A cT2 cN2b G3 uvular carcinoma was histologically confirmed in the patient during a panendoscopy on <2013>. In our interdisciplinary tumor conference, primary surgical treatment was recommended. Even with promptly planned surgical treatment, a cN3 neck status with an indistinguishable internal carotid artery was found preoperatively, but CT showed intact conditions here. No evidence of distant metastasis.