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 Supraglottic Ca present with -a) Hot potato voiceb) Aspirationc) Smoking is common risk factord) Pain is MC manifestatione) LN metastasis is uncommon and explain in detail?
Supraglottic Cancer

It is the second most common laryngeal cancer (most common is glottic cancer)
Most common initial symptom - pain on swallowing. (option d is correct)
Most common / first sign - mass is neck
Small supraglottic lesions not extending to glottis – may present with globus or foreign body sensation and parasthesia
If exophytic they may cause hemoptysis
Large tumors can cause “hot potato voice” (Option ‘a’ is correct)
Hoarseness is a late symptom
Smoking is a risk for all laryngeal carcinomas. (option c is correct)
Lymphatic 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.