Physical Examination 
• A careful gynecologic, pelvic and rectal examination is performed to assess the local spread of the cancer.
• Examination of the lymph nodes in the groin and neck and an abdominal examination are important to detect
  masses.

Blood and Other Tests 
• Complete blood count (CBC). 
• Serum alpha-fetoprotein (for an endodermal sinus tumor).
• Serum kidney and liver function tests . 

Imaging 
• Chest x-ray. 
• CT scan of the pelvis and abdomen. 
• MRI of the pelvis.

Endoscopy and Biopsy 
• Cystourethroscopy.
• Proctosigmoidoscopy. 
• The cancer is confirmed by a vaginal biopsy.