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, Amended. DATE OBTAINED: DATE RECEIVED: SUBMITTING MD: DIAGNOSIS. #1-AXILLARY CONTENTS, LEFT: TWENTY THREE LYMPH NODES POSITIVE FOR METASTATIC. CARCINOMA, LARGEST MEASURING 3.7 CM WITH EXTRANODAL EXTENSION (23/23). #2-BREAST, LEFT, 2 O'CLOCK, EXCISIONAL BIOPSY: INVASIVE MAMMARY CARCINOMA. SIZE (INVASIVE): 2.8 cm. LATERALITY: Left. TUMOR FOCALITY: Unifocal. LESIONAL SITE: 2 o'clock. HISTOLOGIC TYPE: Ductal focal lobular features pw BS, lubular features total 73. NUCLEAR GRADE: III of III. HISTOLOGIC GRADE(EEmSBR): II of III (Tubules score 2 + NG score 3 + mitoses score 1). IN-SITU COMPONENT: DCIS solid and cribriform types, nuclear grade III with comedonecrosis. LYMPH NODE SAMPLING. Twenty three lymph nodes positive for carcinoma (23/23). (see specimen #1) with extranodal extension, largest measuring 3.7 cm. AJCC CATEGORIES: Stage IIIC (assuming "cM0" status). pTNM: pT2. pN3a. cTNM: cT2. cN1. INTEGRITY/ORIENTATION: Intact specimen with designated margins. MARGINS: Positive posterior/superior margin focally (slide 2K, scut); medial margin 0.5 mm; other. margins widely negative. LYMPHOVASCULAR INVASION: Present. MICROCALCIFICATIONS: Present in association with in situ and invasive carcinoma. NIPPLE/SKIN: (If applicable). Not applicable. SKELETAL MUSCLE: Not present. OTHER: Biopsy site changes, fibrocystic changes. #3-BREAST, LEFT, DEEP MARGIN, REEXCISION: 2 MM FOCUS OF RESIDUAL INVASIVE CARCINOMA. PRESENT 4 MM FROM FINAL DEEP MARGIN; BACKGROUND PROLIFERATIVE BREAST PARENCHYMA WITH. INTRADUCTAL PAPILLOMA. COMMENT. The tumor was grossly measured as 2.4 cm with an additional tumor present at medial slice, not grossly appreciated; with an -. 4mm span to make the final dimension 2.8 cm. The tumor is present 1 mm from deep margin in multiple foci at main specimen, and focally in slice 1K is present at. posterior/superior margin; final deep margin (specimen #3) negative. 88307 X2, 88305. Clinical Diagnosis and History: Left breast Ca. + LN met). cT2; cN1: Clinical Stage IIB. Tissue(s) Submitted: 1: LEFT AXILLARY CONTENTS. 2: LEFT BREAST CANCER @ 2:00 (SUTURE MARKS ANTERIOR). 3: LEFT BREAST TRUE DEEP MARGIN. Gross Description: Specimen #1 is received fresh, subsequently placed in formalin labeled left axillary content and consists of a 10 x 8.5 x 3 cm. aggregate of adipose tissue which is palpated to reveal multiple indurated lymph nodes ranging from 0.3 cm to 3.7 cm in greatest. dimension. A representative section of each node is submitted as follows: 1A-1B- each cassette containing a representative section of each of four grossly positive nodes. 1C-. four halves of grossly four positive nodes. 1D-1E- each cassette containing half of two grossly positive nodes. 1F-. three representative sections of three grossly positive nodes. 1G-. four representative sections of four grossly positive nodes. Additional sections are submitted as follows: 1H-. remaining node corresponding to negative node in slide 1B. 11-. remaining nodes corresponding to fibrofatty tissue in slide 1A. Specimen #2 is received in formalin labeled left breast cancer at 2 o'clock (suture marks anterior) and consists of an oriented. portion of fibrofatty tissue measuring 10 cm from medial to lateral, 7 cm from superior to inferior and 2.7 cm from anterior to. posterior. Loosely received outside of the tissue is a localization wire. The specimen is radiographed to document the loose. localization wire, a mass and a clip. The tissue is inked per protocol such that the superior is blue, the anterior is green, the medial is red, the lateral is yellow, the. anterior is orange, and the posterior is black. The specimen is serially sectioned from lateral to medial into 9 slices to reveal a 2.4. x 2.3 x 2.2 cm indurated gray-white stellate mass in slices #4-8, grossly coming to within 0.5 cm of the posterior and superior. margin, information relayed to the surgeon intraoperatively. The remaining cut surfaces are made up of approximately 10% dense. fibrous tissue. Note the tissue is triaged per. protocol. Representative sections, concentrating on the closest margins, are. submitted as follows: 2A-2B- representative perpendicular sections with lateral margin. 2C-. middle fibrous tissue from slice #2. 2D-. middle fibrous tissue from slice #3. 2E-. posterior margin with tumor slice #4. 2F-. superior posterior margin from slice #4. 2G-. anterior margin with tumor slice #5. 2H-. anterior inferior margin slice #5. 21-. superior posterior margin with tumor slice #5. 2J-2K-. bisected section of posterior superior margin with tumor slice #6. 2L-. anterior inferior margin with tumor slice #6. 2M-. interior margin with tumor slice #7. 2N-. posterior margin with tumor slice #7. 20-. superior margin with tumor slice #7. 2P-2R- representative medial margin. Additional sections are submitted as follows: 2S-2T- tumor slice 8, no real margins, ink run over. 2U-2BB-remaining superior half of medial margin (true margin over-inked red. TIF: approximately. Specimen #3 is received fresh for orientation labeled left breast true deep margin and consists of an oriented portion of fibrofatty. tissue measuring 6 X 5 cm from medial to lateral, 3.5 cxm from superior to inferior and 0.4 cm from anterior to posterior. The true. margin is inked per protocol such that the center is black, the superior edge is blue, the inferior edge is green, lateral edge yellow. and the medial edge is red. The specimen is serially sectioned from medial to lateral into 12 slices to reveal focally dense fibrosis. No tumor is palpated or grossly identified. The specimen is submitted entirely labeled 3A-3K at approximately. Intraoperative Consult Diagnosis. 2A. 2.4CM GROSS TUMOR WITH NEGATIVE MARGINS, POSTERIOR CLOSEST. Amendments. Amended: Reason: Proofreading error. Previous Signout Date:

expanded version (tokens=1996) : 
 The breast pathology report mentions the following information:

1. Histological Classification: 
  - Invasive Mammary Carcinoma (2.8 cm) with Ductal and Lobular features, nuclear grade III of III. 
  - In situ component includes Solid and Cribriform types of DCIS with nuclear grade III and comedonecrosis.

2. Subtype: Luminal A

3. Necrosis: Comedonecrosis present in DCIS component.

4. Tumor Infiltrating Lymphocytes: Information not mentioned.

5. Histological Grade: 
  - EEmSBR score of II of III (Tubules score 2 + NG score 3 + mitoses score 1).

6. Nuclear Grade: III of III.

7. Lymphovascular Invasion: Present.

8. Calcification: Present in association with in situ and invasive carcinoma.

9. Receptor Status: Information not mentioned.

10. IHC and Ancillary Testing Results: Information not mentioned.

Overall, the report indicates that the patient has left breast cancer with axillary lymph node metastasis (23/23) and extranodal extension. The tumor is a specific subtype (Luminal A) with a combination of ductal and lobular features, high nuclear grade (III of III) and comedonecrosis present in the DCIS component. Lymphovascular invasion and calcification are also present. The margins are positive in some areas and

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=2131) : 
 Report: Left breast Luminal A tumor (2.8 cm) with ductal and lobular features, nuclear grade III of III, invasive in nature, and in situ DCIS component (solid and cribriform types with nuclear grade III). Calcifications and lymphovascular invasion present. Positive margins but negative final deep margin on reexcision. Lymph node metastasis (23/23) with extranodal extension.

