Background: Male breast lesions are not very common. Usually male breast lesions are benign and affect the young male. Most common lesion is gynaecomastia. Male breast cancer accounts for a small proportion of breast cancers.Male breast cancer usually presents at an advanced stage. Objective: The aim of the study is to find out the incidence of male breast lesion in our setup and knowing the various pathologies afflicting male breast. Research and methodology:This is a retrospective study in which the computerised records in the department of cytopathology were analysed between January 2013 and October 2013.All breast lesions were analysed and male breast lesions were evaluated further for size, cytological diagnosis and histopathology work-up where available. Result: Most male breast lesions were benign. The most common lesion was gynaecomastia. Pre-operative diagnosis of male breast lesion in males is as desirable as in females. Cytology provides a reliable methodology for differentiating between benign and malignant lesions.