Abstract : Head and neck malignancies are one of the common malignancies in India due to lack of awareness, difficult access to health care and addiction to tobacco and alcohol. Head and neck region has a rich lymphatic supply and hence nodal metastasis is common and can aid in diagnosis, treatment and prognosis. FNAC is considered as the gold standard investigation to confirm metastatic lymphadenopathy. Timely diagnosis and prompt management can reduce the morbidity and mortality due to head and neck malignancies. This study was done in otorhinolaryngology OPD of D Y Patil medical college. 25 patients of head and neck malignancies were taken and cervical lymph nodes were assessed. It was observed that most common age group affected was 56 -65 years and 10 out of 25 cases presented with a node while 20 of them had symptoms suggestive of malignancy. It was also observed that maximum number of cases presented with lymphadenopathy were stage IVA carcinomas.