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目的：分析老年人皮肤肿瘤的临床病理特征。方法：对我院2013年8月-2015年8月确诊的老年人皮肤肿瘤患者14例临床病理资料进行回顾性分析。结果：老年人皮肤肿瘤的细胞形态具有多样性特点，具体主要有小痣样细胞棱形细胞、透明细胞、瘤巨细胞、上皮样细胞；细胞排列同样具有多样性，具体有弥漫状、束状、巢状、腺泡状、编织状、漩涡状、梁状。14例患者经过光镜检查，结果包含黑色素的患者有9例，占患者总数的64.3%，没有包含黑色素的患者有5例，占患者总数的35.7%。结论：老年人皮肤肿瘤的组织结构以及病理形态有多样性表现，误诊率较高，鉴别诊断应该联合免疫组织化学分析和客观的病理组织。“,” Objective: to analyze the clinical and pathological characteristics of elderly skin tumors. Methods: a retrospective analysis was made on the clinical data of 14 elderly patients with skin cancer diagnosed in our hospital from August 2013 to August,. Results: the elderly skin tumor cells have various characteristics, including small mole like cells, clear cells, spindle cells and epithelioid cell tumor cell; cell arrangement has the same diversity, speciifc diffuse, bundles, nests, acinar, braided, spiral shaped beam. 14 patients were examined by light microscopy, the results of melanin in patients with 9 cases, accounting for 64.3% of the total number of patients did not contain melanin in patients with 5 cases, accounting for 35.7% of the total number of patients. Conclusion: the histological structure of skin tumor in the aged and the pathological features of the patients with high misdiagnosis rate is high. The differential diagnosis should be combined with immunohistochemical analysis and objective pathological tissue.