Histo-pathologic materials from 115 cases of supraglottic squamous cell carcinoma were studied by retroSpective analysis. Each set of laryngeal specimens was reviewed with attention to the following factors: 1. Site of the primary lesion. 2. Size of the primary lesion. 3. Histologic grade of the primary tumor. 4. Histologic pattern at the tumor periphery. 5. Clinical and pathological stage. The features would reliably assist the laryngologist in identifying the laryngeal cancer with high probability of lymph node metastasis, so they can be used as the data for arranging the operation or treatment of the neck.