My first sign was a small lump on my neck. Here are other common symptoms.

• Cough during or after swallowing liquids or solid foods
• Cough or hoarse voice lasting over two weeks
• Difficulty breathing
• Ear or jaw pain
• Fatigue
• Frequent nose bleeds and/or unusual nasal discharge
• Hearing loss (one-sided hearing loss)
• Lump, bump or mass in the head or neck area
  (with or without pain)
• Pain or difficulty chewing, swallowing or moving jaws or tongue
• Persistent sore throat
• Swelling or sore that does not heal
• Unexplained weight loss