A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing) of the skin and mucous membranes.
- Auscultation (listening) of the heart
- Auscultation of the lungs
- Inspection and palpation of the abdomen (stomach), inguinal region (groin region), etc. [Assessment of possible local infiltration: T4 a/b: Infiltration of adjacent organs (b: abdominal/pelvic wall)]
- Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation [assessment of possible local infiltration: T4 a/b: Infiltration of adjacent organs (a: prostate/uterus, vagina); due todifferential diagnoses:
- If necessary, gynecological examination [due todifferential diagnosis: metastatic ovarian cancer (ovarian cancer) or endometrial cancer (uterine cancer)].
- Health check (as an additional follow-up measure).
Square brackets [ ] indicate possible pathological (pathological) physical findings.