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ENT Nose and paranasal sinuses 20722f22

Which of the following is not seen in Nasopharyngeal Carcinoma?

A
Headache
B
Diplopia
C
Lymph Node involvement
D
Sneezing episodes
High-Yield Explanation
Commonest presentation of Nasopharyngeal carcinoma(NPC) is Neck nodes involvement (>50% cases)Other symptoms:Nasal - Nasal obstruction, EpistaxisEar- Unilateral deafness, Tinnitus, Aural fullnessNeurological- Headache, Cranial nerve palsy (Commonest - 5th and 6th nerve)Ophthalmic- Diplopia (6th CN involvement), EpiphoraTrotter`s triad- Triad of Trigeminal neuralgia, Ipsilateral palatal immobility (9th nerve) and ipsilateral Conductive hearing loss (Serous otitis media) seen in NPC.Ref: Hazarika; 3rd ed; Pg: 525

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