In the patient <2013> a poorly differentiated and HPV-positive left tonsillar carcinoma was histologically confirmed. In summary of panendoscopy, CT findings and sonography cT2 cN2b G3 oropharyngeal carcinoma on the left. In our interdisciplinary tumor conference, the indication for primary surgical treatment was made. The patient was also found to have severe visual impairment due to macular degeneration.