Background : cancer of breast is by far the most important clinical problem that concerns the breast today and it is the commonest form of cancers in female, when detected early and given the proper treatment can be cured . Objective: 1) To evaluate breast lumps problems and work of breast clinic in AL– Najaf teaching hospital 2) To evaluate the triple assessment (C/E,Ultrasound,mammogramand fine needle aspiration cytology) in detection and diagnosis of breast lumps . patient and methods: A prospective study of 80 patients with breast lumps visiting breast clinic in Al–najaf teaching hospital during the period from 27th of January 2018 to 26th of November 2006. Data analysis ; Regarding the age, marital status ,parity ,family history of breast lump and incidence of malignancy, menarch, menapouse, contraceptive pill. Physical examination :lump ; site,size , consistency,fluctuation,nipple discharge, nipple retraction. After detail history and thorough examination, the clinical impression categories to (benigne,inconclusives,malignant) Results :Benign breast lumps occupying the majority of cases ( 90% ) and occurring mostly below age of (40 years ) with peak incidence between 21–40 years ( 70.8% ) , while the malignant breast lumps seen in (10%) of the total cases with two peak, one at 41– 60 years ( 50%) and the other above the age of 70 years ( 37.5% ) most of them present lately , stage П and ш . the breast cancer proportionate inversely with the parity and lactation while the family history has little association . Conclusion :breast clinic is a mandatory center regarding early and proper management of breast cancer a among patients complaining from breast lumps and give a good chance for proper follow up .