Pilomatrix carcinoma is an exceedingly rare malignant tumor derived from hair follicle. Although it has been described at various anatomical sites, fewer than 25 cases have been reported in the face and scalp. The diagnosis of pilomatrix carcinoma is based on histological examination of skin biopsy. . We report a case of pilomatrix carcinoma in an 85 year old male patient presented with cheek nodule.