In the patient, a poorly differentiated carcinoma of the right oropharynx was confirmed during a panendoscopy <2012>, with small superficial ulcerative lesions in the area of the pharyngoepiglottic fold and the pharyngeal side wall. Sonographically and on CT, suspected ycN2 neck status with suspected metastases in level VI as well as parapharyngeal metastases, on CT also thickening of the cranial oropharyngeal side wall or tonsillar lobe with unclear depth extension. Previous history of pT2 pN0 anterior floor of mouth carcinoma in 2001 with condition after resection and neck dissection as well as adjuvant interstitial radiotherapy up to 56.5 Gy. Therefore now indication for surgical therapy.