Supraglottic Ca present with -a) Hot potato voiceb) Aspirationc) Smoking is common risk factord) Pain is MC manifestatione) LN metastasis is uncommon: (A) acd, (B) acd, (C) bcd, (D) abd
Answer is A. Supraglottic Cancer

It is the second most common laryngeal cancer (most common is glottic cancer)
Most common initial symptom - pain on swallowing. (option d is correct)
Most common / first sign - mass is neck
Small supraglottic lesions not extending to glottis – may present with globus or foreign body sensation and parasthesia
If exophytic they may cause hemoptysis
Large tumors can cause “hot potato voice” (Option ‘a’ is correct)
Hoarseness is a late symptom
Smoking is a risk for all laryngeal carcinomas. (option c is correct)
Lymphatic spread occurs early in case of supraglottic cancer. (as it has rich supply of lymphatics).

NOTE:
Hoarseness of voice is the presenting symptom in glottic carcinoma.