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, RUN DATE: RUN TIME: Specimen Inquiry. RUN USER: Lab Database: LOC: U. AGE/SX: ROOM: REG DR: BED: DII. TLOC. SPEC #: RECD: PERFORMED AT. COLL: TIME IN FORMALIN: CLINICAL INFORMATION: Pre-Op Diagnosis: Invasive lobular carcinoma of the left breast. Remarks: Specimen (s) : A. Left breast. B. Sentinel node #1. C. Sentinel node #2. D. Sentinel node #3. E. Right breast tissue versus fat. F. Right sentinel node #1. G. Right breast tissue, new/additional margin. H. Right breast, stitch is superior. MICROSCOPIC DIAGNOSIS. A. LEFT BREAST: INVASIVE LOBULAR CARCINOMA. SEE COMMENT. B. SENTINEL LYMPH NODE #1: ONE REACTIVE LYMPH NODE. c. SENTINEL LYMPH NODE #2: TWO REACTIVE LYMPH NODES. D. SENTINEL LYMPH NODE #3: ONE REACTIVE LYMPH NODE. E. RIGHT BREAST TISSUE VERSUS FAT: BREAST PARENCHYMAL TISSUE. NO SIGNIFICANT HISTOPATHOLOGIC CHANGE. F. RIGHT SENTINEL LYMPH NODE #1: ISOLATED TUMOR CELLS IN ONE LYMPH NODE. G. RIGHT BREAST TISSUE, NEW MARGIN: FIBROCYSTIC CHANGES. INTRADUCTAL PAPILLOMA. H. RIGHT BREAST: DUCTAL CARCINOMA IN SITU. SEE COMMENT. RUN DATE: : RUN TIME: é. Specimen Inquiry. RUN USER. SPEC #: COMMENT (S). Findings discussed with. Protocol for Examination of Specimens with Invasive Carcinoma of the Breast based on. AJCC/UICC TNM 7th Edition. SPECIMEN A: SPECIMEN: Total breast. PROCEDURE: Total mastectomy. LYMPH NODE SAMPLING: Sentinel lymph nodes. SPECIMEN INTEGRITY: Single intact specimen. SPECIMEN LATERALITY: Left. TUMOR SIZE: 1.7 cm. TUMOR FOCALITY: Single focus of invasive carcinoma. MACROSCOPIC AND MICROSCOPIC EXTENT. OF TUMOR: Skin: invasive carcinoma does not invade into the. dermis or epidermis. Nipple: carcinoma does not involve the nipple. epidermis. Skeletal muscle: skeletal muscle is present and is. free of carcinoma. DUCTAL CARCINOMA IN SITU: No DCIS is present. LOBULAR CARCINOMA IN SITU: Present. HISTOLOGIC TYPE OF INVASIVE. CARCINOMA: Invasive lobular carcinoma. HISTOLOGIC GRADE (NOTTINGHAM. HISTOLOGIC SCORE) : Glandular/tubular differentiation score: 3. Nuclear pleomorphism score: 2. Mitotic count score: 1. Overall grade: grade 2. MARGINS: Margins uninvolved by invasive carcinoma. Distance from closest margin: 1.0 mm from the. superficial to lateral peripheral margin. LYMPH NODES: Number of sentinel lymph nodes examined: 4. Total number of lymph nodes examined: 4. Number of lymph nodes with macrometastasis: 0. Number of lymph nodes with micrometastasis: 0. Number of lymph nodes with isolated tumor cells: 0. PATHOLOGIC STAGING: Primary tumor: pT1c. Regional lymph nodes: pNO (i-). Distant metastasis: not applicable. ANCILLARY STUDIES: See previous pathology report. ADDITIONAL FINDINGS : Fibrocystic changes, microcalcifications. Protocol for Examination of Specimens with Ductal Carcinoma in Situ of the Breast based on. AJCC/UICC TNM 7th Edition. SPECIMEN B: RUN DATE: RUN TIME: RUN USER. SPEC #: COMMENT (S). SPECIMEN: Total breast. PROCEDURE: Total mastectomy. LYMPH NODE SAMPLING: Sentinel lymph nodes. SPECIMEN INTEGRITY: Single intact specimen. SPECIMEN LATERALITY. Right. EXTENT OF DCIS: 8 mm. HISTOLOGIC TYPE: Ductal carcinoma in situ. NUCLEAR GRADE: Grade 2. NECROSIS: Present, focal. MARGINS: Margins uninvolved by DCIS. Distance from closest margin: 3.5 cm, deep. margin. LYMPH NODES: Number of sentinel lymph nodes examined: 1. Total number of lymph nodes examined: 1. Number of lymph nodes with macrometastasis. 0. Number of lymph nodes with micrometastasis. o. Number of lymph nodes with isolated tumor cells: 1. PATHOLOGIC STAGING: Primary tumor: pTis. Regional lymph nodes: pNo (i+). Distant metastasis: Not applicable. ANCILLARY STUDIES: See previous pathology report. ADDITIONAL FINDINGS: Fibrocystic changes. GROSS DESCRIPTION: The specimen is received in eight parts. Each part is labeled with the patient's name,. A. Received fresh for tissue banking and "left breast" is an 858 gram, 28.0 x 16.0 x 5.0. cm fibrofatty breast. The breast is received with a suture designating superior at one. corner of the skin ellipse. There is no axillary tail, and the breast is consistent with a. simple mastectomy specimen. Separate within the specimen container is a linear 7.0 x 1.5 x. 0.8 cm strip of tissue with fibroskeletal muscle. The fascial plane is somewhat smooth,. and no additional fibroskeletal muscle is identified. The breast has an overlying 8.5. x. 3.5 cm skin ellipse with a central 3.0 cm areola which extends to the edges of the ellipse. and a 1. cm nipple with an adjacent associated papule. No scars or lesions are identified. on the skin surface. There is blue localization dye. The deep margin is inked blue, and. the breast is serially sectioned to have a 1.7 x 1.5 x 1.2 cm indurated tumor mass. A. portion of the tumor is sampled for tissue banking. The tumor is 2.0 cm from the deep. margin. The tumor appears to be in the upper outer quadrant according to the orientation. of the specimen. The tumor is approximately 8.0 cm from superior, 14 cm from inferior, is. 11.5 cm from medial and approximately 7 cm from lateral. The tumor is 1.0 cm from the. superficial to lateral peripheral aspect of the breast. The tumor is in the upper outer. quadrant. The remainder of the parenchyma is diffusely fatty, and no additional indurated. lesions are identified. White fibrous tissue appears to involve <20% of the parenchyma. The breast has an odd shape for orientation and is longer superior to inferior than medial. to lateral. Representative sections are sampled as labeled: A1. sections of nipple. A2. areola. RUN DATE: RUN TIME: RUN USER: SPEC #: GROSS DESCRIPTION: A3. separate portion of fibroskeletal muscle sampled. A4. deep margin nearest tumor sampled. A5-A6. full cross sections of tumor to include entire tumor and tumor to. superficial peripheral aspect. A7. upper outer quadrant. A8. lower outer quadrant. A9. upper inner quadrant. A10. lower inner quadrant. B. Part 2, received in formalin for gross evaluation, labeled with the patient's name and. "sentinel node #1", is a 2.0 x 1.4 x 1.0-cm aggregate of yellow, lobulated adipose. The. adipose is sectioned to have a 1.0 x 0.6 x 0.5-cm nodular lymph node. The node is. sectioned to be entirely submitted per sentinel lymph node protocol in cassette B1. C. Part 3, received for gross evaluation, labeled "sentinel node #2", is a 4.0 x 3.0 x. 2.0-cm aggregate of yellow, lobulated adipose. The adipose is sectioned to have a 0.5-cm. nodular lymph node. The node is bisected. There is an additional minute 0.3-cm lymph node. present within the aggregate of adipose. Lymphoid tissue is entirely submitted. per. sentinel lymph node protocol in cassette C1. D. Part 4, received for gross evaluation, labeled "sentinel node #3", is a 1.5 x 1.4 x. 0.8-cm portion of yellow, lobulated adipose. The adipose is sectioned to have a nodular,. 1.2 x 0.5 x 0.4-cm lymph node. The node is trisected to be entirely submitted per sentinel. lymph node protocol in cassette D1. E. Part 5, received fresh for frozen section diagnosis labeled with the patient's. and. "breast tissue or fat?", is a 6.3-gram, 5.0 x 3.0 x 1.3-cm portion of yellow, lobulated. adipose. The adipose is sectioned to have scant dense white fibrous tissue. The fibrous. tissue makes up between 5 and 10% of the parenchyma. No indurated lesions or tumor-like. masses are identified. A section is sampled for frozen section diagnosis with the frozen. section residue in E1. Additional sections are sampled in E2-E3. Parts 6, 7, and 8 are received in formalin, labeled with the patient's name. F. Part 6, labeled "right sentinel node #1", is a 1.0 x 0.8 x 0.6-cm nodular lymph node. The node is sectioned perpendicular to the long axis to be entirely submitted for frozen. section diagnosis with the frozen section residue in cassette F1. G. Part 7, labeled "right breast tissue new margin", is a 77-gram, 19.5 x 9.5 x 2.0-cm. fibrofatty portion of breast tissue. The specimen is oriented with a single suture. superior and a double suture designating the new margin. The "new margin" will be inked. blue with the remainder of the specimen inked black. A portion of breast tissue is. sectioned from superior to inferior to have a diffusely glistening fatty cut surface with. scant delicate white fibrous tissue. No areas of induration or tumor-like masses are. identified. The breast is sampled from superior to inferior, concentrating on the areas of. white. fibrous tissue. The fibrous tissue makes up <20% of the parenchyma. Representative. sections are sampled in G1-G6. H. Part 8, labeled "right breast", is a 558-gram, 20.0 x 13.5 x 4.5-cm fibrofatty breast. RUN DATE: RUN TIME. RUN USER. SPEC #: GROSS DESCRIPTION: (Continued). The breast is received with an eccentric, medial overlying 8.0 x 4.0-cm 'drop-shaped" skin. excision. The excision has an overlying, inferior 5.0 x 4.0-cm areola, which extends to. the skin edges and a 1.5-cm flat nipple. The remainder of the skin surface demonstrates no. areas of scar. There is a suture at the pole of the excision designating superior. The. deep margin has a roughened to focally smooth fascial plane. There is scant focal. fibroskeletal muscle identified. No axilla is present and the breast is consistent with a. simple mastectomy specimen. The breast is serially sectioned from lateral to medial to. have a 3.0 x 2. 0 x cm blood-filled biopsy cavity. The biopsy cavity appears to focally. abut the superficial peripheral margin medial toward the skin excision. The biopsy. cavity. comes within 1.0 cm of the edge of the skin. The surrounding tissue adjacent to the biopsy. cavity appears to be predominantly glistening yellow adipose. No indurated lesions or. tumor-like masses are identified associated with the biopsy cavity. There are additional. adjacent areas of fat necrosis and hemorrhage associated with the biopsy cavity. The. biopsy cavity is 3.5 cm from the deep margin. The biopsy cavity is approximately 4.0 cm. from superior, 6.0 cm from inferior, is approximately 6 cm from medial and at least 10 cm. from lateral. The biopsy cavity is centrally located within the breast between the upper. and lower inner quadrants. There is diffuse nodular white fibrous breast tissue extending. throughout the specimen. No discrete indurated lesions or tumor-like masses are. identified. There are focal areas consistent with fibrocystic change. The fibrous. breast. tissue has a somewhat gritty, granular appearance adjacent to the biopsy cavity underlying. the nipple. The breast is sampled as labeled: H1. sections of nipple. H2. areola. H3. deep margin nearest biopsy cavity. H4-H6. sections of biopsy cavity to nearest superficial peripheral margin. H7,H8. sections of biopsy cavity with adjacent granular white fibrous tissue. H9. upper outer quadrant. H10. lower outer quadrant. H11. upper inner quadrant (quadrant most closely associated with biopsy. cavity). H12. lower inner quadrant sampled. MICROSCOPIC DESCRIPTION: H&E sections of specimen B shows a ductal carcinoma in situ in the surrounding breast. tissue. P63 and CD10 stains of the residual ductal carcinoma in situ does not show. definitive areas of invasion. INTRAOPERATIVE CONSULTATION: A. LEFT BREAST TISSUE: TUMOR DISSECTED FOR TISSUE BANKING. B. "SENTINEL LYMPH NODE #1": NO TUMOR IDENTIFIED. REPORTED TO. C. "SENTINEL LYMPH NODE #2": RUN DATE(. RUN TIME. RUN USER. SPEC. #:1. INTRAOPERATIVE CONSULTATION: (Continued). NO TUMOR IDENTIFIED. REPORTED TO. D. "SENTINEL LYMPH NODE #3": NO TUMOR IDENTIFIED. REPORTED TO. E. FROZEN SECTION DIAGNOSIS "RIGHT BREAST TISSUE VERSUS FAT": SMALL AMOUNT OF DUCTAL BREAST TISSUE PRESENT. REPORTED TO. PHOTO. (signature on file).

expanded version (tokens=3596) : 
 Histological Classification:
- Left breast: Invasive lobular carcinoma
- Sentinel lymph node #1: One reactive lymph node
- Sentinel lymph node #2: Two reactive lymph nodes
- Sentinel lymph node #3: One reactive lymph node
- Right breast tissue versus fat: Breast parenchymal tissue, no significant histopathologic change
- Right sentinel lymph node #1: Isolated tumor cells in one lymph node
- Right breast tissue, new margin: Fibrocystic changes, intraductal papilloma
- Right breast: Ductal carcinoma in situ

Description of any necrosis:
- Necrosis present in ductal carcinoma in situ (focal)

Mention of tumor infiltrating lymphocytes:
- No specific mention of tumor infiltrating lymphocytes

Histological Grade (Nottingham Histologic Score):
- Glandular/tubular differentiation score: 3
- Nuclear pleomorphism score: 2
- Mitotic count score: 1
- Overall grade: Grade 2

Lymphovascular invasion:
- No mention of lymphovascular invasion

Calcification:
- Microcalcifications identified

Receptor status, IHC, and ancillary testing results:
- No specific information provided in the report

Main Points:
1. The left breast shows invasive lobular carcinoma.
2. The sentinel lymph nodes examined show reactive lymph nodes without tumor.
3. The right breast tissue versus fat shows no significant histopathologic change

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=3714) : 
 Report: Left breast: Invasive lobular carcinoma. Right breast: Ductal carcinoma in situ. Sentinel lymph nodes show reactive lymph nodes with isolated tumor cells in one node. No lymphovascular invasion detected. Histologic grade 2, with focal necrosis and microcalcifications. No specific mention of tumor infiltrating lymphocytes or receptor status provided.

