Abstract
A 15 years old boy with keratinizing squamous cell carcinoma of the Hypopharynx is being presented because of its rarity. The patient presented with pain in throat and difficulty in swallowing since 15 days. Barium swallow and direct Laryngoscopy revealed a mass in Hypopharynx. Tobacco smoking since early childhood can be the aetological factor. The patient did not consent for surgery and could not afford radiotherapy. Hence, Tracheostomy and feeding gastrosomy were done. Patient died at home two months after the diagnosis.