Mucinous ovarian cancers are more likely to manifest at stage I than other histologies and account for nearly 27% of patients with stage I epithelial ovarian cancer. Table Ovarian cancer spreads by Direct extension Exfoliation of cells into the peritoneal cavity (peritoneal seeding) Lymphatic dissemination to the pelvis and around the aorta Less often, hematogenously to the liver or lungs Symptoms and Signs of Ovarian Cancer Ovarian cancer may be asymptomatic.