Majority present with neck mass(es) or cervical lymphadenopathy. Lymph node biopsy SHOULD NOT be taken because:
It promotes metastases treatment of metastatic nodes cannot be effected until the primary site has been identified and biopsied.
TUMOUR SITE |
CLINICAL FEATURES |
INVESTIGATIONS |
MANAGEMENT |
Nose and paranasal sinuses |
Nasal blockage, rhinorrhoea, epistaxis, nasal mass, facial swelling, paraesthesia, headaches, proptosis and neck node(s) |
Refer for: CT scan EUA and biopsy |
Refer to ENT specialists |
Nasopharynx |
Nasal obstruction, epistaxis |
Refer for EUA and biopsy |
|
Oropharynx |
Sore throat, mass, pain radiating to the ear, trismus. bleeding |
Refer for EUA and biopsy |
|
Hypopharynx |
Pain on swallowing radiating to the ear, increasing dysphagia, nodes and hoarseness, |
Barium swallow Refer for endoscopy and biopsy |
|
Larynx |
Persistent hoarseness, stridor, cough Neck nodes appear late |
Refer for endoscopy and biopsy |
|
