The effects of radiotherapy on metastases of the tracheostoma in cancer of the larynx are described. A group of 42 patients with tracheostoma metastases was considered; radiotherapy appeared to have some effect on the local cure of the lesion. A slight correlation was found between total dose delivered and survival time. A survival of 18.5 months corresponded to a total dose of 6000 rad. However, metastases at the tracheostoma should be considered a symptom of wider involvement. Integrated therapeutic procedures such as surgery+radiotherapy+chemotherapy, may be more effective in this disease.