<prompt> Supraglottic Ca present with -a Hot potato voiceb Aspirationc Smoking is common risk factord Pain is MC manifestatione LN metastasis is uncommonacdacdbcdabd  <response>: Supraglottic CancerIt is the second most common laryngeal cancer most common is glottic cancerMost common initial symptom - pain on swallowing. option d is correctMost common first sign - mass is neckSmall supraglottic lesions not extending to glottis may present with globus or foreign body sensation and parasthesiaIf exophytic they may cause hemoptysisLarge tumors can cause hot potato voice Option a is correctHoarseness is a late symptomSmoking is a risk for all laryngeal carcinomas. option c is correctLymphatic spread occurs early in case of supraglottic cancer. as it has rich supply of lymphatics.NOTE:Hoarseness of voice is the presenting symptom in glottic carcinoma. 