This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
Most common presentation in nasopharyngeal carcinoma is with: 
Select and explain. 
A. Epistaxis, B. Hoarseness of voice, C. Nasal stuffiness, D. Cervical lymphadenopathy
D: Cervical lymphadenopathy
Answer: D: Cervical lymphadenopathy 
Explanation: The most common complain at presentation is the presence of an upper neck swelling. Unilateral neck swelling is much more common although bilateral metastasis also occur.