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 Normal, F. Pathologic Interpretation: A. Sentinel node #1. FS: - One lymph node, no malignancy seen. - Keratin stain ordered. 8. Sentinel node #2 (. FS: - One lymph node, no malignancy seen. - Keratin stain ordered. C. Right breast mass oriental with 1 short stitch superior, 1 long stitch lateral: - Infiltrating moderately differentiated ductal adenocarcinoma, high nuclear grade (2.4 x 2.3 x 1.9 cm) with extensive prior. therapy changes. - focal ductal carcinoma in situ, high nuclear grade, comedo and cribriform types associated to main tumor in 4 of 10. slides. - Intratumoral damages of previous biopsy site (fibrosis and hemorrhage). - Margins free of tumor. Tumor Summary: Specimen Type: Excision. Lymph Node Sampling: Sentinel lymph nodes only. Specimen Size (for excisions less than total mastectomy): 9 x 6.5 x 4 cm. Laterality: Right. Tumor Site: Not specified. Size of Invasive Component: 2.4 x 2.3 x 1.9 cm. Histologic Type: Ductal carcinoma in situ. Invasive ductal carcinoma. Histologic Grade (any grading system may be used; mitotic count Is also required Independent of the grading. system): -Tubule Formation: Minimal less than 10% (score =3). -Nuclear Pleomorphism: Marked variation in size, nucleoli, chromatin clumping, etc (score =3). -For a 40x objective with a field area of 0.152 mm²: Greater than 10 mitoses per 10 HPF (score =3). Total Nottingham Score: Grade III:8-9 points. Pathologic Staging: -Primary Tumor: pT2c. -Regional Lymph Nodes: pNO. -Distant Metastasis: pMX. Margins: Uninvolved by invasive carcinoma. Uninvolved by DCIS. Venous/Lymphatic (Large/Small Vessel) Invasion (V/L): Absent. Microcalcifications: Not identified. Commment: On the prior blopsy. tumor was negative for ER and PR and equivocal for Her 2-neu by. Immunohistochemistry. FISH for Her 2-neu was not amplified. SURGICAL PATHOL Report. NOTE: Some immunohissochemical antibodies are analyte specific reagents (ASRs) vulidated by our laboratory. These ASRs ary clinically useful indicators that do not require FOA approval. These clones are used: IDS=ER, PgR 636=PR, A485=HER2, H-II=EGFR. All stains are tued with formalin or molecular fired. paruffin embedded tissue. Detection is by Emision Method. The results are read by a. pathologist as positive or negathr. As the attending pathologist, / attest that I: (i) Examined the relevant preparation(s). for the specimen(s); and (II) Rendered the diagnosis(es). a, MD. Procedures/Addenda. Addendum. Date Complete: Addendum Piagnos. Addend. - No tu. sing keratin by Immunohistochemistry. Intraoper. A. Sentin noue # ,. S: No tumor seen. B. Sentinel node #2 (. i. a tumor seen. : MD. Clinical History: None provided. Operation Performed. Right breast lumpectomy with sentinel node blopsy. Pre Operative Diagnosis: Breast cancer. Specimen(s) Received: A: Sentinel node #1 I. FS. B: Sentinel node #2. F FS. C: Right breast mass oriental with 1 short stitch superior, 1 long stitch lateral. Gross Description: A. Received fresh is a pale tan to light brown lymph node, 1 x 0.8 cm. The specimen is submitted in toto in two cassettes. for frozen section. B. Received fresh is a pale tan lymph node, 1.2 x 1 cm. The specimen is submitted in toto in one block for frozen section. C. Received in formalin is a yellow-tan fibroadipose tissue fragment, 110 grams, 9 x 6.5 x4 cm. The specimen is oriented. with a short stitch superior and a long stitch lateral margin. The specimen is inked as follows: superior margin - black,. SURGICAL PATHOL Report. inferior margin - yellow, posterior margin - green, anterior margin - blue, lateral margin - orange, and medial margin -. red. Cross sections through the specimen show a yellow-tan cut surface. Located 4 mm from the anterior and superior. margin is an ill-defined, markedly firm, slightly hemorrhagic mass, 2.4 X 2.3 x 1.9 cm. No other firm masses are grossly. identified. The large ill-defined mass does not appear to grossly involve any surgical margin. Sections are. submitted. as. follows: 1. Anterosuperior margin. 2. Inferior margin. 3. Deep margin. 4. Anterior margin. 5. Lateral margin. 6. Medial margin. 7&8. Composite section of the largest axis of the mass. 9&10. Additional sections from the mass in relation to the anterior margin.

expanded version (tokens=1553) : 
 Histological classification: The report mentions that the patient has infiltrating moderately differentiated ductal adenocarcinoma, high nuclear grade, and focal ductal carcinoma in situ. The tumor is described to be 2.4 x 2.3 x 1.9 cm in size.

Subtype: Normal, F.

Necrosis: No mention of necrosis is given in the report.

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes is given in the report.

Histological grade: The histological grade of the tumor is Grade III: 8-9 points.

Nuclear grade: The nuclear grade is high with marked variation in size, nucleoli, chromatin clumping, etc.

Lymphovascular invasion: Absent.

Calcification: Not identified.

Receptor status: On the prior biopsy, the tumor was negative for ER and PR and equivocal for Her 2-neu by Immunohistochemistry. FISH for Her 2-neu was not amplified. Some immunohistochemical antibodies are analyte specific reagents (ASRs) validated by the laboratory. The clones are used: IDS=ER, PgR 636=PR, A485=HER2, H-II=EGFR. All stains are directed with formalin or molecular fired paraffin-embedded tissue. Detection is by Emision Method. The results are read by a pathologist as positive or negative.

Ancillary testing: Keratin stain

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=1718) : 
 Report shows infiltrating moderately differentiated ductal adenocarcinoma, high nuclear grade, and focal ductal carcinoma in situ. Margins are free of tumor, lymphovascular invasion is absent, and no calcifications are seen. The histologic grade of the tumor is Grade III: 8-9 points with a high nuclear grade and no mention of tumor infiltrating lymphocytes. The prior biopsy showed negative ER and PR and equivocal Her 2-neu by immunohistochemistry; FISH for Her 2-neu was not amplified. Keratin stain ordered.

