Z.n. cT4 cN3 cM1 squamous cell carcinoma of the lung. Definitive radiochemotherapy up to 66 Gy and whole brain irradiation with 40 Gy for cerebral filiae ( until <2013> ). Furthermore, Z.n. radical surgery according to Wertheim-Meigs <2002> for squamous cell carcinoma of the cervix uteri. Subsequent adjuvant radio therapy of the primary tumor region with inclusion of the pelvic lymphatic drainage areas up to a dose of 50.4 Gy. During the restaging of the bronchial carcinoma, a new, size-progressive mass appeared on the left cervical side. Furthermore, FDG-enriched region in the area of the left-sided base of the tongue. Histologically confirmed cT2 cN2b carcinoma of the base of the tongue on the left as part of panendoscopy <2013>. There is now an indication for transoral tumor resection and neck dissection on the left side. Sonomorphologically multiple suspicious masses level II level V on the left. The patient had ample opportunity to ask questions about the procedure before the operation.