Background: Breast lumps are a common presentation among females. Breast carcinoma is 2nd commonest malignancy in females in India and needs early detection for proper management. Fine needle aspiration cytology (FNAC) is an established and highly accurate method in the investigation of palpable breast lumps. So the study was performed to analyse the cytomorphological spectrum of palpable breast lesions in a Tertiary Care Centre in North India. Material and Methods: This retrospective study was carried out in the Department of Pathology in GMC, Jammu. Female patients with suspected breast lumps who underwent FNAC in our department over a period of one year were included in the study. Detailed history including patient’s age, site and duration of breast lumps was noted. Findings of FNAC were recorded in detail and results tabulated. Results: Inadequate/Non-Diagnostic aspirations were seen in 13 cases. Majority of cases were seen in 4th decade of life. Among all aspirations, fibroadenoma was the commonest lesion seen in 36.4 % cases while malignancy was seen in 20.1 % cases. Conclusions: FNAC is a rapid, economical, and reliable tool for the diagnosis of palpable breast lesions. FNAC provides useful information in the management of the lesions and prevents unnecessary surgery in cases of non-neoplastic lesions.