This study represents correlation of five needle aspiration cytology with histopathology at the cytology department of khanpur Kalan Medical college during 3 year period only the cases where subsequent histology diagnosis was available were analyzed. All the aspirations were performed by the pathologists. Out of the total of the 89 cases cytological diagnosis was malignant in 35 cases (39.32%). Two cases were false negative. There were no false positive case in the study. A sensitivity Rate of 94.5% and specificity of rate 100% was obtained for malignancy. Positive and negative predictive value for the diagnosis of malignancy was 100% and 94.7% respectively. accuracy of the test was 97.26%. FNA specific diagnosis showed an overall agreement of 98.5% for malignant lesions. All these result compare favorably with the best reported in literature. All these factors help the clinicians in the management of malignant breast lesions.