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 Basal, SPECIMENS: A. LEFT MODIFIED RADICAL MASTECTOMY. B. LEFT AXILLARY CONTENTS LEVELS 1 AND 2. SPECIMEN(S): A. LEFT MODIFIED RADICAL MASTECTOMY. B. LEFT AXILLARY CONTENTS LEVELS 1 AND 2. INTRAOPERATIVE CONSULTATION DIAGNOSIS: Gross Exam A Left breast, modified radical mastectomy: Tumor is grossly 0.1 cm for posterior margin. and >0.5 cm from other margins. By Dr., called to Dr. at. GROSS DESCRIPTION: A. LEFT MODIFIED RADICAL MASTECTOMY. Received fresh labeled with the patient name designated "left modified radical mastectomy", is a. resected mastectomy specimen weighing 203 grams and measuring 19.6 x 7.5 x 5.8 cm. Specimen is. received with orientation, a suture indicating the axillary tail. The ellipse of beige-tan skin measures. 15.8 x 7.2 cm. The light brown areola measures 2.5 cm in diameter. The everted nipple measures 1.3. cm in diameter. The surface of the skin shows two firm masses, the larger measuring 2.5 x 2, the. smaller measuring 0.6 x 0.6 cm. A large mass is palpated beneath the two lesions. The deep posterior. margin is inked black, the anterior is inked orange. The specimen is serially sectioned from lateral to. medial. Cut section shows a beige-tan firm, slightly necrotic mass which demonstrates a thick amber. colored mucoid fluid. The mass lies just beneath the deep margin at a distance of 0.1 cm. The mass. occupies the upper outer quadrant into the axillary tail. The mass measures 6.8 x 6.5 x 3.5 cm. The. remainder of the specimen shows dark yellow lobulated adipose tissue with focal areas of white firm,. fibrous parenchyma. A portion of the specimen is submitted for tissue procurement. Gross. photographs are taken. Representative sections are submitted as follows: A1-A2: sections of lesion and closest margin, posterior, and skin. A3-A4: one full thickness section from skin to deep margin with lesion. A5-A11: sections of lesion from upper-outer quadrant through mid portion. A12-A13: sections of lower-outer quadrant. A14-A15: representative sections lower-inner quadrant. A16-A17: representative sections upper-inner quadrant. A18-A19: sections of nipple. A20-A24: axillary lymph nodes, 2 sections from each. B. LEFT AXILLARY CONTENTS LEVELS 1&2. Received fresh are multiple tan-pink fragments of fibrofatty tissue aggregating to 6.0 x 3.0 x 2.0 cm. Dissection reveals 13 possible lymph nodes ranging from 0.1 x 0.1 x 0.1 cm to 3.5 x 2.5 x 2.0 cm. Section code: B1: Three possible lymph nodes. B2: Four possible lymph nodes. B3: Two possible lymph nodes. B4: Two possible lymph nodes. B5: One lymph node serially sectioned. B6-B10: Largest lymph node serially sectioned. DIAGNOSIS: A. BREAST, LEFT, MODIFIED RADICAL MASTECTOMY: MULTIFOCAL, INVASIVE, DUCTAL CARCINOMA, SBR GRADE 3 WITH. NECROSIS, LARGEST FOCUS MEASURES 6.8-CM, INVOLVING LATERAL. HALF OF THE BREAST WITH EXTENSION TO SUPERFICIAL DERMIS. - SURGICAL RESECTION MARGINS ARE NEGATIVE FOR CARCINOMA. - LYMPHOVASCULAR AND PERINEURAL INVASIONS IDENTIFIED. - METASTATIC CARCINOMA TO TWO OF THREE LYMPH NODES (2/3), WITH. EXTRANODAL EXTENSION, LARGEST MEASURING 2.8-CM. - SEE SYNOPTIC REPORT. B. LYMPH NODES, LEFT AXILLARY CONTENTS, LEVELS 1 AND 2, RESECTION: - METASTATIC CARCINOMA TO NINE OF TWELVE LYMPH NODES (9/12),. WITH EXTRANODAL EXTENSION, LARGEST MEASURING 3.5-CM. SYNOPTIC REPORT - BREAST. Specimen Type: Mastectomy. Needle Localization: No. Laterality: Left. Invasive tumor: Present. Multifocality: Yes. WHO CLASSIFICATION. Invasive ductal carcinoma, NOS 8500/3. Tumor size: 6.8cm. Tumor site: Upper outer quadrant. Lower outer quadrant. Margins: Negative. Distance from closest margin: 0.4cm. deep. Tubular score: 3. Nuclear grade: 3. Mitotic score:3. Modified Scarff Bloom Richardson Grade: 3. Necrosis: Present. Vascular/Lymphatic Invasion: Present. Extent: focal. Lobular neoplasia: None. Lymph nodes: Axillary dissection. Lymph node status: Positive 11 / 15 Extranodal extension. Non-neoplastic areas: fibroadenoma. DCIS not present. ER/PR/HER2 Results. Performed on Case: ER: Negative. PR: Negative. HER2: Negative by FISH. Pathological staging (pTN): pT 3 N 3a. CLINICAL HISTORY: year old female with large left breast IDC/ulcerating - now for modified radical mastectomy (left). PRE-OPERATIVE DIAGNOSIS: Left breast carcinoma. Microscopic/Diagnostic Dictation: Pathologist,. Final Review: Pathologist. Microscopic/Diagnostic Dictation: Pathologist,. Final Review:. Pathologist,. Final: Pathologist,.

expanded version (tokens=1700) : 
 Histological classification: Invasive ductal carcinoma, NOS.
Subtype: Basal
Specimen Type: Mastectomy.
Tumor size: 6.8cm.
Tumor site: Upper outer quadrant. Lower outer quadrant.
Margins: Negative. Distance from closest margin: 0.4cm deep.
Histological grade: Modified Scarff Bloom Richardson Grade 3. Nuclear grade 3.
Necrosis: Present, focal extent.
Tumor infiltrating lymphocytes: Not mentioned.
Lymphovascular invasion: Present.
Calcification: Not mentioned.
Receptor status: ER- Negative, PR- Negative, HER2- Negative by FISH.
Ancillary testing results: Tubular score- 3, Mitotic score- 3.
Lymph node status: Positive 11 / 15 Extranodal extension. 
Non-neoplastic areas: Fibroadenoma.

Summary:
The pathology report indicates that the patient had a left modified radical mastectomy due to multifocal invasive ductal carcinoma, NOS that measured 6.8cm and involved the upper outer quadrant and lower outer quadrant of the breast with extension to the superficial dermis. The tumor is histologically graded as modified Scarff Bloom Richardson Grade 3 and nuclear grade 3. Necrosis is present in a focal extent. Lymphovascular invasion and metastatic carcinoma to lymph nodes with extranodal extension is seen. The tumor is negative for ER, PR, and HER2 receptors

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=1834) : 
 A 6.8cm modified radical mastectomy of the left breast showed invasive ductal carcinoma, NOS with a basal subtype and necrosis present in a focal extent. Negative margins were seen with lymphovascular invasion, positive lymph nodes and extranodal extension. The tumor was ER, PR and HER2-negative by FISH. The histological grade was Scarff Bloom Richardson Grade 3 and nuclear grade 3.

