The patient was diagnosed with pT2 pN0 hypopharyngeal carcinoma in 2004 with primary surgical treatment and adjuvant extensive radiotherapy, now <2014> a new squamous cell carcinoma in the right side wall of the hypopharynx was histologically confirmed, an ulcer in the area of the pharyngeal side wall was inspected and the process was not clearly defined on computed tomography. In our interdisciplinary tumor conference, the indication for emergency surgery was made.