Small breast abscess presented as invasive ductal carcinoma in a young female

Invasive ductal carcinoma of breast and tuberculosis are very rare conditions to coexist. There are no pathognomonic symptoms or signs to distinguish both diseases. A female patient was referred from the emergency for incision and drainage of an abscess in the left upper outer quadrant; with severe localized pain accompanied by pain in the rest of the breast. It was found per-operatively that, besides the abscess in which thick pus was present, cancerous cells were found prevalent in three quadrants of the left breast