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, FINAL PATHOLOGIC DIAGNOSIS. Mastectomy and sentinel lymph node biopsy,. A. Left axillary sentinel node #1: - Single lymph node, no tumor (0/1). B. Left axillary sentinel node #2: - Single lymph node, no tumor (0/1). C. Mastectomy, left breast: - Invasive ductal carcinoma, SRB grade II, with focal necrosis. - Ductal carcinoma in situ, high nuclear grade, solid type. - Focal Paget' S disease of the nipple. - Uninvolved breast parenchyma with focal flat epithelial atypia, columnar. cell change, ductal hyperplasia of usual type, intraductal papilloma. D. Left axillary base, non-sentinel lymph node: - Two lymph nodes, no tumor (0/2). Breast Pathologic Parameters. 1. Invasive carcinoma: A. Size: Gross measurement: 6.5cm. B. Composite histologic (modified SBR) grade II. - Architecture: 3. - Nuclear grade: 2. - Mitotic count: 1. C. Associated ductal carcinoma in situ (DCIS): - High nuclear grade, solid type. - Associated with (forming 5% of tumor volume) and extending away (focal to. involved lactiferous ducts and nipple) from index lesion. 2. Excisional biopsy margins: Free of tumor. - DCIS > 1cm from deep (closest) margin. - Invasive carcinoma 5mm from deep (closest) margin. 3. Blood vessel and lymphatic invasion: - Rare microscopic foci worrisome for lymphatic involvement in breast. parenchyma. 4. Axillary lymph nodes: Negative for tumor (0/4). 5. Special studies (see. - Strong expression of ER in 100% of invasive tumor nuclei. - Strong expression of PR in 100% of invasive tumor nuclei. - Her2/neu antigen (FISH): pending on prior biopsy material. 6. pTNM: pT3, NO(sn), MX. Clinical History: The patient is a. .year-old female with palpable left breast mass. Biopsy at. outside hospital showed invasive ductal carcinoma, ER/PR positive, HER-2. negative. Breast MRI on. ;howed left inferior irregular margin. with irregular mass and heterogenous enhancement at 6 o' clock position. Multiple contiguous satellite lesions are present predominantly extending. anterior from the mass. Overall dimensions are 6.4 x 6.1 x 4.1 cm. The right. breast was normal. Bilateral axillae were normal. Specimens Received: A: Left axillary sentinel node. B: Left axillary sentinel node. C: Left breast. D: Non-Sentinel node base of axilla. Gross Description: The specimen is received in four containers each labeled with the patient' S. name and medical record number. A. Container A is further identified as, 3left axillary sentinel node4. Received fresh is a 2.5 X 1.5 x 1.0 cm apparent lymph node with blue ink. The. specimen is bisected and entirely submitted for frozen section with the. diagnosis of 3no evidence of tumor4 per. The frozen remnant is. entirely submitted in cassette A1FS. B. Container B is further identified as, 3left axillary sentinel node4. Received fresh is a 2.0 x 1.5 x 1.0 cm apparent lymph node with blue ink. The. specimen is bisected and entirely submitted for frozen section with a diagnosis. of 3no evidence of tumor4 per. The remnant of the frozen section is. entirely submitted in cassette B1FS. C. Container C is further identified as, 3left breast4. Received fresh and. placed in formalin is a specimen mastectomy weighing 1100 grams measuring 23.8. cm from medial to lateral, 17.4 cm from superior to inferior, 6.0 cm from. anterior to posterior. The specimen is oriented with two short sutures. designated as superior and two long sutures designated as lateral. The breast. is overlaid with 14.5 x 10.5 cm adipose and skin. Eccentricallylocated is a. 5.8 x 5.2 cm areola with a nipple with a diameter of 1.5 cm. The nipple areolar. complex displays no evidence of ulceration or retraction. The deep fascia is. inked black and the specimen is sectioned from medial to lateral into ten. slices, with the medial slice designated as slice 1. The nipple is located in. slice 4 and slice 5. A 6.5 x 4.9 x 3.3 cm mass is located in slice 4 through. slice 7. The mass is white and firm and inferior to the nipple. The margin of. the mass is irregular especially at the anterior aspect. A satellite lesion is. identified superior and anterior to the index mass located in slice 5 measuring. 1.5 x 1.1 x 1.1 cm and is 0.4 cm from the nearest skin. The mass is 1.0 cm from. the closest inked margin on slice 5. A 2.0 x 2.0 x 1.5 cm black discolored area. is identified in slice 3 and 4 and another 4.0 x 3.8 x 2.0 cm blue discolored. area is identified on slice 5 and 6. The remainder of the breast consists. approximately 17% of adipose tissue and 30% of breast duct parenchyma. Additional masses or nodules are not grossly identified. Representative. sections are submitted as follows: C1: nipple. C2-C3: areola. C4-C7: full section of the tumor on slice 5 with cassette 4 showing. the closest deep margin and cassette. 6 showing the satellite lesion and the closest skin. C8: section from slice 5 showing satellite lesion and the closest skin. C9: representative sections from the tumor on slice 6. C10: inner upper quadrant slice 3. C11: inner upper quadrant slice 4. C12: inner lower quadrant slice 3. C13: inner lower quadrant slice 2. C14: outer upper quadrant slice 5. C15: outer upper quadrant slice 8. C16: outer lower quadrant slice 8. D. Container D is further identified, as 3non-sentinel node base of axilla. left4. Received fresh and placed in formalin are two apparent lymph nodes. measuring 1.8 x 1.0 x 0.6 cm and 1.2 x 0.7 x 0.5 cm. The specimen is entirely. submitted in cassettes D1-D2 with one lymph node in each cassette bisected. Intraoperative Consult Diagnosis: A1FS. Left axillary sentinel node: No evidence of tumor. B1FS. Left axillary sentinel node: No evidence of tumor.

expanded version (tokens=1927) : 
 The breast pathology report shows:

1. Histological classification
- Invasive ductal carcinoma, SRB grade II, with focal necrosis.
- Ductal carcinoma in situ, high nuclear grade, solid type.
- Focal Paget's disease of the nipple.
- Uninvolved breast parenchyma with focal flat epithelial atypia, columnar cell change, ductal hyperplasia of usual type, intraductal papilloma.

2. Subtype
- Luminal A

3. Description of any necrosis
- Focal necrosis present in invasive ductal carcinoma

4. Tumor infiltrating lymphocytes
- No mention of tumor infiltrating lymphocytes

5. Histological grade
- Composite histologic (modified SBR) grade II for invasive ductal carcinoma.
- High nuclear grade for ductal carcinoma in situ.

6. Nuclear grade
- Nuclear grade 2 for invasive ductal carcinoma.

7. Lymphovascular invasion
- Rare microscopic foci worrisome for lymphatic involvement in breast parenchyma.

8. Calcification
- No mention of calcification.

9. Receptor status
- Strong expression of ER in 100% of invasive tumor nuclei.
- Strong expression of PR in 100% of invasive tumor nuclei.
- Her2/neu antigen (FISH): pending on prior biopsy material.

10. IHC and any other ancillary testing results
- Her2/neu

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=2107) : 
 This 63-year-old female patient’s pathology report shows Luminal A subtype Invasive ductal carcinoma SRB grade II with focal necrosis and high nuclear grade ductal carcinoma in situ. There is rare microscopic foci worrisome for lymphovascular invasion. ER and PR are strong in 100% of invasive tumor nuclei while the Her2/neu antigen FISH test result is pending. No tumor was found in the axillary lymph nodes tested. Margin biopsies were free of tumor, and excisional margins reveal DCIS to be more than 1cm from deep margin and invasive carcinoma is more than 5 mm from deep margin.

