NECK LESIONS ARE FREQUENTLY ENCOUNTERED IN CLINICAL PRACTICE AND FOUND RESPONSIBLE FOR SIGNIFICANT MORBIDITY AND MORTALITY IN INDIA. SOME OF THE LESIONS OF THE NECK REGION INCLUDE TUBERCULOSIS & OTHER CHRONIC INFLAMMATORY LESIONS, PLEOMORPHIC ADENOMA & CYSTS. MALIGNANT LESIONS-PRIMARY AS WELL AS METASTATIC, COMMON TO THE CERVICAL GROUP OF LYMPH NODES, ARE ALSO FREQUENTLY NOTED. FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) IS A SIMPLE, ECONOMICAL, HIGHLY ACCURATE TOOL IN THE DIAGNOSIS OF CERVICAL LESIONS. IT IS ALSO IDEAL FOR SAMPLE COLLECTION FOR ANCILLARY STUDIES SUCH AS CBNAAT. FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) SAMPLES FROM THE NECK REGION OF PATIENTS CAN BE REVIEWED IN ORDER TO EVALUATE THE EFFICACY OF THIS METHOD IN THE DIAGNOSIS OF CERVICAL LESIONS. THE MAIN EMPHASIS OF THIS STUDY IS TO DETERMINE DIFFERENT CYTOMORPHOLOGICAL ENTITIES AND PROVIDE THE DETAILS OF BURDEN OF TUBERCULOSIS IN THE TRIBAL AREA.TUBERCULOSIS IS THE MOST COMMON CAUSE OF LYMPHADENOPATHY IN DEVELOPING COUNTRIES SUCH AS INDIA AND SHOULD BE CONSIDERED IN EVERY CASE OF GRANULOMATOUS LYMPHADENOPATHY UNLESS PROVED OTHERWISE.[1]