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Foreign bodies in the oral cavity and pharyngolarynx are comonly encountered accidental cases in the emergency room and out patient departments in the otolaryngological fields. Of such foreign bodies, fish bones are the most comonly observed. ed by careful history taking, precise physical examination, and through simple radiological procedures. Similarly, their removal is relatively simple with the manipulation of endoscopes and various instruments. Reports of such foreign bodies are relatively fre-quent in their finding, however, foreign bodies that penetrate the esophagus and laryngopharynx to appear as a cervical mas are rare. When such foreign bodies migrate, locating their precise positions must involve a more thorough search utilizing such aids f this study experienced such a rare case of an elderly female patient aged 62, presenting an anterior neck mass of 7 days as a chief complaint. She had swallowed a fish bone 10 days ago. Her standard batery of blod tests, simple cervical X-ray and endoscopic findings all proved within normal limits. However, an excisional biopsy of the involved site revealed a piece of fish bone that had th the relevant literature. (Korean J Otolaryngol 203 ;46 :255-8)