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, SPECIMEN(S): A. EXCISIONAL BIOPSY LEFT BREAST NEEDLE LOCALIZED. B. SLN #1 LEFT AXILLA. C. SLN #2 LEFT AXILLA. CLINICAL HISTORY: Left breast infiltrating lobular carcinoma with Nottingham grade 2; LCIS with. comedonecrosis at the 2:00 position. Ultrasound revealed 12 mm x 15 mm 9 mm lesion. INTRAOPERATIVE CONSULTATION DIAGNOSIS: A-excisional biopsy left breast needle localized: Lesion identified 0.5 cm (gross) from. superior margin. Diagnosis called by Dr. to Dr. DIAGNOSIS: A. BREAST, LEFT, NEEDLE LOCALIZATION WIDE LOCAL EXCISION: - MULTIFOCAL INVASIVE LOBULAR CARCINOMA, NOTTINGHAM. GRADE 2. - 1.7 CM AND 0.1 CM IN SIZE. - DUCTAL CARCINOMA IN SITU (DCIS), MICROPAPILLARY TYPE,. NUCLEAR GRADE 2, WITH MICROCALCIFICATIONS, MINOR. COMPONENT. - LOBULAR CARCINOMA IN SITU (LCIS), PLEOMORPHIC AND CLASSIC. TYPES. - MARGINS, NEGATIVE FOR INVASIVE CARCINOMA, DCIS, AND. PLEOMORPHIC LCIS. - VESSELS WITH MICROCALCIFICATIONS. NOTE: The size of the tumor (1.7 cm) was determined by measuring the tumor in slides. A4 and A5. A 0.1 cm non-contiguous focus of invasive carcinoma was also seen in slide. A12. B. SENTINEL LYMPH NODE 1, LEFT AXILLA, BIOPSY: FOUR LYMPH NODES, NEGATIVE FOR CARCINOMA (0/4). C. SENTINEL LYMPH NODE 2, LEFT AXILLA, BIOPSY: - ONE LYMPH NODE, NEGATIVE FOR CARCINOMA (0/1). SYNOPTIC REPORT - BREAST. Specimen Type: Excision. Needle Localization: Laterality: Left. Invasive Tumor: Present. Multifocality: Yes. WHO CLASSIFICATION. Invasive lobular carcinoma 8520/3. Tumor size: 1.7cm. Tumor Site: 2:00. Margins: Negative. Distance from closest margin: 0.8cm. superior. Tubular Score: 3. Nuclear Grade: 3. Mitotic Score: 1. Modified Scarff Bloom Richardson Grade: 2. Necrosis: Absent. Vascular/Lymphatic Invasion: None identified. Lobular neoplasia: LCIS. Lymph nodes: Sentinel lymph node. Lymph node status: Negative 0/5. DCIS present. Margins uninvolved by DCIS : 0.7 cm from the posterior margin. DCIS Quantity: Estimate 3%. DCIS Type: Micropapillary. DCIS Location: Separate from invasive tumor mass. DCIS Size (pure DCIS only): 0.3cm. Nuclear grade: Intermediate. Necrosis: Absent. Location of CA++: DCIS. Benign epithelium. ER/PR/HER2 Results. ER: Positive. PR: Positive. HER2: Negative by FISH. Performed on Case: Pathological staging (pTN): pT 1c N 0. Pathological staging is based on the AJCC Cancer Staging Manual, 7th Edition. SUMMARY OF IMMUNOHISTOCHEMISTRY/SPECIAL STAINS. Material: Block A3. Population: Tumor Cells. Stain/Marker: Comment: ECADHERIN. Negative. The interpretation of the above immunohistochemistry stain or stains is guided by published results in the medical literature, provided. package information from the manufacturer and by internal review of staining performance and assay validation within the. Immunohistochemistry Laboratory of the. e use of one or more reagents in the above tests is. regulated as an analyte specific reagent (ASR). These tests were developed and their performance characteristic determined by the. Department of Pathology Laboratory at. They have not been cleared or approved by the U.S. Food and. Drug Administration. The FDA has determined that such clearance or approval is not necessary. Special stains and/or immunohistochemical stains were performed with appropriately stained positive and/or negative. controls. GROSS DESCRIPTION: A. EXCISIONAL BIOPSY LEFT BREAST NEEDLE LOCALIZED. Received fresh labeled with the patient's identification and "excisional biopsy left breast. needle localized" is a previously inked, oriented (single stitch-anterior, double stitch-. lateral, triple stitch-superior) 54 g, 3.1 x 3 x 2.9 cm needle localized excision with. radiographs. Ink code: Anterior-yellow, posterior-black, medial-green, lateral-right,. superior-blue, inferior-orange. The specimen is serially sectioned from lateral to medial. into 7 slices revealing a 1.5 x 1.4 x 1.2 cm firm tan stellate mass that is closest to the. superior margin at 0.5 cm and a biopsy clip in slice 3. Tissue is procured; representatively. submitted as per the attached diagram (time placed in formalin): A1: perpendicular sections of lateral margin. A2: slice 2, mid section. A3: slice 3, anterior superior with mass. A4: slice 4, anterior superior with mass. A5: slice 4, posterior superior with mass. A6: slice 4, anterior inferior. A7: slice 4, mid inferior. A8: slice 4, posterior inferior. A9: slice 5, mid superior. A10: slice 5, posterior superior. A11: slice 5, mid section. A12: slice 5, mid inferior. A13: slice 6, anterior superior. A14: slice 6, anterior inferior. A15: perpendicular sections of medial margin. B. SLN #1 LEFT AXILLA. Received fresh labeled with patient's identification and "SLN #1 left axilla" is a piece of. yellow-tan soft tissue, 6.2 x 3.1 x 1.2 cm containing 4 lymph nodes ranging from 0.4 x. 0.3 x 0.2 cm to 1 x 0.7 x 0.6 cm. The lymph nodes are sectioned and submitted entirely. and separately in B1-B4. C. SLN #2 LEFT AXILLA. Received fresh labeled with the patient's identification and "SLN #2 left axilla" is a 1.5. x. 0.9 x 0.7 cm lymph node. It is sectioned and submitted entirely in C1.

expanded version (tokens=1879) : 
 Histological Classification:
- Multifocal Invasive Lobular Carcinoma, Nottingham Grade 2
- Ductal Carcinoma In Situ (DCIS), Micropapillary Type
- Lobular Carcinoma In Situ (LCIS), Pleomorphic and Classic Types

Subtype: LumA

Description of Necrosis: Absent

Tumor-Infiltrating Lymphocytes: None identified

Histological Grade:
- Nuclear Grade: 3
- Mitotic Score: 1
- Modified Scarff Bloom Richardson Grade: 2
- Tubular Score: 3

Lymphovascular Invasion: None identified 

Calcification Location: DCIS 

Receptor Status:
- ER: Positive
- PR: Positive
- HER2: Negative by FISH

IHC and other ancillary testing results: 
- ECADHERIN: Negative
- Pathological staging (pTN): pT 1c N 0

Note: The report suggests that the biopsy was successful in removing the tumor with negative margins, and that there was no lymph node involvement. The cancer is found to be LumA subtype, and several types of cancer were identified, including multifocal invasive lobular carcinoma, DCIS with micropapillary type, and LCIS with pleomorphic and classic types. The tumor had a high histological grade. The receptor status showed positive for both ER and PR, and HER2 was negative by FISH.

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=2022) : 
 Left breast excision biopsy for infiltrating lobular carcinoma, DCIS with a micropapillary type and LCIS with pleomorphic and classic types. LumA subtype diagnosed with high histological grade, negative lymphovascular invasion, presence of calcification in DCIS, and negative ECADHERIN. ER/PR was positive while HER2 had negative FISH results. Resulting prognosis based on this report suggests low risk although further testing may be needed to confirm.

