Background: Breast lumps are the most common presentations in outpatient departments due to growing awareness in the general population. In Indian women breast carcinoma is the second most common malignancy encountered preceded by cervical cancer. Hence for early detection it is important to distinguish non-neoplastic from neoplastic breast lesions prior to definitive management. The global protocol of “Triple Assessment” in breast lump diagnosis includes a combined approach by clinical examination, imaging (mammography / ultrasound) and fine needle aspiration cytology (FNAC).The aim of the study was to analyses the cytomorphological spectrum of palpable breast lesions in female patients by FNAC and subsequently compare our results with published studies in literature. Materials and methods: The present study was conducted in the department of Pathology for the period of one year in female patients with palpable breast lesions attending the outpatient department as well as the indoor admissions. The detailed history of the patient including age, site and duration of palpable breast lumps with any other significant findings was noted. Results: Considering the cytomorphological spectrum, out of 60 breast lump aspirates, neoplastic breast lesions (81.6%) were more common than non-neoplastic breast (18.3%) lesions. In the neoplastic category, the benign lesions of fibro adenoma were 34 cases (66.6%) which were more than malignant tumors of ductal carcinoma (15 cases=25%). The most common affected age group was 21-30 years accounting for 19 cases (31.6%). Conclusion: FNAC of palpable breast lumps is a quick to perform, patient friendly, cost effective and reliable diagnostic tool which if performed and interpreted accurately can obviate the need for another surgical biopsy prior to definitive surgery for malignancy.