Head-and-neck squamous cell carcinomas (SCCs) are malignancy with propensity mostly for the locoregional spread. Most frequent sites of distant metastases include lung, bone, liver, and adrenal. Distant metastases to nonregional lymph nodes without visceral involvement from oropharyngeal cancer are extremely rare. To the authors' knowledge, this is the first case reported where a male presented with SCC of the base of tongue with widespread nodal metastases without any visceral involvement as primary presentation.