Trichilemmal carcinoma is a rare hair follicle tumour which develops from the outer root sheath of the hair follicle. It is thought to occur from a malignant transformation of a benign Trichilemmoma and is usually found on sun-exposed areas such face, ears, scalp of elderly women. It is a low-grade tumour with low metastatic potential. We present the case of an elderly female patient with low grade Trichilemmal carcinoma of the scalp with cervical lymph node which was clinically and histopathologically proven to be insignificant.