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Introduction: Breast is an appendage of skin, breast lumps are very common complaint for women of all ages, but are particularly common during the reproductive years. Breast lumps may occur spontaneously or gradually, evaluating a breast mass can be a difficult task. Aim and Objective: To assess the distribution of various cytomorphological patters of clinically palpable breast lumps by Fine Needle Aspiration Cytology technique. Materials and Method: A retrospective study over a period of 1 year 135 breast aspirates who attended the surgery outpatient department in Saraswathi institute of medical sciences and hospital from July 2015 to June 2016 was studied with clinical correlation and cytological analysis with FNAC. Smears were stained with H &E stain, and correlation with imaging studies, including mammography was done. Results: Total of 135 cases were studied, out of these 96 (71.11%) were found benign and 25 (18.52%) were malignant. 10 (7.41%) cases given unsatisfactory results. Out of 135 cases of analysis, Fibroadenoma was the most common benign lesion found in 66 (48.89%) patients, followed by fibrocystic disease 14(10.37%) and mastitis/Breast abscess 4(2.96%) were common breast lesions on cytology. Malignant breast lesions constitute 25(18.51%) cases, among which Duct cell carcinoma 21(15.55%) cases were commonest type. Conclusion: Benign breast lesions are common than malignant lesions, fibroadenoma and fibrocystic disease are more common in benign disease. Fine-needle aspiration cytology is a rapid and effective method for the primary categorization of palpable breast lumps into benign, malignant, atypical, suspicious, and unsatisfactory categories. [ABSTRACT FROM AUTHOR]