Post-parotid carcinoma on the right in the 90s. In the course of the disease, a large progressive mass on the left cervical side. There is now an indication for extirpation of the left cervical lymph node conglomerate and panendoscopy. Preoperative imaging revealed a centrally necrotic, disintegrating left cervical lymph node conglomerate and a faint accumulation of contrast medium in the area of the left tonsil. The patient had ample opportunity to ask questions about the procedure before the operation.