The laryngological ward of the district hospital in Piła has been carrying out the diagnosis of neoplastic cases. There were 34 cases of carcinoma of the larynx and or with the lower part of the pharynx were discovered. 4 out of there were confirmed to have second primary neoplastic region. Two patients the neoplasm synchronously developed and in two other patients the neoplasm metachronously developed. In there cases the region of second primary neoplasm was found in the area of the head and neck (thyroid gland, lower lip and the side of the nose) and in one case the second region was found in the urinary bladder, Amongst the patients treated for neoplasms in the laryngological ward of the district hospital in Piła in 1994, 11.7% were patients with second primary malignant neoplasm.