Aim: This study is to find the distribution of various breast lesions on fine needle aspiration (FNA).To understand disease pattern presenting in this institution as well as to appraise the various breast cancer screening methods and studies conducted for evaluating screening test for the detection of breast carcinoma. Material and methods: The 2174 person who presented with palpable breast lump from January 2011 to December 2015 at GMKMC Hospital ,Salem. Frequency distribution of various breast lesions were analysed after staining with haematoxyllin and Eosin. Results:out of 2174 patients Benign lesion predominates 1191. Two year data after the launch of NCD programme1,2,3 show Increase in health awareness through NCD programme campaign. As part of prevention of carcinoma breast screening done for all women in reproductive age group and post menopausal women who is attending hospital as patient or accompanying person either referred from various department or voluntarily attending surgery clinics or NCD clinic1,2. Conclusion:FNA is a simple, cost effective. Fibroadenoma, fibrocystic change and mastitis form the major bulk of benign breast lesions