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: ACCT # : AGE/SX: ROOM: REG DR: BED: SPEC # : RECD : COLL. TIME IN FORMALIN: 6:29. hrs. Addendum # 1. A. typographical error is present on the initial synoptic report in the comment field on the. original report. The histologic type of the invasive carcinoma should be stated as invasive. lobular carcinoma (pleomorphic type). Addendum Signed. (signature on file). RUN DATE. RUN TIME. RUN USER. SPEC # : CLINICAL INFORMATION: Pre-Op Diagnosis Right breast cancer. Remarks. Specimen (s): Right breast, stitch on axillary tail. MICROSCOPIC DIAGNOSIS. RIGHT BREAST, MASTECTOMY. INVASIVE LOBULAR CARCINOMA. PLEOMORPHIC TYPE. MODIFIED NOTTINGHAM HISTOLOGIC GRADE 2 OF 3, NUCLEAR SCORE 2 OF 3, TUBULAR. FORMATION SCORE 3 OF 3. MITOTIC SCORE 1 OF 3 (3 MITOTIC FIGURES PER. TUMOR MEASURES 3. 5 CM. SURGICAL MARGINS FREE OF TUMOR WITH NEAREST MARGIN THE DEEP MARGIN AT 1 MM FROM. TUMOR. SEE COMMENT FOR SYNOPTIC REPORT. COMMENT(S). SURGICAL PATHOLOGY CANCER CASE SUMMARY - APPROVED BY COLLEGE OF AMERICAN PATHOLOGISTS. PROCEDURE: Total mastectomy. SPECIMEN LATERALITY: Right. HISTOLOGIC TYPE OF INVASIVE CARCINOMA : Invasive ductal carcinoma. TUMOR SIZE. Greatest dimension of largest focus of invasion : 39 mm. HISTOLOGIC GRADE: Glandular/tubular differentiation score 3. Nuclear pleomorphism: score 2. Mitotic rate: score 1. Overall grade: grade 2. TUMOR FOCALITY. Single focus of invasive carcinoma. DUCTAL CARCINOMA IN SITU: No DCIS is present. MARGINS : Invasive carcinoma: Margins uninvolved by invasive carcinoma. Distance from closest margin: 1 mm. deep. LYMPH NODES: Total number of lymph nodes examined 0. PATHOLOGIC STAGING: Primary tumor: pT2. Regional lymph nodes: pNX. Distant metastasis: not applicable. ANCILLARY STUDIES: Estrogen receptor: Results: positive (100% of tumor cells with. nuclear positivity). Progesterone receptor: Results positive (21% of tumor cells with. nuclear positivity). HER-2: Immunoperoxidase studies. Results: equivocal (score 2+). RUN DATE. RUN TIME. RUN USER. SPEC #: COMMENT (s). In situ hybridization (FISH) : not amplified. GROSS DESCRIPTION: Received fresh for tissue banking labeled with the patient's name and "right breast" is a. 257 gram, 18.0 x 16.0 x 3.0 cm fibrofatty breast. The breast has an overlying 16.0 x 12.0. cm tan-white skin ellipse with an eccentric 3.0 cm areolar and flattened 1.0 cm nipple. No. scars are identified on the skin surface. The specimen is oriented with a suture at the. axillary tail. The deep margin has a smooth fascial plane with no significant strands of. fibroskeletal muscle. The breast is consistent with a simple mastectomy specimen. The. deep margin is inked blue, and the breast is serially sectioned from lateral to medial to. have a central. lobulated. dense indurated tumor mass with fibrous septae. The mass. focally ranges up to 3.9 cm and is 3.9 x 3.6 x 2.6 cm. The tumor is 0.2 cm from the. deep. margin, and the deep margin appears to slide freely over the tumor mass. The mass is. 2.3. cm from the superior margin, is 5.8 cm from inferior. is 5.6 cm from lateral and 7. 4 cm. from medial. There is diffuse surrounding dense white fibrous tissue. The tumor is most. closely associated with the upper outer quadrant The dense white fibrous tissue makes up. approximately 60% of the parenchyma. A section of the tumor is sampled for tissue banking. No additional lesions are identified. Representative sections are sampled as labeled. 1. perpendicular section of nipple. 2-3. tumor to nearest deep margin. additional section of tumor. 5. upper outer quadrant sampled (quadrant nearest tumor). 6. lower outer quadrant sampled. 7. upper inner quadrant sampled. 8. lower inner quadrant sampled. INTRAOPERATIVE CONSULTATION: IMMEDIATE GROSS EVALUATION (RIGHT BREAST) : INVASIVE CARCINOMA, PROCESSED FOR TUMOR BANKING. SURGICAL MARGINS FREE OF TUMOR. PHOTO DOCUMEN'TATTON. Image. (signature on file).

expanded version (tokens=1515) : 
 The breast pathology report states that the patient had a right breast cancer and underwent a total mastectomy. The subtype is LumA. The histological type of invasive carcinoma is invasive lobular carcinoma, pleomorphic type. The modified Nottingham histologic grade is 2 out of 3, with a nuclear score of 2 out of 3, tubular formation score of 3 out of 3, and mitotic score of 1 out of 3. The tumor measures 3.5 cm. The surgical margins are free of the tumor, with the nearest margin being the deep margin at 1 mm from the tumor. 

There is an addendum report stating that a typographical error was present in the original report and the invasive carcinoma's histologic type should be stated as invasive lobular carcinoma (pleomorphic type). The report also mentions that there is no DCIS present in the breast tissue and that the lymph nodes were not affected. 

The report further indicates that the glandular/tubular differentiation score is 3, nuclear pleomorphism score is 2, and mitotic rate score is 1. The overall grade of the tumor is 2. Additionally, the pathology report lists the receptor status results: Estrogen receptor - positive (100% of tumor cells with nuclear positivity); Progesterone receptor - positive (21% of tumor cells with nuclear positivity). HER2 results are equivocal with a score of 2+. In situ hybridization (FISH

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=1654) : 
 The patient had a total mastectomy for a 3.5 cm right breast tumor. The histological type of invasive carcinoma is invasive lobular carcinoma, pleomorphic type. The modified Nottingham histologic grade is 2 out of 3. There is no DCIS present in the breast tissue, and lymph nodes were not affected. Estrogen and progesterone receptor are positive, and HER2 results are equivocal with a score of 2+.

