Patient with confirmed squamous cell carcinoma of the left oropharynx, already classified preoperatively as cT3 in the current CT growth in the area of the posterior wall of the oropharynx, in part beyond the midline. Patient has multiple risk factors including systemic lupus erythematosus, renal insufficiency, pulmonary fibrosis, etc. Therefore, in view of the fact that this tumor cannot be treated with RCTE, the only possible curative treatment is surgical resection.