What physical finding is often associated with advanced cervical cancer?

In advanced cervical cancer, one significant physical finding is hydronephrosis, which is the swelling of a kidney due to a build-up of urine. This occurs when the cancerous growth invades or compresses nearby structures, particularly the ureters, which are the tubes that carry urine from the kidneys to the bladder. As the urine flow is obstructed, the kidneys can become distended, leading to hydronephrosis. This condition can be serious and may cause kidney damage if not addressed.

While vaginal bleeding and pelvic masses can also occur with cervical cancer, they are often more associated with earlier stages of the disease. Ascites, or the accumulation of fluid in the abdominal cavity, can be seen in various malignancies but is not specific to cervical cancer nor a direct consequence of it. Hydronephrosis is particularly indicative of advanced disease due to the infiltration and local effects of the tumor on urinary tract structures.