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. A. Right breast; modified radical mastectomy: - Invasive ductal (tubulo-lobular) carcinoma, SBR grade II, focally associated. with microcalcification, see parameters. - Ductal carcinoma in situ, low and intermediate nuclear grade, cribriform,. micropapillary and solid type, associated with necrosis and microcalcifications. - Ductal carcinoma in situ is < 2 mm from posterior margin. - Biopsy site changes. - Columnar cell changes. - Two small fibroadenomas. - Twenty of twenty-nine lymph nodes, positive for metastatic carcinoma (20/29). - Extranodal extension present. Breast Pathologic Parameters. 1. Invasive carcinoma: A. Gross measurement: 4.5 cm (main lesion) and 1 cm (satellite in upper. outer quadrant). B. Composite histologic (modified SBR) grade: II. - Architecture: 2. - Nuclear grade: 2. - Mitotic count: 2. C. Associated intraductal carcinoma in situ (DCIS): - Within main mass (forming 40% of tumor volume). 2. Intraductal carcinoma: A. Gross measurement: 4.5 cm, admixed with invasive carcinoma. B. Type: Cribriform / Solid / Micropapillary. C. Nuclear grade: Low / Intermediate. D. Associated features: Necrosis / Microcalcifications / Cancerization of. lobules. 3. Excisional biopsy margins: - DCIS < 2 mm from posterior (closest) margin. - Invasive carcinoma > 4 mm from posterior (closest) margin. 4. Blood vessel and lymphatic invasion: Present. - Present in breast parenchyma. - Present in axillary tissue. 5. Nipple: DCIS extending into lactiferous duct. 6. Skin: uninvolved. 7. Skeletal muscle: absent. 8. Axillary lymph nodes: Positive (20/29). - Size of largest metastatic deposit: 12 mm. - Extranodal extension: present (7 mm; largest focus). - Tumor deposits in axillary tissue (up to 5 mm). 9. Special studies (see. - ER: Strong expression in >90 % of invasive tumor nuclei. - PR: Strong expression in >90 % of invasive tumor nuclei. - Her2/neu antigen (FISH): Non-amplified (ratio:1.00). 10. pTNM (AJCC, 7th edition, 2010): pT2(m), N3, MX. Clinical History: The patient is a year old female, with a right breast mass (MRI: 1.3 x 0.9 x. 0.8 cm) and biopsy diagnosis of invasive ductal carcinoma undergoing right. modified radical mastectomy. Specimens Received: A: Right breast; mastectomy. Gross Description: A. The specimen is received in a single container labeled with the patient's. name, medical record number, and additionally identified as, 'right breast'. Received fresh and placed in formalin is a 653 gm modified radical mastectomy. specimen. The specimen is oriented with a short suture designating the superior. margin and a long suture designating lateral margin. The specimen measures 18.5. cm from superior to inferior, 22.5 cm from medial to lateral, and 3.9 cm from. anterior to posterior. There is an attached 9.6 X 7.9 X 1.5 cm axillary tail. On the anterior surface is a 18.0 X 8.0 cm tannish brown ellipse of skin with a. 4.0 X 4.5 cm areola and a 1.5 X 1.4 X 0.5 cm raised nipple. The nipple-areolar. complex reveals no evidence of ulceration or retraction. The specimen is inked as follows: superior edge - blue;. inferior edge - green;. posterior - black. The specimen is serially sectioned from medial to lateral into 11 slices to. reveal a rubbery, irregularly shaped, white-tan, 4.5 X 3.5 x 2.5 cm mass with. a. granular cut surface in slices 3 through 5. A clip is identified in slice 3. The. mass is 0.5 cm from the posterior margin and widely free (>2 cm) from the. anterior superior and anterior inferiormargins. The remainder of the specimen. consists of approximately 30% dense gray-white fibrous breast parenchyma and 70%. lobulated yellow adipose tissue. No additional masses or nodules are grossly. identified. Sectioning through the axillary tail reveals multiple tan-brown,. rubbery lymph nodes ranging from 0.3-2.5 cm in greatest dimension. Block summary: A1: mass surrounding clip and closest approach to posterior margin and. surrounding clip, slice 3. A2: mass, slice 4. A3: mass, slice 4. A4: mass, slice 5. A5: mass and biopsy site, slice 5. A6: upper outer quadrant, slice 7. A7: lower outer quadrant, slice 6. A8: upper inter quadrant, slice 2. A9: lower-inner quadrant, slice 5. A10: skin adjacent to mass. A11: nipple. A12: tissue directly beneath nipple. A13: one lymph node, sectioned. A14: one lymph node, bisected. A15: one lymph node, sectioned. A16: one lymph node, bisected. A17: one lymph node, bisected. A18: one lymph node, bisected. A19: two lymph nodes. A20: two lymph nodes. A21: three lymph nodes. A22: three lymph nodes. A23: one lymph node, sectioned. A24: three lymph nodes. A25: four lymph nodes. A26: three lymph nodes.

expanded version (tokens=1695) : 
 Histological classification: 

- Invasive ductal (tubulo-lobular) carcinoma, SBR grade II, focally associated with microcalcification. 
- Ductal carcinoma in situ (DCIS), low and intermediate nuclear grade, cribriform, micropapillary, and solid type, associated with necrosis and microcalcifications.
- Columnar cell changes.
- Two small fibroadenomas.
 
Subtype: LumA 

Description of Necrosis: Necrosis present in DCIS.

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes.

Histological grade and Nuclear grade: 

- Invasive ductal carcinoma: Modified SBR grade II (Architecture-2/ Nuclear grade-2/ Mitotic count-2)
- DCIS: Low and intermediate nuclear grade

Lymphovascular invasion: Present in breast parenchyma and axillary tissue.

Calcification: Microcalcifications in invasive ductal carcinoma and DCIS.

Receptor status: ER and PR are strongly expressed in over 90% of invasive tumor nuclei. HER2/neu is non-amplified.

IHC and ancillary testing results: HER2/neu antigen FISH assay shows non-amplified (ratio: 1.00). 

Other important findings: 20 out of 29 axillary lymph nodes are positive for metastatic carcinoma. Extranodal extension present. DCIS is <2 mm from the posterior margin. In

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=1870) : 
 The final pathologic diagnosis of a year-old female with breast cancer is invasive ductal and ductal carcinoma in situ (DCIS), with necrosis and microcalcifications. The subtype is LumA. Histologically, the tumor is grade II with low and intermediate nuclear grade. Lymphovascular invasion is present in breast parenchyma and axillary tissue. ER/PR are strongly expressed, HER2/neu non-amplified (ratio 1.00). 20 out of 29 axillary lymph nodes have metastatic carcinoma with extranodal extension present. DCIS <2 mm from the posterior margin.

