Most common presentation in nasopharyngeal carcinoma is with -

Clinical presentation Presenting symptoms and signs of nasopharyngeal carcinoma in order of frequency are:-  > Cervical lymphadenopathy (most common) (60-90%) > Hearing loss > Nasal obstruction > Epistaxis > Cranial nerve palsies. CN VI paralysis is the most common of these > a Headache > an Earache > Neck pain > Weight loss.