Cervical mass in neck region is very common. Mass may be inflammatory to neoplastic. Neoplastic mass may be benign as well as malignant form. It can be present as cervical lymph node, salivary gland lesion and thyroid lesion as well. Initially fine needle aspiration was introduced by hematooncologist Franzen in Sweden. Fine Needle Aspiration Cytology (FNAC) is simple, quick, inexpensive, minimal invasive and out-patient service technique used to diagnose different types of lesions located in the body. The present study was prospective cross-sectional study conducted in patients with FNAC of Cervical lesion at National Path Lab Collection Centre, Ghorahi, Dang, Nepal referred from General and Head and Neck Clinic from January 2016 to July 2016. A total of 96 study participants with palpable superficial cervical lesions between 17 months to 74 years of age were involved in this study. Most commonly lesions were occurred in male with 54.5%.Most common lesion in all sexes were reactive lymphadenitis with 51.5 % followed by tubercular and metastatic 12.1 %and 10.6% respectively. Predominant lesions in both sex were reactive lymphadenitis with slight male preponderance. Most of cases were below 20 year age group. Reactive lymphadenitis is the commonest cause of cervical swelling in all age group except in older age group. FNAC is quick diagnostic test for the all palpable cervical swelling. Non-neoplastic lesion was managed without surgery