Bilateral colloid carcinoma breast with axillary tuberculosis

A 62 years old female presented with painful lump right breast and bloody discharge from right nipple for two months, with a biopsy report of intraductal papilloma. Excision of the involved duct and lump was done. Histopathology revealed in situ ductal carcinoma with focus of invasion. She was further investigated with bilateral mammogram and fine needle aspiration cytology [FNAC]. Mammogram showed lesions in both breasts. FNAC from left breast showed atypical cells with suspicions of malignancy. Right modified radical mastectomy [MRM] and left mastectomy performed. Final biopsy report showed bilateral colloid carcinoma with axillary tuberculosis