Abstract: Twenty-four patients with hypopharyngeal carcinoma were treated by radiation alone between 1975 and 1990. There were 21 males and 3 females, ranging in age from 38 to 76 and the average age were 59. The patients were all examined by direct laryngoscopy and all tumors of the hypopharynx were squarmous cell carcinomas. According to the TNM classification of 1978's UICC, 7 cases were belonged stage Ⅱ,5 cases stage Ⅲ,12 cases stage Ⅳ.70.8 percent of the patients were stage Ⅲ or stage Ⅳ.14 patients presence of cervical lymph node metastases.21 patients received total tumor doses of 62 Gy to 70Gy during 7 weeks. After the full course irradiation, 11 patients also presence of cervical 1 ymph node metastases. The patients receiving total tumor doses of 65Gy to 70Gy showed the best results. When dose was over 70Gy,the primary tumor was not controlled effectively and the survival rate were decreased. We can conclude according to this analysis that surgical resection with adjutant preoperative or post operative irradiation are better for the patients belonged to stage Ⅲ and stage Ⅳ.