Depends on what motor you are talking about. Some, all of the above, some you will not see any symptoms till the whole powerhead is trashed from water intrusion into the crankcase.
I was told by members here if u own a 1956 15 hp evinrude or Johnson and 1956 12 hp gale its best to replace the bottom crank seals as they are prone to failure
If the top seal is gone, the bottom one will probably need replacing to at the same time, especially if the motor has lip style seals instead of O rings.