OBJECTIVE :To study cytomorphological features of abdominal masses.Tocategorise lesions as inflammatory, benign & malignant lesions.To ascertain reliability of cytological findings & its comparison with histopathological examination wherever possible.

METHOD:The present study consists of fine needle aspiration cytology(FNAC) of abdominal lumps in 55 patients over a period of four years and eight months from 1^stJanuary 2011 to 31^stAugust 2015. Core biopsy or excisional  biopsywas obtained for histopathological  correlation wherever possible.

RESULTS: Majority (25/55 i.e. 45.45%)had lesions based in the liver, of which hepatocellular carcinoma was the commonest neoplasm (7/25 cases i.e.28%) followed by metastatic adenocarcinoma (4/25 cases i.e. 16%). Cutaneous metastasis accounted for majority of the abdominal wall lesions (8/18 cases).Ovarian lesions constituted 8/55 cases i.e.14.54%. 3/8 cases  i.e.37.5% were reported as benign mucinous neoplasm of  ovary.4/8 ovarian cases  i.e.50% were reported as positive for malignancy –adeonocarcioma.

The sensitivity, specificity and diagnostic accuracy rate for FNAC of intra abdominal lumps ofwas 85.71%, 100%, 90% respectively. The sensitivity, specificity and diagnostic accuracy rate for FNAC of abdominal wall masses was 100%.

CONCLUSION: FNAC has a good sensitivity as well as specificity. It can be a near substitute for biopsy when correct technique is coupled with radiological guidance.