Introduction: Granulomatous mastitis (GM) is a rare inflammatory condition of the breast in males that clinically mimics Gynecomastia and carcinoma that creating a diagnostic dilemma . It was first described in 1972 by Kessler and Walloch. Breast tuberculosis is rare form of tuberculosis was reported by Sir Astley Cooper 1n 1829 who called it scrofulous swelling of the bosom. Methods: The current study was performed at the ESI medical college & hospital, Kalaburagi, Karnataka over a period of 2 years from March 2016-2018. The cases were retrieved from the archives of cytopathology and histopathology laboratories. All cases reported as granulomatous mastitis on cytology were included in the study. Results: A total of 10 cases of granulomatous mastitis were diagnosed on cytology during 2 years’ period. All the patients were male with a mean of 50 years range (40-50). In 07 out of 10 cases the lesion was in the right breast and three were on the left side, while the size of the lump varied from 2-5 cm in diameter. The duration of the lump ranges from 2 months to 3 years. Conclusion: Cytology plays a significant role in the diagnosis of GM. Breast TB in men is a rarely reported entity even in high TB burden countries. Since the clinical features are not well defined. TB of Breast can be difficult to diagnose and the diagnostic delays can be long.