Two cases of tuberculous mastitis are described. This disease remains
rare, While routine laboratory investigations are not helpful in its d
iagnosis, fine needle aspiration to allow histologic examination of ti
ssue and culture is essential - both to differentiate tuberculous mast
itis from pyogenic breast abscess and breast carcinoma, and to guide a
ntimicrobial therapy. Antituberculous drugs in combination with aspira
tion or surgical drainage are usually associated with an excellent out
come.