Introduction: Cervical lymphadenopathy is a common problem which is usually meeting the clinicians, clinical recognition and urgent diagnosis of palpable lymphadenopathy is of paramount importance specially to differentiate between inflammatory lesions or metastatic.

 Objective: To establish the role of FNAC as a diagnostic tool in the interpretation of metastatic lymphadenopathy. To helps surgeons in detecting metastasis and staging of certain tumours. To provide early and OPD based reports.

 Material & Methods :  Present study was carried out in  the Department of Pathology, B. J. Medical College, Civil Hospital, Ahmadabad,  on 125 subjects , during period from 2008–2010.

Results: Among FNAC of cervical swellings maximum incidence is in the age group of 41.50 and 51.60 years with male preponderance. Metastatic nasopharyngeal carcinoma and papillary carcinoma of thyroid are common in below 40 year of age.

Conclusion: FNAC is ideal procedure for diagnosing the multiple swellings eg.To detect metastasis with accuracy more than that of true cut biopsy.