Background: A great deal is there in the diagnosis of cervical lymphadenopathy where in approximately, 300 lymph nodes are present in the neck which drains several regions like upper aerodigestive tract, head and neck region, etc and also serves as a nidus for the secondary deposits of malignancy from primary sites like stomach, ovary, Materials and methods – patients attending the ENT and surgery OPD of JNKTMCH, Madhepura, and General hospital, of all age groups and both genders having the neck swelling for more than 3 weeks were subjected for the study. Study duration of Two years. Results: This study has shown that the incidence of tubercular lymphadenitis is more in the age group of 1st and 2nd decade and in low socioeconomic status while secondaries are more common in the elderly age group