Primary Isolated Tubeculous Mastitis Presenting as Retroareolar Lump

Tuberculous Mastitis is a rare clinical entity. It often mimics pyogenic abscess or Breast carcinoma especially if well-defined clinical features are absent. A high degree of suspicion on clinical ground is required during diagnosing workup for the correct diagnosis. We report a case of Primary Isolated Tuberculous Mastitis Presenting as Retroareolar Lump. A 25-year old female presented pain in right breast. Physical examination revealed 3x2 cm size firm retroareolar lump. Patient was subjected to Fine Needle Aspiration Cytology (FNAC) which showed classical tubercular granuloma with Langhans ’ giant cells. The patient received Ant tuberculosis therapy for six month with no sideeffects.So now days in endemic countries.  FNAC is a good diagnostic tool for Tuberculous Mastitis. Standard four drugs Ant tuberculosis Therapy is the mainstay of treatment and surgery is reserved for rare cases.