Physical Examination 
• A careful pelvic exam is performed with attention to the ovaries, uterus , bladder and rectum.
• The neck, groin and underarms (axilla) are examined for enlarged lymph nodes .
• The lungs are carefully examined for excess fluid.
• The abdomen is examined for the presence of an enlarged liver, a mass or ascites .

Blood and Other Tests 
• Complete blood count (CBC). 
• Serum liver and kidney function tests. 
• Serum CA-125.

Imaging 
• Pelvic and abdominal ultrasound .
• Abdominal and pelvic CT or MRI scans. 
• X-rays of the lower gastrointestinal tract (barium enema) may occasionally be done.
• Intravenous pyelogram (occasionally).