The study is carried out with a broad objective of assessing relative diagnostic efficacy of clinical evaluation, FNAC and biopsy.

Method: FNAC was then performed and smears were made. Few air dried and few alcohol fixed smears were made. The technique of FNAC used in the present study is the same as described by Franzen, Zajicek. Removed lymph nodes (Biopsy sample) were analysed pathology department for further histopathological examination.

Result: Sensitivity and Specificity of FNAC in diagnosing Lymphoma was 66.66% and 100% respectively while diagnostic accuracy of FNAC in lymphomas is 100%. Sensitivity of FNAC in diagnosing Tubercular lymphadenitis is 75.92%, for Reactive lymphadenitis is 100%, for metastatic secondaries is 92.85% and for lymphomas it is 66.66%. Specificity of FNAC in diagnosing Tubercular lymphadenitis is 100%, for Reactive lymphadenitis is 91.9%, for metastatic secondaries is 100% and for lymphomas it is 100%.

Conclusion: FNAC can be deemed as a frontline investigation with further investigations onthe basis of FNAC result. However, histopathological examination remains the most dependable diagnostic tool.

Keywords: Fine Needle Cytology; Biopsy; Cervical Lymphadenopathy.