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, F. Pathologic Interpretation: A. LEFT BREAST MASTECTOMY: INVASIVE MAMMARY CARCINOMA, MICROPAPILLARY TYPE with focal ductal features, poorly differentiated,. Nottingham Grade 3 (3+3+3=9), 7.5 cm in greatest dimension, present in 13/14 slides, constituting 80% of tissue. sampled. - The invasive tumor is focally present less han 0.1 cm from the anterior/skin margin and less than 0.1 cm from the deep. posterior margin in 5 blocks. - Extensive lymphovasculr invasion is present in numerous foci in multiple blocks. - DUCTAL CARCINOMA IN STU, high nuclear grade (DIN 3), micropapillary type, present as a single focus (slide 7). - Skin with scar and extensive dermal lymphovascular invasion. - Skeletal muscle is present. - ER, PR and HER2 are pending, an addendum will follow. (please see tumor summary). B. LEFT INTRA MAMMARY LYMPH NODE DISSECTION: - METASTATIC CARCINOMA is present in five (5) of five (5) lymph nodes with extranodal extension (5/5). - The largest metastatic deposit is 1.2 cm in greatest linear dimension. C. LEFT AXILLARY LYMPH NODE DISSECTION: METASTATIC CARCINOMA to seventeen (17) of twenty (20) lymph nodes (17/20). - The largest metastatic deposit is 2.9 cm in greatest linear dimension. D. ADDITIONAL LEFT BREAST TISSUE: - Fibroadipose tissue, negative for carcinoma. E. LEFT LYMPH NODE DISSECTION (LEVEL 3): - METASTATIC CARCINOMA to two (2) of two (2) lymph nodes (2/2), largest metastatic deposit is 2.2 cm in greatest. linear dimension. F. LYMPH NODE DISSECTION ABOVE LEFT BRACHIAL PLEXUS: METASTATIC CARCINOMA to five (5) of five (5) lymph nodes, largest metastatic deposit is 1.8 cm in greatest linear. dimension. Tumor Summary. Specimen: - Total breast (including nipple and skin). Procedure: - Total mastectomy (including nipple and skin). Lymph Node Sampling: - Axillary dissection (partial or complete dissection). - Lymph nodes present within the breast specimen (ie, intramammary lymph nodes). Specimen Integrity: Single intact specimen (margins can be evaluated). Specimen Laterality: - Left. Tumor Site: Invasive Carcinoma. - Lower outer quadrant. - Upper inner quadrant. - Lower inner quadrant. - Central. Tumor Size: Size of Largest Invasive Carcinoma. Greatest dimension of largest focus of invasion over 0.1 cm: 7.5 cm. - Additional dimensions: 6 x 2 cm. Tumor Focality: - Single focus of invasive carcinoma. Macroscopic and Microscopic Extent of tumor: - Skin: Invasive carcinoma directly invades into the dermis without skin ulceration. - Nipple: DCIS does not involve the nipple epidermis. - Skeletal muscle: Skeletal muscle is present and is free of carcinoma. Ductal Carcinoma In Situ (DCIS): - DCIS is present. - Extensive intraductal component (EIC) negative. Size (Extent) of DCIS. Estimated size (extent) of DCIS (greatest dimension using gross and microscopic evaluation) is at least: 0.15 cm. Number of blocks with DCIS: 1. Number of blocks examined: 14. Architectural Pattern: Micropapillary. Nuclear Grade: Grade III (high). Necrosis: Not identified. Lobular Carcinoma In Situ (LCIS): Not identified. Histologic Type of Invasive Carcinoma: - Invasive micropapillary carcinoma with focal ductal features. Histologic Grade: Nottingham Histologic Score. - Glandular (Acinar) /Tubular Differentiation: Score 3: <10% of tumor area forming glandular/tubular structures. - Nuclear Pleomorphism: Score 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape,. occasionally with very large and bizarre forms. - Mitotic Count Score 3. - Overall Grade: Grade 3: scores of 8 or 9. Margins: - Margins uninvolved by invasive carcinoma. - Distance from anterior margin: <1 mm. - Distance from posterior margin: <1 mm. - Margins uninvolved by DCIS. Treatment Effect: Response to Presurgical (Neoadjuvant) therapy: - in the Breast: No known presurgical therapy. - In the Lymph Nodes: No known presurgical therapy. Lymph-Vascular Invasion: PRESENT. Dermal Lymph-Vascular Invasion: PRESENT. Lymph Nodes: - Number of sentinel lymph nodes examined: o. - Total number of lymph nodes examined (sentinel and Nonsentinel): 32. - Number of lymph nodes with macrometastases (>0.2 cm): 29. - Size of largest metastatic deposit: 2.9 cm. Extranodal Extension: Present. Method of Evaluation of Sentinel Lymph Nodes: Hematoxylin and eosin (H&E), one level. Pathologic Staging (PTNM): pT3, pN3a, pM n/a. Primary Tumor: pT3: Tumor >50 mm in greatest dimension. Regional Lymph Nodes: pN3a: Metastases in 10 or more axillary lymph nodes (at least 1 tumor deposit greater than 2,0 mm). Distant Metastasis: Not applicable. Ancillary Studies: Estrogen Receptor: PENDING. Progesterone Receptor: PENDING. Her2/NEU: PENDING. Microcalcifications: Not identified. NOTE: Some ummunohistochemical antibodies are analyte specific reagents (.A.RRs) validated by our laboratory. These ASRs are cinically useful indicators that do not require FDA approval. These clones are used: IDS=ER, PgR 636=PR, A485=HER2 H-11=EGFR. All staurs are used with formalin or molecular froed, paraffin embedied tissue. Detection is by Envision Method. The results are read by a. pathologist as positive or negative. As the attending pathologist, I attest that 1: (1) Examined the relevant preparation(s). for the specimen(s); and (ii) Rendered the diagnosis(es). Procedures/Addenda. Addendum. Date Complete: Addendum Diagnosis. The tumor cells are positive for ER and PR, negative for HER2 (0). Clinical History: Status post previous lumpectomy. Operation Performed. Left breast completion, mastectomy with axillary node dissection. Pre Operative Diagnosis: Left breast cancer. Specimen(s) Received: A: Left breast (short superior and long lateral). B: Intra mammmary lymph node. C: Left axillary lymph nodes. D: Additional left breast tissue. E: Level 3 lymph nodes. F: Lymph nodes above brachial plexus. Gross Description: A. Received in formalin is a modified left radical mastectomy specimen that weighs 190 grams and measures 16.0 x 11.0 x. 1.0 cm. There is a tan ellipse of skin that measures 6.3 x 5.8 cm, an areola measuring 4.2 x 4.0 cm and a nipple that. measures 1.0 cm. There is a white lesion on the 11 o'clock aspect of the areola that measures 0.5 cm in greatest. dimension. Along the 12 o'clock to 6 o'clock aspect of the nipple, it appears to be slightly retracted. Grossly, no. other lesions or masses are identified. The specimen has previously being inked black and sectioned to allow for fixing. On cut section, there is a 7.5 x 6.0 x 2.0 cm ill-defined, indurated, tan/yellow lesion that is retro-areolar in location. This. lesion comes within 0.2 mm of the deep margin, 0.6 cm from the inferior margin, 4.5 cm from the superior margin, 3.5 cm. from the inferior margin, 4.5 cm from the lateral margin and 2.5 cm from the medial margin. The remainder of the breast. parenchyma is composed predominantly of homogeneous yellow adipose tissue with a 20% stroma to 80% adipose tissue. ratio. Grossly, no lymph nodes are identified. A small section of the specimen was taken for research. Sections. submitted as follows: 1-10. Section of mass in relation to deep inked margin, nipple and skin. 11. Upper inner quadrant. 12. Lower inner quadrant. 13. Upper outer quadrant. 14. Lower outer quadrant. B. Received in formalin is a piece of fibroadipose connective tissue that measures 4.6 x 3.8 x 1.3 cm. Grossly, five lymph. nodes are identified. The largest measures 1.4 cm in greatest diameter. Sections as follows: 1. Largest lymph node, trisected. 2. One lymph node, trisected. 3. One lymph node, bisected. 4. Up to three lymph nodes. 5-7. Possible lymph nodes. C. Received in formalin is a segment of fibroconnective adipose tissue with grossly identifiable enlarged lymph nodes that. measures 12.0 x 5.8 x 2.5 cm. Grossly, nineteen lymph nodes are identified. The largest measuring 3.7 x 2.7 x 1.6 cm. Sections submitted as follows: 1. Five lymph nodes, submitted in toto. 2. Representative sections of largest lymph node. 3. Representative sections of two lymph nodes. 4. Representative section of one lymph node. 5. Representative section of one lymph node. 6. Representative sections of two lymph nodes. 7. Representative sections of two lymph nodes. 8. Representative sections of three lymph nodes. 9. Representative section of one lymph node. 10. Possible lymph nodes. D. Received in formalin is a piece of fibroconnective adipose tissue that measures 5.0 x 2.5 x 0.5 cm. Submitted in toto in. two cassettes. E. Received in formalin are two pieces of fibroconnective adipose tissue, one measuring 1.1 x 0.6 x 0.5 cm and the other. measuring 3.0 x 1.2x 0.5 cm. Sections submitted as follows: 1. Smaller specimen bisected and submitted in toto. 2. Larger piece bisected and submitted in toto. F. Received in formalin are several fragments of fibroconnective adipose tissue that measure in aggregate 5.0 x 1.0 x 0.5. cm. Grossly, five lymph nodes are identified, ranging in size from 1.0 to 1.5 cm in greatest dimension. Sections. submitted as follows: 1. Largest lymph node bisected and submitted in toto. 2. One lymph node, bisected. 3. Three lymph nodes submitted in toto.

expanded version (tokens=2877) : 
 Histological classification:

- Invasive mammary carcinoma, micropapillary type with focal ductal features, poorly differentiated
- Ductal carcinoma in situ (DCIS), high nuclear grade (DIN 3), micropapillary type, single focus
- Subtype LumA

Subtype and Histological Grade:

- LumA subtype
- Nottingham Grade 3 (3+3+3=9)

Nuclear Grade:

- High nuclear grade (Grade III)

Lymphovascular Invasion:

- Extensive lymphovascular invasion present in numerous foci in multiple blocks
- Dermal lymphovascular invasion also present

Lymph Node Involvement:

- Metastatic carcinoma present in five (5) of five (5) intra mammary lymph nodes with extranodal extension
- Metastatic carcinoma present in seventeen (17) of twenty (20) axillary lymph nodes
- Metastatic carcinoma present in two (2) of two (2) level 3 lymph nodes
- Metastatic carcinoma present in five (5) of five (5) lymph nodes above left brachial plexus

Receptor Status:

- ER and PR positive
- HER2 negative (0)

Ancillary Testing Results:

- Microcalcifications not identified
- Immunohistochemical antibodies used: IDS=ER, PgR 636=PR, A485=HER2 H-11=EGFR. All stains were used with formal

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=3056) : 
 The breast pathology report indicates invasive mammary carcinoma with micropapillary features and DCIS. Lymphovascular invasion is extensive, and metastasis is present in lymph nodes. The tumor has a high nuclear grade (Grade III), Nottingham Grade 3, subtype LumA, and positive receptor status for ER/PR while negative for HER2. No microcalcifications were found, and no presurgical treatment was given. Immunohistochemical antibodies used include IDS=ER, PgR 636=PR, A485=HER2 H-11=EGFR. The report confirms the biopsy as carcinoma type cancer with aggressive behavior invasiveness.

