You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Most common presentation in nasopharyngeal carcinoma is with - and explain in detail?
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.