Patient with histologically confirmed carcinoma in the area of the base of the tongue extending to the lateral pharyngeal wall. Previous endoscopy described as cT1 findings. Now again, before planned transoral or laser resection, pharyngoscopy and laryngoscopy: The relatively small exophytic tumor at the lateral base of the tongue on the right side extending to the lateral pharyngeal wall is seen. However, there are now also changes in the area of the lower tonsil pole and in the direction of the hypopharynx, which are suspicious. Overall, however, macroscopically rather small findings. Due to the somewhat more extensive findings after the initial endoscopy, the tumor was now resected with a larger safety margin.