Table 3: Common symptoms of head and neck malignancies   Site   Symptoms Nasopharynx, nasal cavity, sinuses   Nasal obstruction - often unilateral Nasal discharge - blood stained, purulent or clear Epistaxis Ear symptoms - hearing loss, fullness Pain Neck lump Oropharynx, oral cavity   Red or white mucosal patch Mucosal ulcer Mucosal growth, swelling, thickening or lump Blood stained saliva Pain Neck lump Hypopharynx, larynx   Hoarseness Dysphagia, odynophagia Aspiration, choking Stridor Pain Neck lump