An analysis is presented of the treatment in 55 patients with cancer metastases in jugular lymph nodes with the carotid wall proliferation. While removing metastatic conglomerates all patients were subjected to different surgical procedures on carotid arteries, including denudation, circular and edge resection of the common and internal carotid arteries, resection of the exterior carotid artery. Consideration is given of the complications observed, frequency of tumor recurrences, the immediate, late and remote results of the treatment. Surgical treatment in this group of patients resulted in the survival over 3 years in 20% of cases, up to 5 years and longer--in 18%.