I really didn’t have any symptoms. I was strong healthy in great shape. Then I noticed a slight lump on the right side of my neck, thought it was a swollen gland but after two months and it didn’t go away I went to my primary care doctor and he said it was not a swollen gland and I should see an ENT which I did and she said it was a lymph node and I needed a needle biopsy. Turned out to be stage four squamous cell carcinoma and I needed surgery, radiation and chemo. 23 years later I’m still here thanks to a great team of skilled doctors.