- Vague, progressive abdominal/pelvic fullness/discomfort
- Constipation, bloating
- Decreased appetite, nausea, anorexia
- Urinary symptoms
- Pain w/intercourse
- Increased girth if malignant ascites
- Irregular vaginal bleeding
- Palpably enlarged ovary if advanced
- Ascites if advanced
- Pleural effusion, abdominal masses w/metastatic disease
- Imaging very suggestive: Ultrasound, CT or MRI