Background: Fine needle aspiration cytology (FNAC) of the lymph node is a simple diagnostic tool to diagnose suspected and unsuspected secondary and primary lymph node malignancy

Aim:To determine the frequency of metastatic lesions of lymph nodes and study the utility of FNAC in the diagnosis of clinically suspected and unsuspected lymph node malignancy.

Methods: This retrospective study was done of all metastatic lymph node lesions reported on FNAC, in the department of pathology, Rajendra Institute Of Medical Sciences(RIMS),Ranchi from January 2017 to December 2017 (One Year).

Results:Total 112 cases of metastatic lesions of the lymph node between January 2017 to December 2017 were studied by FNAC in RIMS, Ranchi. Squamous cell carcinoma is the most common metastatic lesion of the lymphnode and comprised about 42.85%.Metastatic lesion except carcinoma of breast is more common in males than females.

Conclusion: FNAC of lymph nodes is a very useful, simple and sometimes the only tool in the diagnosis of lymph node malignancies.