This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hypopharynx, Subject name: ENT
Hypopharyngeal tumors have a poor prognosis compared with other head and neck cancer sites because of all except:- 
Select and explain. 
A. Vague early stage symptoms, B. Locally advanced stage at presentation, C. High rate of nodal metastasis, D. Low rate of distant metastasis
D: Low rate of distant metastasis
Answer: D: Low rate of distant metastasis 
Explanation: Hypopharyngeal tumors have a poor prognosis compared with other head and neck cancer sites because of Vague early stage symptoms. Locally advanced stage at presentation. High rate of nodal metastasis. High rate of distant metastasis