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 Her2, RUN DATE. RUN TIME: Path # : Copies to: Submit Dr: SPECIMEN ID: A. - RIGHT BREAST MASS, B. . - ADDITIONAL RIGHT BREAST TISSUE, INFEROLATERAL,. C. . - ADDITIONAL RIGHT BREAST TISSUE, SUPERFICIAL, D. . - RIGHT AXILLARY CONTENTS. A. RIGHT BREAST MASS: - INVASIVE AND IN SITU, POORLY DIFFERENTIATED DUCTAL CARCINOMA, 1.0 CM. - THE TUMOR CELLS ARE NEGATIVE FOR er AND pr AND EQUIVOCAL FOR HER2 BY. IMMUNOHISTOCHEMISTRY PERFORMED ON PATIENT'S PREVIOUS BIOPSY (. - HER2 WITH FTSH TS AMDT,IFIED (POSITIVE), PERFORMED ON PATIENTS'S PREVIOUS BIOPSY. - SEE TUMOR SUMMARY. B. ADDITIONAL RIGHT BREAST TISSUE INFEROLATERAL: - INVASIVE DUCTAL CARCINOMA AT LESS THAN 1.0 MM FROM INKED MARGIN. C. ADDITIONAL RIGHT BREAST TISSUE SUPERFICIAL: - NO CARCINOMA SEEN IN FIBROADIPOSE TISSUE. D. RIGHT AXILLARY CONTENTS: - METASTATIC CARCINOMA TO NINETEEN OUT OF TWENTY-ONE LYMPH NODES (19/21). - PERINODAL TUMORAL EXTENSION IS SEEN. - LARGEST METASTATIC NODE: 2.5 CM. - SEE TUMOR SUMMARY. BREAST CANCER SUMMARY. SPECIMEN TYPE: LUMPECTOMY. This report is privileged, confidential and exempt from disclosure under applicable law. If you receive this report inadvertently, please call. and. return the report to us by mail. RUN DATE: RUN TIME: SURGICAL DATHOLOGY REPORT. FINAL DIAGNOSIS. LYMPH NODE SAMPLING: AXILLARY DISSECTION. SPECIMEN SIZE: GREATEST DIMENSION: 9.3 CM. ADDITIONAL DIMENSIONS: 9.0 x 6.5 CM. LATERALITY: RIGHT. TUMOR SITE: NOT SPECIFIED. SIZE OF INVASIVE COMPONENT: GREATEST DIMENSION: 1.0 CM. HISTOLOGIC TYPE: INVASIVE DUCTAL CARCINOMA. NOTTINGHAM SCORE: III (3+3+3=9). TUBULE FORMATION: MINIMAL LESS THAN 10% (SCORE 3). NUCLEAR PLEOMORPHISM: MARKED VARIATION IN SIZE, NUCLEOLI, CHROMATIN CLUMPING, ETC. (SCORE 3). MITOTIC COUNT: GREATER THAN 20 MITOSES PER 10 HPF (SCORE 3). PRIMARY TUMOR: pT1b - TUMOR MORE THAN 0.5 CM BUT NOT MORE THAN 1.0 CM IN GREATEST DIMENSION. REGIONAL LYMPH NODES: pN3a - METASTASIS IN 10 OR MORE AXILLARY LYMPH NODES (AT LEAST 1. TUMOR DEPOSIT GREATER THAN 2.0 MM) OR METASTASIS TO THE INFRACLAVICULAR LYMPH NODES. NUMBER EXAMINED: 21. NUMBER INVOLVED: 19. DISTANT METASTASIS: pMX - CANNOT BE ASSESSED. MARGINS: MARGINS UNINVOLVED BY INVASIVE CARCINOMA. CLOSEST MARGIN: AT LESS THAN 1 MM. (INFEROLATERAL MARGIN ) (SPECIMEN B). MARGINS UNINVOLVED BY DCIS. CLOSEST MARGIN: AT LESS THAN 1 MM. (INFEROLATERAL MARGIN) (SPECIMEN B). VENOUS/LYMPHATIC INVASION: ABSENT. MICROCALCIFICATIONS: PRESENT IN DCIS. AJCC: pT1b, N3a, MX. IMMUNOHISTOCHEMISTRY STAINS AND HER2 FISH ANALYSIS PERFORMED ON PATIENT'S PREVIOUS BIOPSY. ER - NEGATIVE. PR - NEGATIVE. HER2 IHC - EQUIVOCAL. HER2 BY FISH - POSITIVE (AMPLIFIED). This report is privileged, confidential and exempt from disclosure under applicable law. If you receive this report inadvertently, please call. and. return the report to us by mail. RUN DATE: RUN TIME: CLINICAL HISTORY-. PRE-OP DX: RIGHT BREAST CARCINOMA. PROCEDURE: RIGHT BREAST LUMPECTOMY, AXILLARY LYMPH NODE DISSECTION,. GROSS DESCRIPTION: SPECIMEN A IS LABELED RIGHT BREAST MASS AND CONSISTS OF YELLOW-GRAY LUMPECTOMY MEASURING. 9.3 x 9.0 x 6.5 CM AND WEIGHS 75.7 GRAMS. THE SPECIMEN IS ORIENTED WITH A SHORT STITCH AT. THE SUPERIOR MARGIN, A LONG STITCH AT THE LATERAL MARGIN AND CLIP INFEROLATERAL CORNER. THE SPECIMEN REVEALS A LIGHT TAN ELLIPSES OF SKIN MEASURING 3.5 x 0.8 CM. THE SPECIMEN IS. INKED AS FOLLOWS: SUPERIOR MARGIN INKED RED, INFERIOR MARGIN INKED ORANGE, LATERAL MARGIN. INKED GREEN, MEDIAL MARGIN INKED BLUE, INFEROLATERAL MARGIN INKED YELLOW AND DEEP MARGIN. INKED IN BLACK. MULTIPLE CROSS SECTIONS REVEAL AN ILL-DEFINED, GRAY-PINK, INDURATED AREAS. MEASURING APPROXIMATELY 1.0 x 1.0 CM. THIS AREA IS LOCATED AT 0.7 CM FROM THE INFERIOR. MARGIN (NEAREST) THERE IS AN ILL-DEFINED, GRAY-PINK MICROCYSTIC ASPECT LOCATED AT 0.3. CM FROM THE INFEROLATERAL MARGIN (NEAREST). THE REST OF THE SPECIMEN IS YELLOW, HOMOGENOUS. CUT SURFACE. THE STROMA IS SUBMITTED IN TOTO IN 16 CASSETTES. 1 - SUPERIOR MARGIN. 2 - INFEERIOR MARGIN. 3 - LATERAL MARGIN. 4 - MEDIAL MARGIN. 5 - ANTERIOR MARGIN. 6 - DEEP MARGIN. 7-12 - TUMOR. 13-16 -- CLIPPED AREA. SPECIMEN B IS LABELED ADDITIONAL RIGHT BREAST TISSUE, INFEROLATERAL MARGIN AND CONSISTS OF. YELLOW-PINK ADIPSOSE TISSUE MEASURING 3.5 x 1.5 x 0.7 CM. THE NEW MARGIN IS INKED YELLOW. AND THE OPPOSITE MARGIN IS INKED ORANGE. MULTIPLE CROSS SECTIONS REVEAL A GRAY-PINK,. INDURATED AREA MEASURING 1.0 CM. THE REST OF THE TISSUE IS YELLOW, HOMOGENEOUS CUT. SURFACE. SUBMITTED IN TOTO IN FIVE CASSETTES. SPECIMEN C IS LABELED ADDITIONAL RIGHT BREAST TISSUE, SUPERFICIAL AND CONSISTS OF THREE. YELLOW-PINK, ADIPOSE TISSUE MEASURING IN AGGREGATE 3.0 x 2.0 x 1.0 CM. CROSS SECTIONS. REVEAL YELLOW-GRAY, HOMOGENEOUS CUT SURFACE. SUBMITTED IN TOTO IN THREE CASSETTES. SPECIMEN D IS LABELED RIGHT AXILLARY CONTENTS AND CONSISTS OF GRAY-PINK, ADIPOSE TISSUE. MEASURING 9.0 x 7.0 x 3.5 CM. CROSS SECTIONS REVEAL 28 POSSIBLE LYMPH NODES MEASURING UP. TO 2.5 CM IN GREATEST DIMENSION. REPRESENTATIVE SECTIONS SUBMITTED IN 14 CASSETTES. 1-2 - ONE LYMPH NODE BISECTED. 3-8 - ONE LYMPH NODE BISECTED. 9 - TWO LYMPH NODES BISECTED. 10-14 - MULTIPLE LYMPH NODES. This report is privileged, confidential and exempt from disclosure under applicable law. If you receive this report inadvertently, please call. and. return the report to us by mail. RUN DATE: RUN TIME: GROSS DESCRIPTION: (Continued). This report is privileged, confidential and exempt from disclosure under applicable law. If you receive this report inadvertently, please call. and. return the report to us by mail.

expanded version (tokens=2330) : 
 Histological classification: The breast pathology report reveals the presence of invasive and in situ, poorly differentiated ductal carcinoma, which is a subtype of invasive ductal carcinoma. The size of the invasive component is 1.0 cm.

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

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

Histological grade and nuclear grade: The report states that the Nottingham score is III(3+3+3=9). The three components of this score are tubule formation, nuclear pleomorphism, and mitotic count. The tubule formation score is 3 (minimal less than 10%), the nuclear pleomorphism score is 3 (marked variation in size, nucleoli, chromatine clumping, etc.), and the mitotic count score is 3 (greater than 20 mitoses per 10 high-power fields).

Lymphovascular invasion: The report indicates that there is an absence of venous/lymphatic invasion.

Calcification: Microcalcifications are present in the DCIS.

Receptor status, IHC, and Ancillary testing: The report confirms that the tumor cells are negative for estrogen receptor (ER) and progesterone receptor (PR) by immunohistochemistry (IHC). HER2 was equivocal by IHC on patient's previous biopsy specimen but her2 fish was positive(Amplified). This confirms the subtype Her

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=2522) : 
 Breast Pathology Report: The report confirms the presence of invasive poorly differentiated ductal carcinoma, subtype HER2. No necrosis noted. No mention of tumor infiltrating lymphocytes. Nottingham score III (3+3+3=9) indicating high-grade cancer with significant pleomorphism, fewer tubules formation, and significant mitotic activity. Microcalcifications present in DCIS. ER/PR-negative by IHC, and HER2-equivocal IHC and amplified by Her2 FISH test. No lymphovascular invasion seen in the specimen. Infiltrating carcinoma of 1cm found in lumpectomy specimen and axillary contents revealed metastatic carcinoma to 19/21 axillary lymph nodes.

