Some hair and scalp conditions are more or less confined to the geriatric population while others are part of a continuum and are also seen in the earlier stages of adulthood. Scalp hair can be a source of pride or pain at any age. In addition, many older woman find themselves embarrassed by the newly emerging coarse facial hairs that they may not have the visual acuity to address. The beard and moustache gray first. Graying of the scalp hair begins at the sideburns and temples, then spreads to the vertex and lastly to the occipital area. Papillary thyroid carcinoma metastasizing to the scalp is commonly reported in the literature. There are many reports in the literature of a multiplicity of different common and rare malignant tumors presenting initially as scalp nodules. Any lesion that is new, grows rapidly or appears unfamiliar, especially in the geriatric age group, should be biopsied.