The patient had a lymph node metastasis of a basaloid carcinoma in level II on the left side confirmed by a gross needle punch. The PET-CT showed increased FTG storage in the area of the left tonsil, so a panendoscopy with left tonsillectomy and, if necessary, CUP panendoscopy was indicated. A detailed preoperative discussion was held with the patient and his <CLINICIAN_NAME> about the planned procedure and there was ample opportunity to ask questions.