Palpable breast lumps are not uncommon in females, which is the cause of fear and concern to patients. This study was carried out to see the spectrum of Breast lesions presenting as palpable breast lumps. It was one year prospective study, histology correlation was done where–ever possible. Total 144 cases were studied and 91 histology biopsy specimen were correlated. All patients presenting with palpable breast lumps underwent FNACs and were grouped into Unsatisfactory, Non neoplastic, Benign neoplastic, Atypical (grey zone) and Malignant neoplastic lesions. Majority patients were from benign neoplastic (36%) followed by malignant neoplastic group (35%). In cyto–histo correlation we found FNAC sensitivity to be 95.9%, Specificity 97.6%, Positive predictive value 97.9% and Negative predictive value 95.3%. Overall accuracy of FNAC was 96.7%. Hence, FNAC is a simple, rapid, inexpensive procedure with high sensitivity and specificity. Overall accuracy makes it an easy tool in evaluation of palpable breast lumps