Distant
metastases in
squamous cell carcinoma of the head and neck are uncommon, and the
incidence rises with
neck node
metastasis. The
lung,
liver, and
bones are the common possible sites for distant
metastasis. Cutaneous and cardiac
metastases are extremely rare situations with aggressive
behaviors and present in the late
course of the
disease. Here, we
report a case of anterior
tongue cancer with cutaneous,
bone, cardiac,
lung, and soft
tissue of right suprascapular area
metastases after a gap of 2 years of follow-up of completion of
treatment with radical
surgery and adjuvant concurrent chemoradiation
therapy. The present case developed such type of aggressive distant
metastases without any locoregional
recurrence and died within 6 months of
diagnosis of distant
metastases