<prompt> Answer this question truthfullyWhat is the importance of performing a physical examination in cases of stromal ovarian tumors?  <response>: <reason> Patients with sexcord stromal ovarian tumors usually appear normal except few abdominal or pelvic and genitourinary findings on examination. Abdominal findings include Abdominal distension, increased abdominal girth, abdominal tenderness in the right left lower abdominal quadrant, a palpable abdominal mass in the rightleft lower abdominal quadrant, guarding, ascites, hemoperitoneum. 