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 implant: - Breast implant, gross examination only. B. Right skin sparing mastectomy: - Invasive ductal carcinoma, SBR grade I with satellite lesion, see. parameters. - Ductal carcinoma in-situ, intermediate nuclear grade, solid and. cribriform type, with necrosis. - Intraductal papilloma with intraductal hyperplasia, usual type. - Columnar cell changes. - Apocrine metaplasia. - Intraductal hyperplasia, usual type. - Duct ectasia. - Fibroadenoma. - Focal lactational changes. - Fragments of implant capsule. C. Right breast, submuscular capsule: - No tumor present. - Fibrovascular tissue with hyalinization and reactive change consistent. with breast implant capsule. Breast Pathologic Parameters. 1. Invasive carcinoma: A. Gross measurement: 2.0 cm index lesion and 0.7 cm satellite lesion. (located 2 cm superior from index mass). B. Composite histologic (modified SBR) grade: I. - Architecture: 1. - Nuclear grade: 3. - Mitotic count: 1. C. Associated intraductal carcinoma in situ (DCIS): - Within main mass (forming 50% of tumor volume). - Extending away from main mass. 2. Intraductal carcinoma: A. Microscopic measurement: Approximately 4.7 cm (main mass extending to. satellite lesion). B. Type: Cribriform, solid. C. Nuclear grade: Intermediate. D. Associated features: Necrosis, cancerization of lobules. 3. Excisional biopsy margins: Free of tumor. - DCIS > 3 mm from posterior (closest) margin. - Invasive carcinoma > 10 mm from posterior (closest) margin. 4. Blood vessel and lymphatic invasion: Not identified. 5. Nipple: Unremarkable. 6. Skin: Uninvolved. 7. Skeletal muscle: Uninvolved (attached small fragment). 8. Axillary lymph nodes: Negative (0/4). 9. Special studies. - 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: 1.0). 10. pTNM (AJCC, 7th edition, 2010): pT1c(m), NO, MX. Clinical History: The patient is a. vear-old female with invasive ductal carcinoma, grade 1. undergoing right skin sparing mastectomy. Specimens Received: A: Right breast implant. B: Right skin sparing mastectomy. C: Right breast submuscular capsule. Gross Description: The specimens are received in three containers each labeled with the patient's. name and medical record number. A. The first container is additionally identified as, 'right breast implant'. Received is a 12.9 X 12.0 X 0.5 cm deflated breast implant with inscription. with 0.9 X 1.5 X 0.5 cm portion of white soft tissue. Gross photographs are taken. The specimen is for gross only. B. The second container is additionally identified as, 'right skin sparing. mastectomy'. Received fresh and placed in formalin is a 724 gm simple skin. sparing mastectomy specimen. The specimen is oriented with a double short suture. designating the superior aspect, a double long suture designating the lateral. aspect, a single short suture designating the medial aspect, and a single long. suture on the nipple margin. The specimen measures 21 cm from medial to lateral,. 18.5 cm from superior to inferior, and 4 cm from anterior to posterior. An. L-shaped piece of skin consists of a brown areola measuring 4.1 cm in diameter. with an adjacent piece of brown skin extending laterally measuring 6.5 X 3.5 cm,. and an adjacent piece of brown skin extending inferiorly from the areola. measuring6.1 X 3.0 cm. In the center of the areola is a retracted nipple. measuring 0.8 cm in diameter. There is a 4x5 cm area of white smooth and. glistening membranous area on the posterior surface consistent with implant. capsule. The specimen is inked as follows: anterior superior - blue; anterior inferior -. green; posterior - black. The specimen is serially sectioned from medial to lateral into 16 slices to. reveal a white, firm, 2.0 X 1.9 X 1.9 cm mass in slices 9. A clip is identified. in slice 9. The mass is 2.5 cm from the posterior margin (black ink) and 1.5 cm. from the inferior anterior margin (green ink). There is a 1 cm white firm area. (abutting the posterior margin) just superior to the index lesion. There is a 0.7 X 0.7 X 0.6 cm ill-defined white firm area identified in slice 8. This lesion is 2.6 cm from the posterior margin, more than 2 cm away from all. other margins and 2.0 cm superior to the index lesion. The remainder of the specimen consists of approximately extending onto 45 %. dense gray-white fibrous breast parenchyma and 55 % lobulated yellow adipose. tissue. No additional masses or nodules are grossly identified. Block summary: B1: Nipple, serially sectioned. B2: Areola. B3: Closest margins to index lesion. B4-5: Index mass, slice 9. B6: Index mass, slice 9, with the white firm area. B7-12: White firm area, slice 8, entirely submitted. B13-14: Lower inner quadrant, slice 2 and 4. B15-16: Upper inner quadrant, slice 1 and 3. B17-18: Lower outer quadrant, slice 7 and 10. B19-20 Upper outer quadrant, slice 7 and 11. C. The third container is additionally identified as, 'right breast submuscular. capsule'. Received fresh is a 14.5 X 1.0 X 0.3 cm portion of white and. glistening membranous tissue. A representative section is submitted as C1.

expanded version (tokens=1791) : 
 Histological Classification:
- Invasive ductal carcinoma (IDC), SBR grade I with satellite lesion
- Ductal carcinoma in-situ (DCIS), intermediate nuclear grade, solid and cribriform type, with necrosis
- Submuscular capsule: No tumor present

Subtype: LumA

Description of necrosis:
- Present in DCIS

Tumor infiltrating lymphocytes:
- Not identified

Histological grade:
- IDC: Modified SBR Grade I
- DCIS: Intermediate nuclear grade

Nuclear grade:
- IDC: 3
- DCIS: Intermediate

Lymphovascular invasion:
- Not identified

Calcification:
- Not mentioned

Receptor status:
- 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: 1.0)

Ancillary testing results:
- Excisional biopsy margins are free of tumor
- Blood vessel and lymphatic invasion not identified
- Axillary lymph nodes negative (0/4)

Other findings:
- Intraductal papilloma with intraductal hyperplasia, usual type
- Columnar cell changes
- Apocrine metaplasia
- Intraductal hyperplasia, usual type
- Duct ectasia
- Fibroadenoma
- Focal lactational changes


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=1951) : 
 The breast pathology report shows LumA subtype. Invasive ductal carcinoma has modified SBR Grade I, with 2 cm index lesion and 0.7 cm satellite lesion. Ductal carcinoma in-situ is intermediate nuclear grade, solid and cribriform type with necrosis. Necrosis is identified only in DCIS. ER and PR receptors are expressed in >90% of invasive tumor nuclei, while Her2/neu is non-amplified. Ancillary testing results show all lymph nodes as negative for malignancy without any vascular invasion identified.

