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, x. Pathologic Interpretation: A. LEFT BREAST SENTINEL NODE 1. One lymph node, negative for carcinoma (0/1). Immunohistochemistry for keratin is pending. B. LEFT BREAST SENTINEL NODE 2. One lymph node, negative for carcinoma (0/1). Immunohistochemistry for keratin is pending. C. LEFT BREAST LUMPECTOMY: INVASIVE LOBULAR CARCINOMA, moderately differentiated, Nottingham grade 2 (3+2+1=6), 2.1 cm. in. greatest dimension. Immunohistochemistry performed on previous core needle biopsy demonstrated the following staining. pattern in the lesional cells: ER: POSITIVE (> 50%). PR: POSITIVE (10-50%). HER2: NEGATIVE (0). E-Cadherin: NEGATIVE (0). Resection margins are negative for carcinoma. Prior biopsy site changes present. Atypical ductal hyperplasia. See Surgical Pathology Cancer Case Summary. Surgical Pathology Cancer Case Summary. Procedure. Excision without wire-guided localization. Lymph Node Sampling. Sentinel lymph node(s). Specimen Laterality. Left. Tumor Site: Invasive Carcinoma. Position: 1 o'clock. Histologic Type of Invasive Carcinoma. Invasive lobular carcinoma. Tumor Size: Size of Largest Invasive Carcinoma. Greatest dimension of largest focus of invasion >1 mm: 21 mm. Histologic Grade: Nottingham Histologic Score. Glandular (Acinar)/Tubular Differentiation. Score 3: <10% of tumor area forming glandular/tubular structures. Nuclear Pleomorphism. Score 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate. variability in both size and shape. Mitotic Rate. Score 1 (<3 mitoses per mm²). Overall Grade. Grade 2: scores of 6 or 7. Tumor Focality (required only if more than 1 focus of invasive carcinoma is present). Single focus of invasive carcinoma. Ductal Carcinoma In Situ (DCIS) (select all that apply). No DCIS is present. Lobular Carcinoma In Situ (LCIS). Not identified. Margins. Invasive Carcinoma. Margins uninvolved by invasive carcinoma. Distance from closest margin: 2.5 mm. Specify margin: Anterior. Lymph Nodes (required only if lymph nodes are present in the specimen). Number of sentinel lymph nodes examined: 2. Total number of lymph nodes examined (sentinel and nonsentinel): 2. Number of lymph nodes with macrometastases (>2 mm): 0. Number of lymph nodes with micrometastases (>0.2 mm to 2 mm and/or >200 cells): 0. Method of Evaluation of Sentinel Lymph Nodes (select all that apply). Hematoxylin and eosin (H&E), 1 level. H&E, multiple levels. Immunohistochemistry to follow. 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. Not identified. Dermal Lymph-Vascular Invasion. No skin present. Pathologic Staging (based on information available to the pathologist) (pTNM). Primary Tumor (Invasive Carcinoma) (pT). pT2: Tumor >20 mm but <50 mm in greatest dimension. Regional Lymph Nodes (pN). Modifier (required only if applicable). (sn): Only sentinel node(s) evaluated. pNO: No regional lymph node metastasis identified histologically. Distant Metastasis (pM). Not applicable. Ancillary Studies. (required only if available at time of report completion) (select all that apply). Performed on another specimen. Specify specimen (accession number): --. Estrogen Receptor (ER). Results and interpretation: Positive Immunoreactive tumor cells present (>50%). Progesterone Receptor (PgR). Results and interpretation: Positive Immunoreactive tumor cells present (10-50%). HER2. Immunoperoxidase Studies. Negative (Score 0). Microcalcifications (select all that apply). Present in invasive carcinoma. AJCC Classification (7th edition): pT2, (sn)pNo, pMn/a. Final AJCC classification will be issued after the keratin immunostain. Procedures/Addenda. Addendum. Date Complete: Addendum Diagnosis. A. Immunohistochemistry for keratin is negative. B. Immunohistochemistry for keratin is negative. Final AJCC pT2 sn NO (i-) Mn/a. Intraoperative Consultation. A. Sentinel node 1,. FS: No malignancy seen. However, final diagnosis pending Immunohistochemical. stains. B. Sentinel node 2,. FS: No malignancy seen. However, final diagnosis pending Immunohistochemical. stains. Clinical History: Lobular carcinoma, ER+, RR+, HER (-). Operation Performed. Left lumpectomy with sentinel node biopsy and possible axillary dissection. Pre Operative Diagnosis: None Provided. Specimen(s) Received/Processing Information: Codes: A: LEFT BREAST SENTINEL NODE 1. Frozen section x 1, FS Perm x 1, Touch. Prep Histology x 1, Cytokeratin Cocktail (KER) x 1. A: B: B: LEFT BREAST SENTINEL NODE 2. Frozen section x 1, FS Perm x 1, Touch. Prep Histology x 1, Cytokeratin Cocktail (KER) x 1. C: LEFT BREAST LUMPECTOMY 1 SUPERIOR 2 LATERAL 3 DEEP H&E, Initial x 1,. H&E, Initial x 1, H&E, Initial x 1, H&E, Initial X 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x. 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial x 1, H&E, Initial. x 1. Gross Description: A. Received fresh labeled "Sentinel lymph node count 1 containing 1.3 x 1.0 x 1.0 cm pale yellow soft. lymph node. Bisected and submitted in toto in one cassette for frozen section. B. Received fresh labeled "Sentinel node 2 count containing 1.3 x 1.0 x 1.0 cm pale yellow, soft lymph. node. It is. bisected and submitted in toto in one cassette for frozen section. C. Received in formalin labeled "Left breast lumpectomy, 1 superior, 2 lateral 3 deep" is a lumpectomy. specimen of the breast weighing 180 grams. It is oriented with sutures by the surgeon. It measures 7.5 cm. in superior to inferior, 7.0 cm medial to lateral surface, 3.5 cm anterior to the posterior surface. The. specimen is inked as follows: Blue superior, green inferior, red medial, orange lateral, black posterior,. yellow anterior. Upon sectioning, there is a 2.0 x 1.6 x 1.2 cm tan-white, firm gritty mass with stellate. borders. It is approximately round to oval in shape. The mass contains a metallic clip measuring 3 mm. The mass is closest to the anterior margin which is 0.7 cm away. It is 3.0 cm away from the posterior. margin, 2.0 cm from the superior margin, 2.6 cm from the inferior margin, 4.0 cm from the medial margin and. 2.5 cm from the lateral margin. The rest of the breast parenchyma is yellow and soft with fat to stroma ratio. 90's to 30. A piece of tumor measuring approximately1.0 x 1.0 cm is submitted to the tissue bank. Sections. are submitted as follows: Cassettes #1-6. Mass in toto (cassette 1 mass with clip). Cassette #7. Anterior margin. Cassette #8. Posterior margin. Cassette #9. Medial margin. Cassette #10. Lateral margin. Cassette #11. Superior margin. Cassette #12. Inferior margin. Cassette #13. Stroma.

expanded version (tokens=2229) : 
 Histological classification: The breast pathology report shows that the patient is diagnosed with invasive lobular carcinoma, moderately differentiated, Nottingham grade 2 - (3+2+1=6), grade 2, with a size of 2.1 cm, ER+ (positive), PR+ (positive), HER2- (negative), and e-cadherin negative.

Subtype: The subtype identified for the patient is LumA.

Necrosis: There is no mention of necrosis.

Tumor infiltrating lymphocytes: The report does not mention any tumor-infiltrating lymphocytes.

Histological grade and nuclear grade: The histological grade is Nottingham grade 2 - (3+2+1=6), and the nuclear grade is score 2.

Lymphovascular invasion: The report shows no lymphovascular invasion.

Calcification: The report mentions the presence of microcalcifications within the invasive carcinoma.

Receptor status: The pathology report shows that the patient's tumor is ER+ (positive), PR+ (positive), HER2- (negative), and e-cadherin negative.

IHC and other ancillary testing results: The IHC tests performed on the tumor showed positive staining for ER and PR and negative staining for HER2 and e-cadherin. No other ancillary testing results have been mentioned in the report.

Overall, the report indicates that the patient has invasive lobular carcinoma of the breast with a positive hormone receptor status but negative 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=2368) : 
 The patient has LumA subtype invasive lobular carcinoma, moderately differentiated, Nottingham grade 2. The tumor is ER+ and PR+. No necrosis is mentioned, and there is no lymphovascular invasion. The HER2 is negative, and the e-cadherin is negative. Microcalcifications are present in the invasive carcinoma. IHC staining showed positive staining for ER and PR but negative staining for HER2 and e-cadherin.

