. Adequate, well. preserved, clear-cut invasive carcinoma was identified for HER2 evaluation. Interpretation of the HER2. immunohistochemical stain is guided by published results in the medical literature, information provided. by the reagent manufacturer and by internal review of staining performance. This assay has been validated according to the. joint recommendations and guidelines from. ASCO and CAP and from the NCCN HER2 testing in Breast Cancer Task Force. The Pathology. Department takes full responsibility for this test's performance. ONCOTYPE DX BREAST CANCER ASSAY. RESULTS: Recurrence Score: 29. CLINICAL EXPERIENCE: Patients with a recurrence score of: 29 in the clinical validation study. had an average rate of Distant Recurrence at 10 years of 19%. ER Score: 7.2 Positive. PR Score: 5.8 Positive. Her2 Score: 7.6 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. Addendum: Pathologist,. Addendum Final: Pathologis:

expanded version (tokens=2992) : 
 Histological Classification:
- Invasive lobular carcinoma (ILC) (subtype LumA)
- Pleomorphic lobular carcinoma in situ (LCIS)

Description:
- The main mass is identified as invasive lobular carcinoma (ILC) on slice #5
- In slices #6 and #7, suspicious density is identified, which corresponds to the extending density seen on the mammogram.
- metallic clip (area submitted in #D2) shows a focus of LCIS
- Tumor is present at the anterior surgical resection margin (slide #D7) at a distance of 7-mm
- Additional retroareolar tissue (part E.) also shows invasive tumor, which presents at the anterior marked margin at a distance of 2-mm.

Subtype: 
- LumA

Diagnostic markers:
- ER: Positive
- PR: Positive
- HER2: Negative

Other findings:
- Lymphovascular invasion: None identified.
- Tumor infiltrating lymphocytes: Not mentioned.
- Histological grade: SBR Grade 2
- Nuclear grade: 2
- Calcification: Not mentioned
- Lymph nodes: Sentinel lymph node only
- Lymph node status: Negative 0/5
- Oncotype DX Breast Cancer Assay: Recurrence score of 29

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=3139) : 
 The pathological report shows a LumA subtype invasive lobular carcinoma (ILC) in a 46-year-old female's left breast. Pleomorphic lobular carcinoma in situ was also detected. ER and PR were positive, while HER2 is negative. Lymphovascular invasion was not identified, nor were tumor infiltrating lymphocytes mentioned. Oncotype DX Breast Cancer Assay reported the recurrence score as 29. Lymph nodes were sentinel only, and evidence of metastases was not found.

