In the patient, a simultaneous cT2 tongue margin carcinoma on the left and a supraglottic laryngeal carcinoma, also cT2 on the left, were histologically confirmed during a panendoscopy <2013>. Sonography and CT revealed a cN1 status with no evidence of distant metastasis. In our interdisciplinary tumor conference, primary surgical treatment was decided for the patient, who clearly had a history of the disease.