Introduction: Lymph node enlargement is frequent presentation in all age groups with a wide spectrum of diseases, ranging from infections to malignancy. Therefore, management of cases depends on lymph node pathology, which can be studied by collecting material through fine needle aspiration method that can be used as an outpatient
procedure. Objectives: To assess the cytomorphological features and incidence of various lymph node lesions on fine-needle aspiration cytology (FNAC) and to analyse the utility and importance of FNAC in diagnosing lymph node lesions. Material and Methods: A prospective study undertaken on 130 patients who had presented with lymphnode
enlargement at the Department of Pathology for a period of 20 months.
Results: Most common lesion observed in our study was reactive lymphadenitis, followed by tubercular lymphadenitis, metastatic malignancies, acute suppurative lymphadenitis, lymphomas and necrotizing lymphadenitis, respectively. Conclusion: Lymphadenopathy is most commonly superficial and palpable, and therefore easily accessible to sampling by palpation or ultrasound guided FNA, which usually results in a fast, reliable, and relatively in expensive diagnosis. In the current study, reactive lymphadenitis was recorded as the most common presentation of lymphadenopathy in the cervical region. It not only confirms the presence of metastatic diseases but also, in most
cases, gives the clue regarding the origin of the primary tumor.

Keywords: Fine-needle aspiration cytology; Lymph node; Lymphadenitis.