Physical Examination Most women with cervical cancer will have a normal general physical examination. • Careful evaluation of the vulva, urethra and vagina. • Lymph nodes in the groin and above the collarbone should be examined to detect any enlargement. • Examination of the abdomen to look for an enlarged liver, a mass or excessive abdominal fluid (ascites). • A gynecologic pelvic and rectal examination is important to detect disease in the tissue surrounding the cervix and vagina and the pelvic lymph nodes. Blood and Other Tests • Complete blood count. • Liver function chemistries. • Kidney function chemistries. • The levels of the serum squamous cell carcinoma antigen (SCCA) and the serum carcinoembryonic antigen (CEA) in the blood should be measured. SCCA is elevated in 50 percent of all women with cervical cancer. CEA is elevated in about 20 percent of all cervical carcinomas. Although CEA and SCCA are not accurate enough to use for screening , they are useful to monitor the response to treatment and for follow-up to detect recurrent disease.