A 58-year-old man who regurgitated large elongated tumor through the mouth visited emergency room for the respiratory distress on releasing the tumor from his hand. Emergency esophagography was failed due to swallowing difficulty. Emergency tracheostomy was done at E.R. under local anesthesia and dyspnea was relieved. Esophago-gastroscopy was performed, but tumor stalk was not identified. Mass, measuring 3×5×13cm, was successfully removed by transoral approach, whose broad-based stalk was originating from posterior wall of hypopharynx.