During the pathologic examination of neck dissection specimens, unexpected findings may occasionally be encountered. Such findings include the presence of a second primary tumor or a chronic infectious or inflammatory disease. We report a case of a 65-year-old man who underwent a supracricoid partial laryngectomy and bilateral neck dissection for squamous cell carcinoma of the larynx. Histopathologic examination of the larynx revealed well-differentiated squamous cell carcinoma, but examination of the neck dissection specimen revealed a mixed cellularity subtype of classical Hodgkin lymphoma.