Treatment of breast tuberculosis is mainly a combination of surgery and anti-tuberculosis chemotherapy, i.e., local excision of the mass under aggressive anti-tuberculosis chemotherapy. Rapid intraoperative frozen sectioning is necessary to avoid confusion with breast cancer. For large ulcerative damage invading the entire breast, total mastectomy with axillary lymph node dissection is performed, followed by full postoperative chemotherapy. For those with limited cold abscess as the main manifestation, in addition to complementary chemotherapy, abscess drainage or puncture drainage, local application of anti-tuberculosis drugs, 4 weeks ineffective should be timely surgical excision. The prognosis of primary breast tuberculosis is good, and recurrence is rare after timely treatment. The prognosis of secondary cases is related to the scope of primary infection, the duration of the disease and the effect of drug treatment. The treatment should pay attention to the following matters: 1. Increase nutrition and pay attention to rest. 2. Systemic anti-tuberculosis treatment. If the lesion is limited to one place, lesion excision can be done; if the scope is large, simple mastectomy can be done, and if the lymph nodes on the affected side are enlarged, excision can be done at the same time. 4, patients with primary foci still need to continue anti-tuberculosis treatment after surgery.