Background: Tubercular lymphadenitis is a prevalent cause of lymph node enlargement in developing countries. Fine needle aspiration cytology (FNAC) plays a crucial role in diagnosing and preventing unnecessary surgeries. This study aims to correlate cellular components and necrosis in lymph node aspirates with bacillary positivity, comparing data with similar studies. Material and methods:The research involved one hundred clinically suspected tuberculosis lymphadenopathy cases of all ages and sexes referred by Dayanand Medical College clinicians. Brief history and clinical findings were recorded on proformas. Results:The study showed the involvement of lymphnodes by tuberculous pathology in children 0-14 years age group ( 19%) and the ratio of children and adult patients 15-45 years was found to be 1:3.89. In this study female to male ratio was 1.22:1 with female patients slightly more affected with maximum incidence seen in the age group of 15-30 years. The study showed that the maximum AFB positivity ( 76.9% ) was observed in the smears with cytomorphology Type III. Type I and Type II were positive for AFB in 3.33% and 34.1% smears respectively. Conclusion:Tuberculosis is a major global health problem, with India accounting for 30% of cases. Tuberculous lymphadenitis ranks highest among extra-pulmonary manifestations. The study advocates FNAC for diagnosis, sparing patients invasive and costly biopsies.