The patient <2017> had a left neck mass at level II. Sonography revealed a fluid-filled cystic mass with suspicious sonomorphology. Therefore, <2017> an unremarkable panendoscopy and a lymph node extirpation in level II on the left was performed. Histologically, this revealed a p16 positive lymph node metastasis of a squamous cell carcinoma, and the subsequent PET-CT showed a suspicious accumulation of contrast medium in the area of the left tonsil. Therefore indication for the above-mentioned procedure. The patient had ample opportunity to ask questions about this before the operation.