Breast tuberculosis an uncommon form of tuberculosis and it usually presents as a lump in the breast. Tuberculosis of the breast can masquerade many breast diseases including malignancy and idiopathic granulomatous mastitis. The varied presentation poses a diagnostic and therapeutic dilemma for the clinicians. We report a case of a 56 year old lady who presented with a lump in the breast and overlying skin ulceration, which resembled a malignancy on clinical examination and radiological investigations. Histo-pathology confirmed the diagnosis of tuberculosis and the patient responded to anti tubercular drugs.

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