The present series includes 104 cases (36 males and 68 female) of lymph node swellings in the head and neck region in the mean age group of 30.6 years. The aspiration cytology was carried out as an outpatient department procedure and concomittant biopsy was performed in all the cases of this series. The overall diagnoitic accuracy rale of FNAC in the present histopathologically proved cases was found to be 92.3 percent. In 8 out of 104 cases (7.7 percent), the smears were unsatisfactory and therefore diagnosis could not be made by mere cytological examination.