The patient had a clinical case of cN2b neck status on the right side with an approx. 3 cm large metastasis at the lower parotid pole and histologically confirmed evidence of a squamous cell carcinoma (gross needle biopsy). A PET-CT scan carried out beforehand showed a multiple enhancement in the area of the right base of the tongue. In addition, the FDG-PET also showed multiple enhancement in the area of the cervical lymph node metastasis on the right side and in the distal colon (colonoscopy recommended here). Based on the findings, the above-mentioned operation is indicated.