The patient presented in domo for the first time <2013> with progressive stridor with a known progressive laryngeal mass. During a panendoscopy with emergency tracheotomy, a glottic laryngeal carcinoma of at least cT3 was histologically confirmed. Our interdisciplinary tumor conference decided on primary surgical treatment. Secondary findings revealed an open tuberculosis, which was primarily treated with medication. The patient now presented after completion of TB treatment with clear tumor growth per continuitatem through the existing tracheostoma. Immediately preoperatively, an exophytic tumor measuring approx. 5 x 6 cm was found around the tracheostoma with satellite-like tumor foci DD skin metastases. CT confirmed the extension with glottic carcinoma with complete consumption of the larynx and breakthrough through the tracheostoma to cutaneous and infiltration of the trachea with a new paratracheal mass on the left.