This case involves a fifty-seven-year-old female patient who developed a lump in the right upper margin of her neck at the angle of the jaw bone. The patient presented to an ENT physician who ordered a CT that showed an 18mm right buccal lesion with a solitary 17mm peri parotid metastatic node. The patient was sent for a fine needle biopsy that confirmed a well to moderately differentiated squamous cell carcinoma. Subsequently, the patient underwent a surgical resection of the buccal mucosa with a right neck dissection and a split thickness skin graft from the right thigh. The patient was staged by pathology as a T2N2B with extracapsular spread. The patient was discharged four days after surgery with no mention of external beam radiation follow-up or chemotherapy plans. Two months later, the patient was called in for follow-up scans that revealed a recurrence of cancer. At this point, it was determined that the patient had passed the window of opportunity to benefit from chemotherapy and she was now determined to be at stage four.