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, Female. Admission Date: Discharge Date: Collected Date/Time: Received Date/Time: Final Diagnosis. A. RIGHT SENTINEL LYMPH NODE, EXCISION: - METASTATIC CARCINOMA TO ONE LYMPH NODE (1/1). - THE FROZEN SECTION DIAGNOSIS IS CONFIRMED. SEE SPECIAL STAINS AND SYNOPTIC REPORT. B. RIGHT BREAST, MASTECTOMY WITH AXILLARY LYMPH NODES DISSECTION: - INVASIVE DUCTAL CARCINOMA, GRADE 3, MEASURING 1.1 CM, EXTENDING TO 5 MM FROM THE CLOSEST. POSTERIOR RESECTION MARGIN, WITH ILYMPHOVASCULAR INVASION. - DUCTAL CARCINOMA IN-SITU, NUCLEAR GRADE 3, WITH FOCAL NECROSIS, EXTENDING TO MORE THAN 5. MM FROM THE CLOSEST POSTERIOR RESECTION MARGIN. - MICROMETASTATIC CARCINOMA (0.21 MM) TO 1 OF 12 AXILLARY LYMPH NODES (1/12). - HEALING BIOPSY SITE WITH ORGANIZING HEMATOMA. - SKIN AND NIPPLE WITH SCLEROSING ADENOSIS. - SEE SYNOPTIC REPORT AND SPECIAL STAINS. (Electronic signature). Verified: Synoptic Report. SPECIMEN: Total breast (including nipple and skin). PROCEDURE: Total mastectomy (including nipple and skin). LYMPH NODE SAMPLING: Axillary dissection (partial or complete dissection). SPECIMEN INTEGRITY: Single intact specimen (margins can be evaluated). SPECIMEN SIZE: Greatest dimension: 30 cm. Print Date/Time: Distribute to: Patient Locations: surgical Pathology Report. Collected Date/Time: Received Date/Time: Additional dimensions: 22 X 7 cm. SPECIMEN LATERALITY: Right. TUMOR SITE: INVASIVE CARCINOMA: Upper inner quadrant. TUMOR SIZE: SIZE OF LARGEST INVASIVE CARCINOMA: Microinvasion only (<=0.1 cm). Greatest dimension of largest focus of invasion over 0.1 cm: 1.1 cm. TUMOR FOCALITY: Single focus of invasive carcinoma. MACROSCOPIC AND MICROSCOPIC EXTENT OF TUMOR: Skin: Invasive carcinoma does not invade into the dermis or epidermis. DUCTAL CARCINOMA IN SITU (DCIS): DCIS is present. Extensive intraductal component (EIC) negative. NUCLEAR GRADE: Grade III (high). NECROSIS: Present, focal (small foci or single cell necrosis). HISTOLOGIC TYPE OF INVASIVE CARCINOMA: Invasive ductal carcinoma (no special type or not otherwise specified). GLANDULAR (ACINAR)/TUBULAR DIFFERENTIATION: Score- 3: <10% of tumor area forming glandular/tubular structures. NUCLEAR PLEOMORPHISM: Score 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very. large and bizarre forms. MITOTIC COUNT: Score 2. Number of mitoses per 10 high-power fields: 17. Diameter of microscope field: 0.55 mm. OVERALL GRADE: Grade 3: scores of 8 or 9. MARGINS: Margins uninvolved by invasive carcinoma. Distance from closest margin: POSTERIOR 5 mm. Distance from anterior margin: >5 mm. Margins uninvolved by DCIS (if present). Distance from anterior margin: >5 mm. Distance from posterior margin: >5 mm. TREATMENT EFFECT: RESPONSE TO PRESURGICAL THERAPY: IN THE BREAST: No known presurgical therapy. TREATMENT EFFECT: RESPONSE TO PRESURGICAL THERAPY: IN THE LYMPH NODES: No known presurgical therapy. LYMPH-VASCULAR INVASION: Present. Print Date/Time: Collected Date/Time: Received Date/Time: DERMAL LYMPH-VASCULAR INVASION: Not identified. LYMPH NODES: Number of sentinel lymph nodes examined: 1. Total number of lymph nodes examined (sentinel and nonsentinel): 13. Number of lymph nodes with macrometastases (>0.2 cm): 1. Number of lymph nodes with micrometastases (>0.2 mm to 0.2 cm and/or >200 cells): 1. Number of lymph nodes with isolated tumor cells (less than or equal to 0.2 mm and less than or equal to 200 cells): 0. Size of largest metastatic deposit: 0.9 CM. EXTRANODAL EXTENSION: Not identified. METHOD OF EVALUATION OF SENTINAL LYMPH NODES: Hematoxylin and eosin (H&E), one level. PRIMARY TUMOR (INVASIVE CARCINOMA (pT): pT1c: Tumor >10 mm but less than or equal to 20 mm in greatest dimension. REGIONAL LYMPH NODES (pN): pN1a: Metastases in 1 to 3 axillary lymph nodes, at least 1 metastasis greater than 2.0 mm. DISTANT METASTASIS (M): Not applicable. ESTROGEN RECEPTOR: Performed on another specimen. Specimen (accession number): PROGESTERONE RECEPTOR: Performed on another specimen. Specimen (accession number): HER2/NEU IMMUNOPEROXIDASE STUDIES: Performed on another specimen. Specimen (accession number): MICROCALCIFICATIONS. Not identified. CLINICAL HISTORY: Mass or architectural distortion. Source of Specimen. A. Lymph Nodes, Rt. Sentinel. B. RT Breast and Axillary Nodes I & II. Clinical Information. African American female with right breast cancer, silk marks axilla upper inner quadrant. PRE-OP DIAGNOSIS: Right breast cancer. POST-OP DIAGNOSIS: Same. TYPE OF PROCEDURE: Right breast mastectomy and Sentinel node biopsy. Gross Description. Print Date/Time: Female. Collected Date/Time: Received Date/Time: Specimen is received in 2 parts: A. The specimen is labeled "RIGHT SENTINEL NODE" and is received unfixed for frozen section diagnosis. (The specimen is in the. formalin. more. than 6 hours and less than 48 hours). It consists of a large lymph node measuring 3.5 x 2 x 2 cm. Sectioned and. entirely submitted in cassettes FSA 1-FSA3. Time specimen was removed from the patient: Time specimen was placed in formalin : Ischemic time: 27 minutes. B. The specimen is labeled "RIGHT BREAST AND AXILLARY NODES I AND II" and is received in formalin. (The specimen is. in the formalin more than 6 hours and less than 48 hours). It consist of mastectomy specimen with lymph nodes weighing 1150. grams and measuring 30 x 22 x 7 cm with brown skin ellipse measuring 21 x 10 cm, containing grossly unremarkable 2.0 cm in. diameter nipple. The skin is tagged with a black stitch designating the axilla The posterior margin is composed of smooth fascia. which is inked black. The breast is sliced in sagittal planes revealing a 5 x 5 x 4 cm hemorrhagic cavity within the upper inner-central. quadrants which is 0.7 cm away from the closest deep fascial margin of resection. The remaining parenchyma reveals unremarkable. yellow mammary fat with streaks of white-gray mammary parenchyma. Representative sections are submitted as follows: B1 = one lymph node, bisected. B2 = one lymph node, bisected. B3 = one lymph node, bisected. B4 = 5 lymph nodes. B5 = 2 lymph nodes, one bisected. B6 = one lymph node, bisected. B7 = one lymph node, bisected. B8 = one lymph node, bisected. B9-E = upper inner quadrant-central mass. B13 = mass closest to deep fascial margin of resection. B14 = nipple. B15 = upper inner quadrant. B16 = upper outer quadrant. B17 = lower outer quadrant. B18 = lower inner quadrant. B19-28= additional sections from biopsy cavity. Time specimen was removed from the patient: Time specimen was placed in formalin : Ischemic time: 18 minutes. Intra Operative Consultation. Right sentinel lymph node: one lymph node, positive for carcinoma (1/1). Special Stains/Slides. Immunohistochemical studies were performed on formalin fixed, paraffin-embedded tissue (Block B2, B5, B6) with adequate positive. and negative control sections. Immunostains for keratins AE1/AE3 are negative for carcinoma. Print Date/Time: Collected Date/Time: Received Date/Time: The performance characteristics of these antibodies were determined by the. They have not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such. clearance or approval is not necessary. These tests are used for clinical purposes. They should not be regarded as investigational or for research. This laboratory is. certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high-complexity clinical laboratory testing. Tissue Code.

expanded version (tokens=2498) : 
 This is a pathology report for a female patient with right breast cancer. The report includes information on the histological classification, subtype, necrosis, tumor infiltrating lymphocytes, histological grade, nuclear grade, lymphovascular invasion, receptor status, IHC and other ancillary testing results. 

Histological classification: The patient has invasive ductal carcinoma (no special type or not otherwise specified) and ductal carcinoma in situ (nuclear grade 3, with focal necrosis).

Subtype: The subtype of the cancer is basal.

Necrosis: Focal necrosis is present in the ductal carcinoma in situ.

Tumor infiltrating lymphocytes: There is no mention of tumor infiltrating lymphocytes in the report.

Histological grade: The invasive ductal carcinoma is grade 3.

Nuclear grade: The nuclear grade of the invasive ductal carcinoma is 3 - vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.

Lymphovascular invasion: Lymphovascular invasion is present.

Calcification: Microcalcifications are not identified.

Receptor status: No information is provided on the receptor status of the tumor.

IHC and other ancillary testing results: Immunohistochemical studies were performed on formalin-fixed, paraffin-embedded tissue. Immunostains for keratins AE1/AE3 were negative for carcinoma. Estrogen receptor, progesterone receptor, and

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=2610) : 
 This pathology report reveals invasive ductal carcinoma and ductal carcinoma in situ, with a subtype of basal. The tumor is grade 3, with necrosis and lymphovascular invasion present. No information on receptor status is provided, but immunostains for keratins AE1/AE3 were negative for carcinoma.

