%0 Journal Article %T Usual breast lump with unusual features. %A Gupta S %A Kumar P %A Kumari N %A Srivastava NK %J Cytopathology %V 35 %N 2 %D 2024 Mar 24 %M 37874012 %F 1.286 %R 10.1111/cyt.13316 %X The co-existence of granulomatous mastitis and collagenous spherulosis in a breast lump is an uncommon finding. The awareness of cytomorphological features can help corroborate a cytological diagnosis. A palpable breast lump in an elderly female warrants urgent attention and fine needle aspiration is a rapid, reliable method of evaluation. An elderly female with a firm breast lump mimicking malignancy was subjected to fine needle aspiration cytology (FNAC). Smears showed ill-formed granulomas, inflammatory cells and homogeneous hyaline stromal globular elements intermingled with the benign ductal epithelial and myoepithelial cells.