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The most common sites for distant metastases for squamous cell carcinoma of head and neck are lung, liver and bone. Cutaneous metastasis is very rare in occurrence. Here we report a case of carcinoma buccal mucosa that was treated with curative intent; underwent radical surgery and post operative radiotherapy. On follow-up 6 months post RT patient developed multiple painless nodular deposits over chest wall, upper back, shoulder, abdomen, and thigh. Cytological examination showed deposits of metastatic squamous cell carcinoma. Patient was started on palliative chemotherapy, after 2 cycles of chemotherapy there was disease progression. The present case describes this rare event with a brief review of literature.

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