Enlargement of cervical lymph nodes is a common clinical condition encountered by the clinicians. Lymphadenopathy more than 1cm indicates a clinical manifestation of regional or systemic disease and serves as an excellent clue to the underlying disease. Tumors of ENT has higher incidence of cervical lymph nodes and also higher incidence of metastatic disease at presentation. Any form of cervical lymphadenopathy should not be ignored and should be considered as a strong and significant clinical input which ultimately leads to detection of several clinically silent diseases. The data on pattern of nodal metastasis would then provide the basis for management of carcinoma of upper aero digestive tract. The present Prospective observational study was conducted at ENT DEPARTMENT, GSL Medical College and General Hospital, Rajahmundry during the December 2013 to July 2015.

In the present study it is observed that Cervical lymphadenopathy is more common in the age group of 41–60 years with male predominance . Right side lymphadenopathy is observed with presence of mobility . Majority were moderately differentiated carcinomas . 42.5% has drainage from oral cavity followed by supra glottic and hypo pharynx regions. Majority belong to staging T2N2 and T3N2 . Hence thorough clinical examination of the neck in cases of head and neck tumours is helpful in the diagnosis as well as management.