2 c. cooked elbow macaroni
1 c. (7 oz.) tuna fish
1 c. tomato sauce
1/2 c. cottage cheese
1/4 c. sour cream
1 sm. onion, minced
1/2 tsp. salt
1/4 c. bread crumbs
1 tbsp. melted butter
1/2 tsp. Worcestershire sauce

Combine macaroni, tuna fish, tomato sauce, cottage cheese, sour cream, onion and salt, and Worcestershire sauce. Pour into greased 1 quart casserole.

Toss bread crumbs and butter. Sprinkle around border of casserole. Bake in 350 degree oven for 30 minutes. To reduce sodium substitute unsalted tuna, no salt cottage cheese, no salt tomato sauce, low sodium or plain bread crumbs and unsalted butter.