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; removal: - Breast implant (gross only). B. Right breast; skin-sparing mastectomy: - Invasive lobular carcinoma, SBR grade II, two foci, adjacent to prior. lumpectomy site (1.9cm) and superior aspect of breast (2.2 cm). - Lobular carcinoma in situ, classic type. Uninvolved breast parenchyma with adenosis, usual ductal hyperplasia,. columnar cell change and apocrine metaplasia. C. Right breast, anterior margin superior flap; excision: - Breast parenchyma with post-surgical change, no tumor. D. Right breast, anterior margin inferior flap; excision: - Breast parenchyma with post-surgical change, no tumor. Breast Pathologic Parameters. (combined with previous lumpectomy specimen. 1. Invasive carcinoma: A. Microscopic measurement: Two foci (1.9cm and 2.2 cm). B. Composite histologic (modified SBR) grade: II (all foci). - Architecture: 3. - Nuclear grade: 2. - Mitotic rate: 1. C. Associated intraductal carcinoma in situ (LCIS): - Within and extending away from main mass (forming 10% of tumor. volume). 2. Excisional biopsy margins: Positive. - Specimen margins positive, invasive carcinoma present at posterior. margin (slide B11) and <0.1 mm from anterior-superior (slides B11 and B12). margin; superior lesion, slices 5 and 6 of 15 going medial to lateral. 3. Blood vessel and lymphatic invasion: Absent. 4. Nipple: Unremarkable. 5. Skin: Uninvolved. 6. Axillary lymph nodes: Negative (0/4 sentinel lymph nodes, see. 7. Special studies (see. - ER: Strong expression in 90% of invasive tumor nuclei. - PR: Weak expression in 10-20% of invasive tumor nuclei. - HER2 antigen (FISH): Non-amplified (ratio: 1.05). - Ki67: 10%. 8. pTNM (AJCC, 7th edition, 2010): pT2(m), NO(sn), MX. Clinical History: The patient is a. -year-old female with right breast cancer undergoing a right. breast skin sparing mastectomy. Specimens Received: A: Breast implant. B: Right breast. C: Anterior margin - superior flap. D: Anterior margin - inferior flap. Gross Description: The specimens are received in four 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 spherical portion of clear synthetic plastic material filled with. clear gel measuring 11.5 x 11.5 x 5 cm. The following is on the surface. The specimen is consistent with an intact breast implant and. received for gross description only. Gross photographs are submitted. B. The second container is additionally identified as, 'right breast skin. sparing mastectomy'. Received fresh and placed in formalin is a 149 g oriented. skin sparing simple mastectomy. The specimen measures 14.8 cm from superior to. inferior, 19.8 cm from medial to lateral, and 1.2 cm from anterior to posterior. The anterior skin is tan and unremarkable measuring 3.4 x 3.3 cm. There is. a. central 2.4 x 2.3 cm areola and soft 1.2 x 1.1 x 0.5 cm nipple. The specimen is. sectioned from lateral to medial into 15 slices (1 is lateral) with slice 10. corresponding with the nipple. On the anterior aspect of the specimen is a. metal clip identified in the mid-superior aspect at approximately 11:00. A 1.7. x 1.5 x 1.0 cm hemorrhagic smooth cavity lies within slices 8 and 9 with. adjacent yellow tissue consistent with fat necrosis. It is in the middle aspect. of the slices adjacent to the aforementioned metallic clip. The cavity abuts. the posterior margin and comes to within 0.1 cm of the anterior (blue ink). margin. Lateral to the cavity in slice 7 is a palpably firm and white. ill-defined lesion (#1) at the anterior (blue ink) margin and 0.2cm from the. posterior margin measuring 1.4 x 0.5 x 0.5 cm. In slices 5 and 6 in the. superior aspect abutting the anterior and posterior margins is a firm. well-circumscribed white 1.1 x 0.9 x 0.7 cm mass (#2). Lesion #2 is 1.5 cm. superior and one cm lateral to lesion #1. Lastly in slices of 6 and 7 in the. inferior aspect is an ill defined firm white lesion (#3) extending over 1.0 x. 0.7 x 0.5 cm, 0.3 cm from the anterior (green ink) margin. The remainder of the. specimen is rubbery lobulated dense white tissue in the central slices (5-11). Remaining tissue is lobulated soft and yellow. No other discrete lesions are. identified. Block summary: B1: Entire nipple, serially sectioned. B2-B7: Entire cavity (lateral to medial respectively). B8-B10: Entire lesion #1 (all sections from slice 7). B11-B13: Entire lesion #2 (medial to lateral respectively). B14-B17: Entire lesion #3 (lateral to medial respectively). B18-B19: Representative sections of right upper outer quadrant (slices 8 and 9. respectively). B20-B21: Representative sections of right lower outer quadrant (slices 5 and 8. respectively). B22-B23: Representative sections of right lower inner quadrant (slices 9 and 10. respectively). B24-B25: Representative sections of right upper inner quadrant (slices 11 and. 12 respectively). C. The third container is additionally identified as, 'anterior margin superior. flap'. Received fresh and placed in formalin is an oriented piece of soft. yellow tissue. The specimen is 0.5 g and measures 1.6 x 0.7 x 0.5 cm. On one. side is a long black suture. There is no designation of the suture on the. specimen container or requisition form. The side with the suture is inked. black. The specimen is trisected and submitted entirely in cassette C1. D. The fourth container is additionally identified as, 'anterior margin. inferior flap'. Received fresh and placed in formalin is an oriented piece of. soft yellow tissue. The specimen is 1.0 g and measures 2.1 x 1.4 X 0.5 cm. On. one side is a long black suture. There is no designation of the suture on the. specimen container or requisition form. The side with the suture is inked. black. The specimen is trisected and submitted entirely in cassettes D1-D2. Tissue fixed for at least 6 hours in 10% NBF and no more than 72 hours.

expanded version (tokens=1990) : 
 Histological classification: Invasive lobular carcinoma, SBR grade II, two foci, adjacent to prior lumpectomy site (1.9cm) and superior aspect of breast (2.2 cm). Lobular carcinoma in situ, classic type.

Subtype: LumA

Necrosis: No mention of necrosis in the report.

Tumor infiltrating lymphocytes: No mention of tumor infiltrating lymphocytes in the report.

Histological grade: Composite histologic (modified SBR) grade: II (all foci). Architecture: 3. Nuclear grade: 2. Mitotic rate: 1.

Nuclear grade: 2 (SBR grade II)

Lymphovascular invasion: Absent.

Calcification: No mention of calcification in the report.

Receptor status: ER: Strong expression in 90% of invasive tumor nuclei. PR: Weak expression in 10-20% of invasive tumor nuclei. HER2 antigen (FISH): Non-amplified (ratio: 1.05).

Ancillary testing results: Ki67: 10%. pTNM (AJCC, 7th edition, 2010): pT2(m), NO(sn), MX.

Other findings: Excisional biopsy margins were positive, and invasive carcinoma was present at posterior margin (slide B11) and <0.1 mm from anterior-superior (slides B11 and B12) margin; superior lesion, slices 5

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=2149) : 
 The final pathologic diagnosis confirmed Invasive lobular carcinoma, SBR grade II with no lymphovascular invasion. Two foci were present at the lumpectomy site and the superior aspect of the breast. The tumor subtype was LumA with ER strongly expressed in 90% of invasive tumor nuclei. The report also identified weak expression of PR in 10-20% of invasive tumor nuclei, and non-amplification of HER2 antigen (FISH) with a ratio of 1.05. The ki67 is reported as 10%.

