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 axillary sentinel node #1: - One lymph node, negative for metastatic carcinoma (0/1). B. Right axillary sentinel node #2: One lymph node, negative for metastatic carcinoma (0/1). C. Right breast simple mastectomy: - Invasive ductal carcinoma, SBR grade I, with micropapillary features, see. comment. - Ductal carcinoma in situ, intermediate nuclear grade, cribriform, papillary. and micropapillary type, associated with microcalcifications and necrosis. - Margins of excision are negative for invasive carcinoma, DCIS is 1.5 mm from. the anterior-inferior margin. - Previous biopsy site identified. - Fibroadenoma. - Intraductal hyperplasia, usual type. - Apocrine metaplasia. - Sclerosing adenosis, focally associated with microcalcification. - Microcalcifications in benign ductules. Breast Pathologic Parameters. 1. Invasive carcinoma: A. Microscopic measurement: 6 mm (main lesion) and 3.2 mm (satellite). B. Composite histologic (modified SBR) grade: I. - Architecture: 2. - Nuclear grade: 2. - Mitotic count: 1. C. Associated intraductal carcinoma in situ (DCIS): - Within main mass (forming 95% of tumor volume). - Extending away from main mass. 2. Intraductal carcinoma: A. Microscopic measurement: 3.6 cm (medial to lateral), and extending. towards nipple, inferior and central aspect of breast. B. Type: Cribriform/ Papillary/Micropapillary. C. Nuclear grade: Low / Intermediate. D. Associated features: Necrosis /Microcalcifications /Cancerization of. lobules. 3. Excisional biopsy margins: Free of tumor. - DCIS 1.5 mm from anterior-inferior (closest) margin. - Invasive carcinoma > 10 mm from anterior-inferior (closest) margin. 4. Blood vessel and lymphatic invasion: Absent. 5. Nipple: DCIS extending towards lactiferous duct. 6. Skin: uninvolved. 7. Skeletal muscle: absent. 8. Axillary lymph nodes: Negative (0/2). 9. Special studies: - ER: Strong expression in 30 % of invasive tumor nuclei. - PR: Strong expression in >90 % of invasive tumor nuclei. - Her2/neu antigen (FISH): pending. 10. pTNM (AJCC, 7th edition, 2010): pT1b(m), NO(sn), Mx. Effective January 1, 2010 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 recent breast cancer (DCIS) undergoing. a right breast simple mastectomy and right breast sentinel lymph node biopsy. Comment. Immunohistochemical stain for p63 supports absence of a myoepithelial cell. layer. Specimens Received: A: Right axillary sentinel node #1. B: Right axillary sentinel node #2. C: Right breast simple mastectomy. Gross Description: The specimens are received in three containers each labeled with the patient's. name and medical record number.

expanded version (tokens=1157) : 
 The breast pathology report indicates that the patient had a Luminal A subtype breast cancer. The report lists various findings which are as follows:

1. Histological classification - Invasive ductal carcinoma, SBR grade I, with micropapillary features and Ductal carcinoma in situ of the intermediate nuclear grade, cribriform, papillary, and micropapillary type.

2. Necrosis - Necrosis is associated with DCIS.

3. Tumor infiltrating lymphocytes - Absent.

4. Histological grade - Invasive carcinoma is SBR grade I.

5. Nuclear grade - Invasive carcinoma is SBR grade I, with a nuclear grade of 2.

6. Lymphovascular invasion - Absent.

7. Calcification - Microcalcifications are present in benign ductules and also in sclerosing adenosis, which is focally associated with microcalcification.

8. Receptor status - ER positive in 30% of invasive tumor nuclei. PR positive in more than 90% of invasive tumor nuclei.

9. IHC and ancillary testing - Immunohistochemical stain for p63 supports the absence of a myoepithelial cell layer.

In summary, the report describes that the patient has a Luminal A subtype breast cancer which is invasive ductal carcinoma, with micropapillary features in SBR grade I. Necrosis is associated with DCIS, and no tumor infiltrating lymphocytes or lymphovascular invasion is

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=1337) : 
 The breast pathology report indicates a Luminal A subtype breast cancer in a mastectomy specimen. It consists of invasive ductal carcinoma with micropapillary features in SBR grade I, and DCIS. Necrosis is present in DCIS. There are no tumor infiltrating lymphocytes or lymphovascular invasion. ER and PR are positive in invasive tumor nuclei. No Her2/neu testing results are included. Margins and axillary lymph nodes are negative, and there is no evidence of blood vessel or lymphatic invasion. There are microcalcifications in benign ductules and sclerosing adenosis, which is focally associated with microcalcification.

