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Objective:  Fine needle aspiration cytology (FNAC) of lymph nodes can be used routinely as a first‐line diagnostic test. The majority of studies reveal a malignant cause for palpable supraclavicular lymph nodes. The present audit further emphasizes the use of FNAC as a first‐line investigation for the evaluation of enlarged supraclavicular lymph nodes.

Methods:  A total of 200 cases of palpable supraclavicular lymph node(s) were included in the present study.

Results:  Left supraclavicular lymph nodes were found to be more commonly involved (59.5% cases). Sixty‐four per cent cases showed metastatic deposits and 13.5% cases were diagnosed as tuberculosis. Ten per cent cases showed reactive lymphoid hyperplasia; 0.5% (one) case showed only necrosis and on autopsy, a microscopic focus of choriocarcinoma was found in the testis. In 7.5% cases, diagnostic material could not be aspirated despite …