The patient had primary radiochemotherapy for a proximal esophageal carcinoma until <2014>. During the tumor follow-up in the radiation clinic, a lymph node metastasis in the right angle of the jaw was noticed, so the patient was sent to us for further staging. We found a soft palate carcinoma on the right anterior palatal arch and a palpatory induration in the sense of a posterior right tongue margin carcinoma both clinically and subsequently in the panendoscopy. In addition, a sample was taken at 2 sites on the posterior wall of the oropharynx during the panendoscopy and carcinoma in situ was detected twice, once with transition to an invasive carcinoma. Therefore indication for the above procedure.