{Reference Type}: Journal Article {Title}: Usual breast lump with unusual features. {Author}: Gupta S;Kumar P;Kumari N;Srivastava NK; {Journal}: Cytopathology {Volume}: 35 {Issue}: 2 {Year}: 2024 Mar 24 {Factor}: 1.286 {DOI}: 10.1111/cyt.13316 {Abstract}: 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.