Carcinoma of the tongue accounts for 35% of squamous cell carcinomas of the oral cavity. Metastases to regional lymph nodes are common and subclinical nodal metastases may be found in up to 30% of T1 and T2 oral tongue carcinoma. For distant metastases, it normally metastasises to the lung, bones and liver. We report a case of a 34-year-old lady who initially presented with a T2N1MO carcinoma of the tongue that was treated by surgery and chemotherapy. After 1.5 years, she developed multiple meta- static skin lesions.