Signs and Symptoms

The majority of patients with NPC are often presented late due to lack of symptoms during the early stages. Common symptoms include unilateral tinnitus, hearing loss secondary to serous effusion in the middle ear, persistent bloody nasal discharge or sputum and unilateral or bilateral pathological upper cervical lymph nodes. Late symptoms may include headache, diplopia (double vision), cranial nerve dysfunction or other intracranial neurological findings.

• Early nasopharyngeal carcinoma usually has no clear symptom or asymptomatic
• Most patients present with later stage disease
• Neck node (most common)
• Bloody nasal discharge
• Serous OM (Unilateral)
• Nasal obstruction (Unilateral)
• Face and neck pain
• Cranial nerve palsy (Diplopia)

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