Specific symptoms: 1, headache, early headache is not fixed and intermittent. The later stage is persistent migraine with fixed position. The reason may be neurovascular reflex or stimulation of the first peripheral nerve of trigeminal nerve. Advanced patients are often caused by tumors destroying the skull base and spreading in the skull involving cranial nerves. 2, blood aspiration, early bleeding symptoms, manifested as blood in the sputum after nasal aspiration or blood in the nose when blowing your nose. There is only a small amount of bloodshot in the early sputum or snot, sometimes not. There is more bleeding in the later stage, and nosebleeds may occur. 3, nasal congestion, nasal congestion can occur after tumor blockage. When the tumor is small, the nasal congestion is light. With the growth of tumor, nasal congestion is aggravated, mostly unilateral nasal congestion. If the tumor blocks the bilateral posterior nostrils, bilateral nasal congestion may occur. 4. Tinnitus, hearing loss, and a sense of occlusion in the ear: When nasopharyngeal carcinoma occurs in the lateral wall, lateral fossa or upper lip of the eustachian tube opening, unilateral tinnitus or hearing loss may occur when the tumor compresses the eustachian tube, and catarrhal otitis media may also occur. Unilateral tinnitus or hearing loss and ear occlusion are one of the symptoms of early nasopharyngeal carcinoma. 5, facial numbness refers to facial skin numbness, clinical pain and tactile relief or disappearance. Tumors invading cavernous sinus often cause damage to trigeminal nerve 1 branch or the second branch; Tumors invade the foramen ovale, the anterior part of styloid process and the third branch of trigeminal nerve, and often cause numbness or abnormal sensation in the skin of the anterior part of auricle, temporal part, cheek, lower lip and chin. 6. Eyelid droop and eyeball fixation are related to oculomotor nerve injury. The decrease or disappearance of vision is related to optic nerve injury or orbital cone invasion. 7. Nasopharyngeal carcinoma with menopause as the first symptom is very rare, which is related to nasopharyngeal carcinoma invading sphenoid sinus and pituitary gland. 8. Remote transfer. The distant metastasis rate of nasopharyngeal carcinoma is about 4.8% ~ 27%. Distant metastasis is one of the main reasons for the failure of nasopharyngeal carcinoma treatment. The common metastatic sites are bone, lung and liver. Simultaneous metastasis of multiple organs is more common. 9, tongue muscle atrophy and tongue extension deviation, direct invasion of nasopharyngeal carcinoma or lymph node metastasis to the styloid process or sublingual neural tube. The invasion of hypoglossal nerve leads to the deviation of tongue extension to the affected side, accompanied by muscle atrophy of the affected tongue. 10. Dermatomyositis with hairy myositis can also be accompanied by nasopharyngeal carcinoma. Therefore, patients with dermatomyositis should carefully check the nasopharynx whether they have symptoms of nasopharyngeal carcinoma or not.