Tracheoscopy: There is no irritation from the level of the vocal folds to the carina. Laryngoscopy/hypopharyngoscopy: Base of the tongue, tonsillar lobes, all hypopharyngeal walls and larynx show smooth mucous membranes. No evidence of exophytic tumor growth. Esophagoscopy: Easy advancement of the esophagoscope. The esophagus is examined under retraction. Smooth conditions here too. Epipharyngoscopy/tumor resection: insertion of the tonsil plug. Velotractio. No evidence of tumor growth in the nasopharynx. Then inspection of the palatal arches. The left paramedian shows an ulcer of approx. 1 cm in size on the anterior palatal arch, partly with exophytic tumor parts and surrounding marginal wall. Incision of the tumor with macroscopically sufficient safety distance. Mark the specimen with a long suture = cranial and a short suture = medial. Careful hemostasis with bipolar coagulation. Dry conditions at the end of the operation.