OBJECTIVE: To report the case of foreign body in the larynx in patients with oropharyngeal squamous cell carcinoma treated at the Department of Otolaryngology and Neck Surgery at the Regional Hospital of Presidente Prudente in March 2012. CASE REPORT: J. R. M., male, 66 years old, drinker and smoker, said odynophagia after ingestion of fish for 6 months associated with ulcerative lesion in the soft palate, a weight loss of 10kg and hemoptisis. He denies drooling and fever. He was treated with antibiotics for tonsillitis five times before being referred to specialized services. Fibronasolaryngoscopy at another facility showed bulging rhino pharynx to clarify, without reporting the foreign body. Report of computed tomography of the neck on 08 November 2011, infiltrative lesion in the oropharynx, with about 3.5 x 3.2 cm, partially obliterating the vallecula and right parapharyngeal space. He was referred to the HRPP, which was biopsy of the soft palate which resulted diagnosed squamous cell carcinoma in situ. At the time, did not bring computerized tomography. On April 4, 2012, patient had an episode emesis expelling foreign body (fish bone). Revised tomography image of November 2011 and noted foreign body with dimensions of 2.5 cm approximately supported by tumor. CONCLUSION: The reported clinical history should always be valued, as well as review the images of the tests during consultation, regardless of their reports. The physician must infer their own CONCLUSION of exams in order not to underestimate patients' complaints, given the occurrence of concomitant diseases.