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 : RUN USER: LOC: AGE/SX: ROOM: REG DR: BED: DIS: SPEC #: CLINICAL INFORMATION: Pre-Op Diagnosis: Right breast lobular CA. Remarks: : Specimen (s) : A. Left breast tissue - stitch marks axillary tail. B. Right modified radical mastectomy - stitch marks axillary contents. MICROSCOPICI DIAGNOSTS. A. LEFT BREAST TISSUE, TOTAL MASTECTOMY WITH TWO AXILLARY LYMPH NODES: INTRADUCTAL PAPILLOMA WITH ATYPICAL HYPERPLASIA, SUBAREOLAR, SMALL. FOCI OF LOBULAR CARCINOMA IN SITU. FIBROCYSTIC CHANGES. TWO LYMPH NODES, NO PATHOLOGIC DIAGNOSIS. B. RIGHT BREAST, MODIFIED RADICAL MASTECTOMY: MULTIFOCAL INVASIVE LOBULAR CARCINOMA (AT LEAST 4 FOCI DETECTED). LARGEST FOCUS OF INVASIVE LOBULAR CARCINOMA MEASURES 3 CM IN GREATEST DIMENSION. (pT2). NOTTINGHAM COMBINED HISTOLOGIC GRADE 2 OF 3. TUBULE FORMATION SCORE 3 OF 3. NUCLEAR PLEOMORPHISM SCORE 2 OF 3. MITOTIC RATE SCORE 1 OF 3. DUCTAL CARCINOMA IN SITU NOT IDENTIFIED. SURGICAL MARGINS OF RESECTION FREE OF INVASIVE CARCINOMA WITH CLOSEST MARGIN. MEDIAL MARGIN APPROXIMATELY 1 MM. EIGHT AXILLARY LYMPH NODES, NO PATHOLOGIC DIAGNOSIS (NO EVIDENCE OF METASTATIC. CARCINOMA). SEE COMMENT FOR SURGICAL PATHOLOGY CANCER CASE SUMMARY CHECKLIST. COMMENT (s). SURGICAL PATHOLOGY CANCER CASE SUMMARY - CAP APPROVED. Procedure: Total mastectomy (including nipple and skin). Lymph Node Sampling: Axillary dissection (partial or complete. dissection). Specimen Laterality: Right. Tumor Site: Other; multifocal. Histologic Type: Invasive lobular carcinoma. Tumor Size: Greatest dimension of largest focus of invasion. RUN DATE. RUN TIME. RUN USER. SPEC #: COMMENT (s). >1 mm: 30 mm (3.0 cm). Histologic Grade: Glandular/Tubular bifferentiation: Score 3. Nuclear Pleomorphism: Score 2. Mitotic Rate: Score 1. Overall Grade: Grade 2. Tumor Focality: Multiple foci of invasive carcinoma: 4 foci. Ductal Carcinoma In Situ: No DCIS is present. Margins: Invasive Carcinoma: Margins uninvolved by invasive. carcinoma. Distance from closest margin: 1 mm; medial. DCIS: DCIS is not present. Lymph Nodes: Number of sentinel lymph nodes examined: 0. Total number of lymph nodes examined (sentinel and. nonsentinel) : 8. Number of lymph nodes with macrometastases (>2 mm): 0. Number of lymph nodes with micrometastases 1>0.2 mm. to 2 mm and/or >200 cells) : 0. Number of lymph nodes with isolated tumor cells. 150.2 mm and <200 cells). o. Number of lymph nodes without tumor cells. identified; 8. Lymph-Vascular Invasion: Not identified. Dermal Lymph-Vascular Invasion: Not identified. Pathologic Staging: TNM Descriptors: m. Primary Tumor: pT2. Regional Lymph Nodes: pNO. Distant Metastasis: Not applicable. Ancillary Studies: ER: Positive (100% of tumor cells with nuclear. positivity) ; Strong. PR: Positive (100% of tumor cells with nuclear. positivity) ; Moderate. HER2 Immunoperoxidase stains: Equivocal (Score 2+). GROSS DESCRIPTION: Specimen A is received in the fresh state labeled "left breast tissue". This is a breast. with an overlying ellipse of white skin and nipple. The skin measures 24 x 15 cm. The. skin and nipple are unremarkable. The breast measures 24 x 15 x 4 cm. A suture tags the. axillary tail which measures 5 x 3 x 3 cm. The chest wall margin is fatty and. unremarkable. This margin is marked with black ink. The specimen is serially sectioned. The breast tissue is mostly fatty without focal suspicious lesions. A couple of large. fatty lymph nodes are found in the axillary tail with the largest one measuring 3 cm in. greatest dimension. Representative sections are submitted as follows: A1. nipple. A2-5 -. representative breast tissue moving medial to lateral. A6 -. chest wall margin, inked. RUN DATE: RUN TIME: RUN USER: SPEC #: GROSS DESCRIPTION: (Continued). A7. axillary tail. A8. one fatty lymph node. A9-11-. largest fatty lymph node. Specimen B is received in the fresh state labeled "right modified radical mastectomy". This is a breast with an overlying ellipse of white skin and nipple. The skin ellipse. measures 20 x. 15 cm. The breast measures 20 x 15 x 4 cm. The axillary tail measures 8 x 8. x. 3. cm. The skin and nipple are unremarkable. The chest all margin is fatty without focal. lesions. The chest wall margin is inked black. There is some palpable nodularity along. the medial most margin and this margin is inked blue, Serial sections through the breast. reveal mostly fatty tissue with irregular areas of white fibrosis. In the central breast. roughly 3 cm inferior to the nipple is an ill-defined, indurated area suspicious for tumor. and associated with fresh hemorrhage. This area spans approximately 1 cm by palpation and. a portion of this area is submitted for tumor banking, handed off to. There. appears. to. be. a. separate tumorous area in the lateral breast roughly 6 cm from the nipple. and spanning by palpation roughly 3 cm. Again, this area is visually ill-defined. There. may be yet a third .11-defined indurated area in the far lateral breast spanning. approximately 7 mm. Several fatty lymph nodes are identified in the axillary tail. These. measure up to 3 cm in greatest dimension. Representative sections are submitted as. follows: B1,2 -. nodularity in the medial most breast. B3. nipple. B4. grossly uninvolved medial breast tissue. B5-7 -. 1 cm nodule mid inferior breast. B8 -. hemorrhagic focus mid breast. B9. chest wall margin central breast. B10-12-. 3 cm area of nodularity lateral breast. B13. possible third area of nodularity lateral breast. B14,15. one fatty lymph node. B16 -. one fatty lymph node. B17,18-. one fatty lymph node. B19,20-. multiple lymph nodes. NOTE: The specimen margins were grossly uninvolved by tumorous tissue by at least 1 cm. along the deep margin. MICROSCOPIC DESCRIPTION: The slides are examined and evaluated. E-cadherin stain is performed on the left breast. tissue in an area showing features of lobular carcinoma in situ and atypical lobular. hyperplasia. The E. Cadherin stain is negative confirming this diagnosis. In addition to. the histologic sections one of the lymph node from the right modified radical mastectomy is. examined with Pankeratin stain. No evidence of metastatic carcinoma is detected either in. the histology or the Pankeratin stain. RUN DATE. RUN TIME. RUN USER: PCI User: SPEC #: INTRAOPERATIVE CONSULTATION: RIGHT MODIFIED MASTECTOMY, GROSS EXAM: MARGINS INKED. TUMOROUS TISSUE HANDED OFF TO TUMOR BANKING.

expanded version (tokens=2158) : 
 Histological classification: The breast cancer subtype is LumA. The report states that the right breast has multifocal invasive lobular carcinoma and subareolar intraductal papillomas with atypical hyperplasia and small foci of lobular carcinoma in situ. 

Subtype: The subtype of breast cancer is LumA.

Necrosis: There is no mention of necrosis in the pathology report.

Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes in the pathology report.

Histological grade and nuclear grade: The Nottingham histologic grade is 2 out of 3, and the tubule formation score is 3 out of 3, nuclear pleomorphism score is 2 out of 3, and mitotic rate score is 1 out of 3.

Lymphovascular invasion: There is no identified running of the tumor in blood or lymphatic vessels in the pathology report.

Calcification: There is no mention of calcifications in the pathology report.

Receptor status: The hormone receptors are positive, with 100% of tumor cells showing nuclear positivity for estrogen receptor (ER) and moderate nuclear positivity for progesterone receptor (PR).

IHC and ancillary testing: HER2 immunoperoxidase stains were equivocal with a score 2+. E-cadherin stain was negative confirming the diagnosis of lobular carcinoma in situ and atypical lobular hyperplasia. One lymph node from the right modified

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=2327) : 
 The breast cancer subtype is LumA, and the right breast has multifocal invasive lobular carcinoma with atypical hyperplasia and small foci of lobular carcinoma in situ. The Nottingham combined histologic grade is 2 out of 3 with tubule formation score 3 out of 3, nuclear pleomorphism score 2 out of 3, and mitotic rate score 1 out of 3. Hormone receptors are positive for ER and PR. HER2 immunoperoxidase stains were equivocal with a score 2+. Lymphovascular invasion is not present.

