Abstract: The incidence of tuberculosis Disease is increasing all over the world mostly in poor, developing Countries. In Saudi Arabia: tuberculosis is a common disease due to the migration of people from the developing countries. Since the reported patient has a resected abdominal neoplasm, it may be overlooked or confused with recurrence of the malignant disease. We describe two patient with unusual form of extra-pulmonary tuberculosis both mimicking recurrence of neoplastic diseases. The first patient was a 51 year-old man who was operated on for Cancer head of pancreas which was confirmed histologically, the second patient was a 85 year-old man was operated for peri-amullary carcinoma, during follow up of both patient they developed cervical lymphadenitis which proved to be tuberculous, both patients treated successfully with isoniazid, rifampicin and pyrizinamide, no relapse of either malignancy or tuberculous lymphadenitis.