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 Her2, FINAL PATHOLOGIC DIAGNOSIS. A. Right axillary sentinel node #1, biopsy: - One lymph node, negative for metastatic carcinoma (0/1). (H&E and. cytokeratin AE1/AE3). B. Right axillary sentinel node #2, biopsy: - One lymph node, negative for metastatic carcinoma (0/1). (H&E and. cytokeratin. AE1/AE3). C. Superior mastectomy flap, excision: - Benign fibroadipose tissue with focal fat necrosis. D. Right breast, simple mastectomy: - Two foci of invasive ductal carcinoma, SBR Grade II, see breast. pathologic parameter. - Ductal carcinoma in-situ, intermediate nuclear grade, solid and apocrine. types. - Microscopic focus of atypical ductal hyperplasia. - Previous biopsy sites identified. - Margins of excision are negative for invasive and in-situ carcinoma. - Intraductal papilloma (9 mm) with extensive hyalinization, see comment. - Hyalinized 6 mm nodule with osseous metaplasia. - Columnar cell change. - Fibroadenomatous changes. - Apocrine metaplasia. - Sclerosing adenosis. - Duct ectasia. E. Inferior flap, right breast excision: - Benign fibroadipose tissue with microscopic focus of breast parenchyma,. distant from. the new true margin. F. Medial flap, right breast excision: - Benign fibroadipose tissue. Breast Pathologic Parameters. 1a. Invasive carcinoma: (1 o'clock lesion). A. Gross measurement: 2.1 X 1.9 cm. B. Composite histologic (modified SBR) grade: II. - Architecture: 3. - Nuclear grade: 2. - Mitotic rate: 1. C. Associated intraductal carcinoma in situ (DCIS): - Within main mass (forming less than 5% of tumor volume). 1b. Invasive carcinoma (12 o'clock lesion): 0.9 X 0.8 cm. Composite histologic (modified SBR) grade II. - Architecture: 3. - Nuclear grade: 2. - Mitotic rate: 1. Associated intraductal carcinoma in situ (DCIS): None. 2. Intraductal carcinoma: A. Microscopic measurement: Admixed with 1 o'clock lesion. B. Type: Solid, Apocrine. C. Nuclear grade: Intermediate. D. Associated features: None. 3. Excisional biopsy margins: Free of tumor. - DCIS more than 10 mm from anterior-superior (closest) margin. Invasive carcinoma more than 5 mm from anterior-superior (closest) margin. 4. Blood vessel and lymphatic invasion: Suspicious. 5. Nipple: unremarkable. 6. Skin: uninvolved. 7. Skeletal muscle: absent. 8. Axillary lymph nodes: Negative (0/2). 9. Special studies (ER, PR repeated on mastectomy): 1 o'clock lesion. - ER: No expression, 0% of invasive tumor nuclei. - PR: No expression, 0% of invasive tumor nuclei. - HER2 antigen (FISH) (biopsy. Not amplified (ratio: 1.14). - Ki-67 (Performed on previous biopsy. : 35%. Special studies (ER, PR repeated on mastectomy): 12 o'clock lesion. - ER: No expression, 0% of invasive tumor nuclei. - PR: No expression, 0% of invasive tumor nuclei. - HER2 antigen (FISH)(biopsy. : Not amplified (ratio: 1.13). - Ki-67 (Performed on previous biopsy. ): :30%. 10. pTNM (AJCC, 7th edition, 2010): pT2(m), NO(sn), MX. Effective. this Checklist utilizes the 7th edition TNM staging. system for breast of the American Joint Committee on Cancer (AJCC) and the. International Union Against Cancer (UICC). Clinical History: The patient is a. year-old female with multicentric right breast invasive. ductal carcinoma undergoing simple mastectomy and sentinel node biopsies. mammogram showed a hypoechoic mass at 1:00 in the right breast, 4. cm from the nipple, measuring 20 mm in maximum diameter. A smaller round. hypoechoic mass measuring 8 mm in maximum diameter was additionally identified. at 12:00 in the right breast, 4 cm from the nipple. Clips wereplaced in the. central aspect of both lesions. Comment. D. Immunohistochemical stains for cytokeratin 5/14 were performed on block D7. and support intraductal hyperplasia, usual type. Immunohistochemical stains for. p63 and mycin heavy chain were performed on D10 and support an intraductal. papilloma. All immunohistochemical controls were appropriate. Specimens Received: A: Right axillary sentinal. node #1. B: Right axillary sentinal. node #2. C: Superior mastectomy flap. D: Right breast. E: Inferior flap right breast. F: Medial flap right breast. Gross Description: The specimens are received in six containers each labeled with the patient's. name and medical record number. A. The first container is additionally identified as, 'right axillary sentinel. node #1'. Received fresh for intraoperative consultation is a portion of rubbery. yellow-tan tissue measuring 2.5 X 2.3 X 0.8 cm. The specimen is bisected and. entirely frozen, and the frozen section diagnosis by Dr. is 'no tumor'. The. frozen section remnants are entirely submitted in A1 FS and A2 FS. B. The second container is additionally identified as, 'right axillary sentinel. node #2'. Received fresh for intraoperative consultation is a portion of. yellow-tan and blue-tinged tissue measuring 1.5 X 1.0 x 0.8 cm. The specimen is. bisected and entirely frozen, and the frozen section diagnosis by Dr. is. 'no tumor'. The frozen section remnant is entirely submitted in B1 FS. C. The third container is additionally identified as, 'superior mastectomy. flap'. Received fresh and placed in formalin is a 26.5 gram, 10.3 x 4 x 0.9 cm. portion of lobulated yellow fibroadipose tissue. There is a stitch on one aspect. of the specimen designating the final anterior margin. The aspect of the. specimen with the stitch is inked black. The specimen is serially sectioned to. reveal grossly unremarkable lobulated yellow fibroadipose tissue. Representative. sections are submitted in C1-C5. D. The fourth container is additionally identified as, 'right breast'. Received fresh and placed in formalin is a 593.6 g simple mastectomy specimen. The specimen is oriented with a double short suture designating the superior. aspect and a double long suture designating the lateral aspect. The breast. measures 24.5 cm from medial to lateral, 18 cm from superior to inferior, and. 3.5 cm from anterior to posterior. On the anterior surface is a 21.5 X 13.5 cm. brown ellipse of skin with a 5.5 x 3.8 cm areola and a 1.2 X 1.1 x 0.5 cm raised. nipple. The nipple-areolar complex reveals no evidence of ulceration or. retraction. The specimen is inked as follows: anterior-superior - blue;. anterior-inferior - green;. posterior - black. The specimen is serially sectioned from medial to lateral into 20 slices (slice. 1 = medial, nipple in slice 10) to reveal a well-circumscribed lobulated tan. mass measuring 2.1 x 1.9 X 1.5 cm in the superior aspect of slices 7 and 8. The. mass is 1.3 cm from the posterior (black) margin, 1.3 cm from the anterior. superior (blue) margin, and 0.9 cm from the anterior skin. In slice 8, 1.8 cm. superior to the first mass, is a 0.9 x 0.8 X 0.8 cm rubbery mass that is located. 1 cm from the posterior (black) margin and 0.8 cm from the anterior superior. (blue) margin. A clip is identified in slice 8 within the second mass. There are. 2 additional nodular areas in the breast. The first measures 0.9 X 0.8 x 0.7 cm. and is located in the inferior aspect of slice 11, 1.6 cm from the posterior. (black) margin. The second nodular area measures 0.5 X 0.4 X 0.4 cm and is found. in the inferior aspect of slice 15, 1 cm from the posterior (black) margin. The. remainder of the specimen consists of approximately 25% dense gray-white fibrous. breast parenchyma and 75% lobulatedyellow adipose tissue. No additional masses. or nodules are grossly identified. Block summary: D1: mass #1, slice 7. D2: mass #1, slice 7, including deep margin. D3: mass #1, slice 8, including closest to anterior superior margin. D4: masses #1 and #2, slice 8. D5-D6: mass #2, slice 8, including closest to anterior superior and deep margins. (submitted in tandem). D7: medial to mass #1, slice 6. D8: inferior to mass #1, slice 8. D9: lateral to masses #1 and #2, slice 9. D10: nodular area #1, slice 11. D11: breast parenchyma between nodular areas #1 and #2, slice 13. D12: nodular area #2, slice 15. D13: lateral to nodular area #2, slice 16. D14: upper-outer quadrant slice 14. D15: lower-outer quadrant slice 14. D16: upper-inner quadrant slice 4. D17: lower-inner quadrant slice 5. D18: nipple. D19: skin, slice 8. E. The fifth container is additionally identified as, 'inferior flap right. breast stitch marks final anterior margin'. Received fresh and placed in. formalin is a 6.5 g, 4.7 x 3.2 x 0.6 cm portion of lobulated yellow fibroadipose. tissue. On one aspect of the specimen is a stitch designating the final anterior. margin. The aspect of the specimen with the stitch is inked black. The specimen. is serially sectioned to reveal grossly unremarkable lobulated yellow. fibroadipose tissue. Representative sections are submitted in E1-E5. F. The sixth container is additionally identified as, 'medial flap right breast. stitch marks final anterior margin'. Received fresh and placed in formalin is a. 3.5 g, 4.7 X 1.4 X 0.7 cm portion of lobulated yellow fibroadipose tissue. There. is a stitch on one aspect of the specimen designating the final anterior margin. The aspect of the specimen with the stitch is inked black. The specimen is. serially sectioned to reveal grossly unremarkable lobulated yellow fibroadipose. tissue. The specimen is entirely submitted in F1-F4. Tissue fixed for at least 6 hours in 10% NBF and no more than 72 hours. MD, PhD. Intraoperative Consult Diagnosis: A1 FS and A2 FS: 'no tumor', by Dr. B1 FS: 'no tumor', by Dr.

expanded version (tokens=2990) : 
 The breast pathology report indicates that the patient has subtype Her2 breast cancer. The specific findings of the report include:

- Two foci of invasive ductal carcinoma, SBR Grade II (one at 1 o'clock lesion and another at 12 o'clock lesion)
- Ductal carcinoma in-situ (DCIS), intermediate nuclear grade, solid and apocrine types
- Microscopic focus of atypical ductal hyperplasia
- Small focus of intraductal papilloma (9 mm) with extensive hyalinization
- Hyalinized 6 mm nodule with osseous metaplasia
- Columnar cell change
- Fibroadenomatous changes
- Apocrine metaplasia
- Sclerosing adenosis
- Duct ectasia

Histological characteristics of the invasive carcinoma include:

- Composite histologic (modified SBR) grade: II
- Architecture: 3
- Nuclear grade: 2
- Mitotic rate: 1
- ER/PR status: No expression, 0% of invasive tumor nuclei
- HER2 antigen (FISH) (biopsy): Not amplified (ratio: 1.14 at 1 o'clock lesion and 1.13 at 12 o'clock lesion)
- Ki-67 (Performed on previous biopsy): 35% at 1 o'clock lesion and 30% at 12 o'clock lesion
- Lymphovascular invasion:

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=3149) : 
 Her2 subtype breast cancer is diagnosed in a female patient. Two foci of invasive ductal carcinoma (SBR Grade II) and DCIS are observed. The invasive carcinoma shows intermediate nuclear grade, composite histologic grade 2 with architecture 3 and the mitotic rate of 1. Both lesions are ER/PR negative and not amplified for HER2 antigen. Free carcinoma margins are noted, but suspicious blood vessel and lymphatic invasion is identified. No skeletal muscle involvement detected, axillary nodes tested negative for metastatic carcinoma (0/2).

