Background: Carcinoma in male breast is very rare as compared to the female breast. Fine needle aspiration cytology is an effective modality for early diagnosis of breast lesions. Usually male breast lesions are benign which affect the young male. Most common benign lesion in males is gynaecomastia. Breast cancer accounts for a small proportion of male breast lesions. Objective: The aim of this study was to discern the incidence of carcinoma in male breast lesions at our tertiary care centre. Methods: Records of 160 male patients who underwent fine needle aspiration cytology of the palpable breast lump were collected and analyzed using percentage proportion. Results: In 160 male patients with breast lesions, incidence of male breast carcinoma was 4.3% which was chiefly seen in patients over 40 years of age. Conclusion: FNAC is a very sensitive and specific, rapid cost–effective diagnostic tool for the assessment of breast lesions in male patients.