Introduction: Breast Tuberculosis (TB) is a rare form of tuberculosis. Incidence of disease is less than 0.1% of all breast lesions in western countries and 4% in TB endemic countries. Breast tuberculosis is one of the extra pulmonary manifestations of tuberculosis. Case Presentations: In this we present a paper series of 4 cases of breast TB confirmed either pathologically or mycobacteriologically or both. These patient were kept on standard Anti­Tuberculosis Treatment for period of 6 months and all the patients showed a drastic positive response. In all the 4 cases lumps size has decreased along with relief of other symptoms. Discussion: High risk population is identified, primary and secondary disease is described. Clinical presentation are analysed. Evaluation of diagnostic workup and limitations are reported. Conclusion: Mycobacterium should be kept in mind for differential diagnosis in patients who have no response to standard antibiotic therapy with chronic breast or soft tissue infections including recurrent breast abscess. The main striking symptoms of breast tuberculosis are painful breast mass, discharge through the fistula and prolonged symptom duration.

Keywords: Breast Lump; Benign; Tuberculosis; Mammary Tuberculosis; Extra Pulmonary TB.