This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Tumors, Subject name: ENT
Which cancer has maximum propensity to spread to cervical lymph nodes - 
Select and explain. 
A. Nasopharyngal carcinoma, B. Carcinoma of hard palate, C. Carcinoma of soft palate, D. Carcinoma of mandible
A: Nasopharyngal carcinoma
Answer: A: Nasopharyngal carcinoma 
Explanation: Ans. is 'a' i.e., Nasopharyngal carcinoma "Nasopharynx is a centrally located structure with extensive submucosal capillary lymphatic plexus. Partly due tc this extensive lymphatic existance, NPC has a propensity of lymph node involvement in its early stages. Clinica, evident cervical lymph adenopathy is seen in more than 86% of the patients with nasopharyngeal carcinoma"