Lymph node swellings are a common clinical presentation in the hospital outpatient departments. Such swellings may be easily investigated by Fine needle aspiration cytology (FNAC) which is safe and yields a rapid diagnosis. Moreover, in developing countries like India where Tuberculosis (TB) is a continual problem, patients frequently present with manifestation of extra pulmonary TB, in which Lymph nodes (LNTB) are predominantly involved. This study was undertaken to assess the cytological spectrum of lymph node pathologies in relation to age, sex and site, with special emphasis on tuberculous lymphadenitis. The study was conducted in a tertiary care teaching hospital for a period of one year. All patients presenting with superficial lymph node swellings were subjected to Fine Needle Aspiration Cytology (FNAC) and categorized according to the diagnosis, age and sex of patient. The data was entered in SPSS V.21 and analyzed. Of the 420 patients presenting with lymphadenopathy, 34.04% were LNTB (Granulomatous Lymphadenopathy) and rest were non LNTB. Among the LNTB 13.99% were children and 86.01 % were adults. Neck nodes (51.05%) were the predominant involvement of LNTB both among children and adults. The peak age group presenting with lymphadenopathies was 40-49.