Abstract Introduction: There is increase in the prevalence of benign lesion (24%) in the Geriatric patients with seborrheickeratoses being the most common. The prevalence of neoplasia varied between 6.9% and 74.5%. Aims and Objectives: To Study Neoplastic Skin Disorder in Geriatric Patients Attending a Tertiary Care Center. Materials and Methods: The study was conducted in the Department of Dermatology, Academy of Medical Sciences, Pariyaram, Kannur. 500 patients of age 65 years and above attending the outpatient department of Dermatology and Venereology at Academy of Medical Sciences, Pariyaram, Kannur over a continuous fixed period of 6 months. All patients attending the outpatient department of Dermatology and Venerology with the below criteria were included in the study. Age 65 years and above, Clinical evidence of cutaneous disorders, Willingness of the patient to participate in the study. Hospital based descriptive study .Relevant investigations were performed, wherever indicated, after obtaining informed consent. Statistical tests used included Chi square test. The data obtained was subjected to descriptive analysis using SPSS software. Result: Among 500 patients, young old males constituted 65.2% and young old females were 34.8%. Frail elderly males were 63.2% and frail elderly females were 36.8%. Extreme aged males were 57.1% and extreme aged females were 42.9%.Seborrheic keratosis was the most common benign tumor in thisstudy (83.4%). It was noted more frequently in the young old age group (81.4%). Squamous cell carcinoma was the most common malignancy noted (0.8%). It was more common in frail elderly age group. There were no malignancies noted in the extreme aged group. Conclusion: In our studyMost common neoplasm noted was seborrheickeratosis and Squamous cell carcinoma was the most common malignancy noted (0.8%). It was more common in frail elderly age group.

Key Words: Neoplastic Skin Disorder, Geriatrics, seborrheickeratosis, Squamous cell carcinoma.