Which of the following is not seen in Nasopharyngeal Carcinoma?: (A) Headache, (B) Diplopia, (C) Lymph Node involvement, (D) Sneezing episodes
Answer is D. Commonest presentation of Nasopharyngeal carcinoma(NPC) is Neck nodes involvement (>50% cases)Other symptoms:Nasal - Nasal obstruction, EpistaxisEar- Unilateral deafness, Tinnitus, Aural fullnessNeurological- Headache, Cranial nerve palsy (Commonest - 5th and 6th nerve)Ophthalmic- Diplopia (6th CN involvement), EpiphoraTrotter`s triad- Triad of Trigeminal neuralgia, Ipsilateral palatal immobility (9th nerve) and ipsilateral Conductive hearing loss (Serous otitis media) seen in NPC.Ref: Hazarika; 3rd ed; Pg: 525