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 Basal, FINAL PATHOLOGIC DIAGNOSIS. Lumpectomy and axillary dissection, right breast,. A. Sentinel lymph node #1, right axilla: -Microscopic focus (1 mm) of metastatic carcinoma. See comment. B. Right breast lumpectomy: -Invasive ductal carcinoma, SBR grade III. See parameters below. -No in-situ component. -Uninvolved breast parenchyma is unremarkable. C. Right axillary contents: -Thirteen lymph nodes, no tumor (0/13). Breast Pathologic Parameters. 1. Invasive carcinoma: A. Gross measurement: 1.9 cm. B. Composite histologic (modified SBR) grade III. - Architecture: 3. - Nuclear grade: 3. - Mitotic count: 3. C. Associated ductal carcinoma in situ (DCIS): Not present. 2. Excisional biopsy margins: Free of tumor. - Invasive carcinoma is 2 mm from closest (inferior) margin. - Additional margins greater than 2mm away. 3. Blood vessel and lymphatic invasion: Absent. 4. Axillary lymph nodes: Positive for tumor, (1/14). - Size of largest metastatic deposit: 1 mm. - Extranodal extension: Absent. 5. Special studies (see. - Rare tumor cells (less than 1%) immunoreact with ER and PR. - Her2/neu antigen (FISH): Negative (ratio = 1.04). 6. pTNM: pT1c, N1mi, MX. Clinical History: The patient is a -year-old female with a history of right breast mass. undergoing right breast lumpectomy and sentinel node biopsy. Comment. Cytokeratin stains are performed on the sentinel node (blocks A1 and A2). However, the microscopic focus of carcinoma is not present on the deeper. sections used for IHC. Specimens Received: A: Sentinel Lymph Node Right Breast #1. B: Right Breast Lumpectomy. C: Right Axillary Contents. Gross Description: The specimen is received in three containers, each labeled with the patient' S. name and medical record number. A. Container A is additionally identified as '1. sentinel lymph node, right. breast #1. Received fresh for frozen section diagnosis is a 2.0 x 1.5: x 1.0 cm. blue-tan, ovoid lymph node candidate. The specimen is bisected and entirely. frozen in cassettes A1FS-A2FS and read as A1FS-A2FS positive for metastatic. tumor < 2 mm¹ per Dr. The frozen section remnants are entirely submitted. in cassettes A1FS-A2FS. B. Container B is additionally identified as '2. right breast lumpectomy; long. stitch lateral, short stitch superior.' Received fresh and placed in formalin. is a 113.8 gm, oriented lumpectomy specimen. The specimen measures 7.2 cm from. lateral to medial, 11.0 cm from anterior to posterior, and 3.0 cm from superior. to inferior. The specimen is oriented with a double short suture at superior. and a double long suture at lateral. The specimen is inked as follows: superior blue. inferior black. anterior green. posterior red. The specimen is serially sectioned from lateral to medial into ten slices. The. central aspect of the specimen, within five slices, is notable for a. well-circumscribed, centrally spiculated, indurated, otherwise solid, firm,. white-pink mass. The mass measures 1.9 x 1.7 X 1.7 cm and abuts both the. inferior (black) and inferior/posterior (red/black) margins, diffusely. The. second slice from the lateral aspect of the mass shows an identifiable metallic. clip. The remainder of the specimen is devoid of additional discrete lesions. and is otherwise composed of soft, yellow tissue (85%) and intermixed,. glistening and soft, white parenchyma (15%). Block summary: B1-B2:lateral margin, serially sectioned. B3-B105: entire specimen from lateral to medial, respectively. B106-B107: medial margin, serially sectioned. (Mass in cassettes B27, B28, B36-B39, B54-B57, B74-B77; clip in cassettes. B36-B39.). C. Container C is additionally identified as '3. right axillary contents.'. Received fresh is a 8.0 X 5.0 X 2.5 cm portion of lobulated, yellow tissue. The. specimen is dissected for lymph node candidates. Block summary: C1: five lymph node candidates. C2: two lymph node candidates. C3: one lymph node candidate, bisected. C4: one lymph node candidate, bisected. C5: three lymph node candidates. C6: three lymph node candidates. C7: five lymph node candidates. C8: one lymph node candidate, bisected. C9: one lymph node candidate, bisected. C10: one lymph node candidate, bisected. C11: two lymph node candidates. C12: three lymph node candidates. C13: one lymph node candidate, bisected. C14: one lymph node candidate, bisected. C15: one lymph node candidate, bisected. C16: one lymph node candidate, bisected. C17-C19: one lymph node candidate, sectioned. (questionable multiple matted lymph nodes). Intraoperative Consult Diagnosis: A1FS-A2FS. Sentinel lymph node, right breast #1: Positive for metastatic tumor. <2 mm. Pathologist Sign Out:

expanded version (tokens=1631) : 
 The breast pathology report describes a case of invasive ductal carcinoma, SBR grade III in a  woman who underwent a lumpectomy and axillary dissection in the right breast. The histological subtype is basal. 

The report details the following parameters:

1. Size and Grade of the Invasive Carcinoma:
The invasive carcinoma measured 1.9 cm in gross measurement and was categorized as a modified SBR grade III, based on the architecture (score of 3), nuclear grade (score of 3), and mitotic count (score of 3). Associated ductal carcinoma in situ (DCIS) was not present.


2. Excisional Biopsy Margins
The excisional biopsy margins were free of tumor and invasive carcinoma was found to be 2 mm away from the closest inferior margin. Additional margins were greater than 2mm away.


3. Blood Vessel and Lymphatic Invasion
Absent.


4. Axillary Lymph Nodes
13 lymph nodes were retrieved from the right axilla. One lymph node (#1) was positive for metastatic carcinoma with a microscopic focus of 1 mm, and the size of the largest metastatic deposit was 1 mm. Extranodal extension was absent.


5. Special Studies
Immunohistochemistry (IHC) testing on rare tumor cells (less than 1%) showed that they immunoreacted with ER and PR. Her2/neu antigen (FISH) was negative (ratio

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=1806) : 
 A lumpectomy and axillary dissection was performed in a woman with a 1.9 cm basal subtype invasive ductal carcinoma, SBR grade III, in the right breast. No associated DCIS was evident. Adequate excisional biopsy margins and no signs of blood vessel or lymphatic invasion were seen. 13 lymph nodes were retrieved from the right axilla, with only one showing metastatic carcinoma at micrometer scales with no extranodal extension. Immunohistochemistry testing revealed rare tumor cells (<1%) and identified ER/PR positivity but showed Her2/neu antigen (FISH) negative results.

