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 NODE #1 LEFT AXILLA. B. SENTINEL NODE #2. C. WLE LEFT BREAST. D. SENTINEL NODE #3. NEEDLE LOCALIZATION Path S.te: breast, upper outer quadrent (50.4. E. SUPERIOR MARGIN. F. SENTINEL NODE #4. SPECIMEN(S): A. SENTINEL NODE #1 LEFT AXILLA. B. SENTINEL NODE #2. C. WLE LEFT BREAST NEEDLE LOCALIZATION. D. SENTINEL NODE #3. E. SUPERIOR MARGIN. F. SENTINEL NODE #4. GROSS DESCRIPTION: A. SENTINEL NODE #1 LEFT AXILLA. Received fresh is a tan pink lymph node 1.5 x 1.0 x 1.0cm. The specimen is serially sectioned and. touch preps are taken. Toto A1. B. SENTINEL LYMPH NODE #2. LEFT AXILLA. Received fresh is a tan pink lymph node 0.3 x 0.2 x 0.2cm. The specimen is serially sectioned and. touch preps are taken. Toto B1. C. LEFT BREAST WIDE LOCAL EXCISION NEEDLE LOCALIZATION: Received in fresh state is a specimen labeled with patient's name and identification number as above. and specimen labeled as "wide local excision left breast needle localization". The specimen consists of. a resected portion of predominantly fatty breast tissue weighing 122 grams and measures 12.0 x 7.5 x. 3.0 cm. Attached portion of skin along the anterior aspect measures 5.0 x 2.2 cm. and skin surface. grossly shows no identifiable ulceration. There is a needle localization wire in place and included. radiogram of the specimen indicating the area of density. The margins of the specimen are oriented with. sutures, one suture and one clip-anterior, two sutures and two clips-lateral, three clips and three. sutures-superior. The margins of the specimen are color coded as follows: red-superior, orange-. inferior, blue-anterior, green-lateral, yellow-medial and black-posterior. On serial cut sections, along the. off mid portion of the specimen is a tan-white firm tumor measuring 1.5 x 1.5 x 1.0 cm. with a slightly. stellate irregular borders seen 1.5 cm. from the deep margin, 1.7 cm. from the superior, 2.2 cm. from. the anterior, 3.0 cm. from the lateral margin and 3.0 cm. from the medial margin. The main bulk of the. specimen shows a predominantly fatty breast tissue with occasional narrow strands of fibrous stroma. There is no other identifiable tumor focus. Multiple sections are submitted in cassettes labelled as. follows: C1 through C10: full section of the tumor with margins. C1- tumor with posterior margin. C2 -section adjacent to the tumor. C3 -includes sections of the anterior margin. C4: includes sections with inferior margin. C6: includes sections with superior margin. C11-C12: sections that includes medial margin. C13: additional sections from medial margin. C14-C15: sections includes lateral margin. C16: includes sections from the inferior/lateral margin. C17-C18: one en block section. C19-C20: additional sections from tumor without margins. D. SENTINEL NODE #3. Received fresh are two pieces of fatty tissue in aggregate measuring 3 x 3 x 1 cm. One lymph node is. identified measuring 0.4 x 0.3 x 0.2 cm. A touch prep is performed and touch prep diagnosis is given. The lymph node is submitted entirely in cassette D1. E. SUPERIOR MRGIN: Received labeled with patient name and designated as "superior margin" consists of a 4.7 x 3.0 x 1.0. cm. and weighing 15 grams segment of breast parenchyma. It is oriented with one suture marking true. superior margin. The margin is inked. It is serially sectioned and the cross surface shows multiple focal. white areas alternating with yellow breast parenchyma. No discrete is identified. The specimen is. submitted entirely in 8 cassettes: E1-E8: sequentially submitted. F. SENTINEL NODE #4. Received fresh is a piece of fatty tissue measuring 3 x 2 x 0.5 cm. One lymph node is identified. measuring 1.2 x 0.3 x 0.3 cm. A touch prep is performed and touch prep diagnosis is given. The lymph. node is submitted entirely in cassette F1. DIAGNOSIS: A. SENTINEL NODE #1, LEFT AXILLA: - ONE LYMPH NODE - NEGATIVE FOR TUMOR (0/1). B. SENTINEL NODE #2, LEFT AXILLA: - ONE LYMPH NODE - NEGATIVE FOR TUMOR (0/1). C. LEFT BREAST, NEEDLE LOCALIZATION WIDE LOCAL EXCISION: - INVASIVE DUCTAL CARCINOMA, SBR GRADE 2. - SIZE OF TUMOR: 1.5 x 1.5 x 1.0 CM. - INVOLUTIONAL CHANGE WITH FOCAL CYSTIC APOCRINE CHANGE -. -MARGINS OF RESECTION -NEGATIVE FOR TUMOR. D. SENTINEL LYMPH NODE #3, LEFT AXILLA: - ONE LYMPH NODE - NEGATIVE FOR TUMOR (0/1). E.. SUPERIOR MARGIN, LEFT BREAST: - PREDOMINANTLY FATTY BREAST TISSUE - NEGATIVE FOR TUMOR. F. SENTINEL LYMPH NODE #4: - ONE LYMPH NODE - NEGATIVE FOR TUMOR (0/1). SYNOPTIC REPORT - BREAST. Specimens Involved. Specimens: A: SENTINEL NODE #1 LEFT AXILLA. B: SENTINEL NODE #2. C: WLE LEFT BREAST NEEDLE LOCALIZATION. D: SENTINEL NODE #3. E: SUPERIOR MARGIN. F: SENTINEL NODE #4. Specimen Type: Lumpectomy - for mass. Needle Localization: Laterality: Left. Invasive Tumor: Present. Multifocality: No. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 1.5cm. Additional dimensions: 1.5cm x 1cm. Tumor Site: Upper outer quadrant. Margins: Negative. Distance from closest margin: Distance from closest margin: 1.5 cm. Posterior. Tubular Score: 2. Nuclear Grade: 2. Mitotic Score: 2. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: None. Lymph nodes: Sentinel lymph node only. Lymph node status: Negative 0/4. Non-neoplastic areas: Involutional changes. DCIS not present. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Pending. Performed on Case: current case- ER-positive (allred score-8);PR-positive-allred score-6). Pathological staging (pTN): pT 1c NO. SYNOPTIC REPORT - BREAST, ER/PR RESULTS. Specimens Involved. Specimens: C: WLE LEFT BREAST NEEDLE LOCALIZATION. Specimen: Surgical Excision. Block Number: ER: Positive. Allred Score: 8 = Proportion Score 5 + Intensity Score. 3. PR: Positive. Allred Score: 6 = Proportion Score 4 + Intensity Score 2. COMMENT: The Alired 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. 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. PRE-OPERATIVE DIAGNOSIS: Left Breast Cancer. INTRAOPERATIVE CONSULTATION: TPA/TPB: No carcinoma identified. Diagnosis called to Dr. at. Part A),. Part B), by. Dr. TPD: Sentinel lymph node number 3 no carcinoma identified called by Dr. related Dr. at. TPF: Lymph node left axillary sentinel excision: No carcinoma identified called by Dr. to Dr. at. C: Gross margins - negative for tumor by Dr. ADDENDUM: SYNOPTIC REPORT - BREAST HER-2 RESULTS. Specimen: Surgical Excision. Block Number: Interpretation: NEGATIVE. Intensity: 1+. % Tumor Staining: 8%. 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. ) using 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 well in-. house known HER2 amplified control tissue were evaluated along with the test tissue. Adequate, HER2. preserved, clear-cut invasive carcinoma was identified for HER2 evaluation. Interpretation of the. immunohistochemical stain is guided by published results in the medical literature, information provided. by the reagent manufacturer and by internal review of staining performance. ASCO and CAP and from the NCCN HER2 testing in Breast Cancer Task Force. Department takes full. This assay has been validated according to the 2007 joint recommendations and guidelines from. responsibility for this test's performance. Microscopic/Diagnostic Dictation: , M.D., Pathologist,. Microscopic/Diagnostic Dictation: M.U., Pathologist. Final Review: , M.D., Pathologist,. Microscopic/Diagnostic Dictation: M.D., Pathologist,. Microscopia/Diagnostic Dictation: M.D., Pathologist,. Final Review: M.D., Pathologist,. Final: , M.D., Pathologist,. Addendum: M.D., Pathologist,. Addendum Final:, M.D., Pathologist,.

expanded version (tokens=2869) : 
 The following information can be extracted from the breast pathology report:

- Histological classification: Invasive Ductal Carcinoma, SBR Grade 2
- Subtype: Luminal A
- Description of any necrosis: Absent
- Any mention of tumor-infiltrating lymphocytes: None identified
- Histological grade: Modified Scarff Bloom Richardson Grade 2
- Nuclear grade: 2
- Lymphovascular invasion: None identified
- Calcification: No discrete is identified
- Receptor status: ER-positive (Allred score 8), PR-positive (Allred score 6), HER2-negative (intensity 1+, % tumor staining: 8%)
- IHC and other ancillary testing results: Sentinel lymph nodes #1, #2, #3, and #4 are negative for tumor. Tubular score: 2.

Additional details:
- The cancer is located in the upper outer quadrant of the left breast, measures 1.5 x 1.5 x 1.0 cm, and is surrounded by predominantly fatty breast tissue.
- The margins of resection are negative for tumor.
- The lymph nodes that were examined are all negative for tumor (0/1).
- There is involutional change with focal cystic apocrine change.
- The specimen is oriented with sutures and clips to mark the margins, and multiple sections are submitted for examination.
- The Alired score for estrogen and prog

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=3025) : 
 The patient has invasive ductal carcinoma, SBR Grade 2, subtype luminal A, ER-positive (Allred score 8), PR-positive (Allred score 6), HER2-negative. The cancer measures 1.5 cm and is located in the upper outer quadrant of the left breast, surrounded by predominantly fatty tissue. All margins are negative for tumor. Sentinel lymph nodes #1 to #4 are negative for tumor. There is no necrosis or lymphovascular invasion, and no identifiable tumor infiltrating lymphocytes.

