Symptoms of recurrent ovarian cancer include: First, vaginal bleeding, which is a manifestation of the tumor invading the uterus, cervix, or vagina. Second, abdominal bloating and pain, which indicate tumor spread to the abdominal cavity. Physical examination can reveal abdominal masses, ascites, and even intestinal obstruction. Third, there are symptoms such as stomach discomfort and indigestion related to the digestive tract. There might also be metastasis to the cervical lymph nodes, which can be palpated in the neck. Fourth, some late-stage patients may experience discomfort and heaviness in the lower abdomen, and even symptoms related to the urinary system such as frequent urination, urgent urination, and painful urination.