Localization

Symptoms

Head-neck

Asymptomatic mass, may mimick enlarged lymph node

Orbit

Proptosis, chemosis, ocular paralysis, eyelid mass

Nasopharynx

Snoring, nasal voice, epistaxis, rhinorrhoea, local pain, dysphagia, cranial nerve palsies

Paranasal sinuses

Swelling, pain, sinusitis, obstruction, epistaxis, cranial nerve palsies

Middle ear

Chronic otitis media, haemorrhagic discharge, cranial nerve palsies, extruding polypoid mass

Larynx

Hoarseness, irritating cough

Trunk

Asymptomatic mass (usually)

Biliary tract

Hepatomegaly, jaundice

Retroperitoneum

Painless mass, ascites, gastrointestinal or urinary tract obstruction, spinal cord symptoms

Bladder/prostate

Haematuria, urinary retention, abdominal mass, constipation

Female genital tract

Polypoid vaginal extrusion of mucosanguineous tissue, vulval nodule

Male genital tract

Painful or painless scrotal mass

Extremity

Painless mass, may be very small but with secondary lymph node involvement

Metastatic

Non-specific symptoms, associated with the diagnosis of leukaemia