Hello and welcome to HCM, Your history suggests that you had a cancerous adenoma of colon 15 years back. What treatment did you receive for this problem. I guess the cancerous adenoma along with apart of adjoining colon was surgically removed. Secondly, the breast biopsy suggests changes of malignany in the lining epithelium of the ducts of the breast. Bilateral mastectomy is a better option as compared to lumpectomy. Thirdly, an ovarian tumor is detected on USG. Associated bloating, vomiting, and frequent urination are also present. Bloating and vomiting appear to be due to indigestion. Frequent urination can be due to urinary tract infection. It could also be due to ovarian tumor compressing the bladder neck. The ovarian tumor needs to removed first. Histological examination of the ovarian tumor needs to be done to know its nature = benign or malignant, its histological subtype, and its stage. Further management, radiation therapy and/or chemotherapy will depend on the histological subtype and its stage. Mastectomy can be performed after removal of the ovarian tumor. If the ovarian tumor turns out to be malignant, a genetic test also needs to be done. Since, multiple tumors are present, a genetic cancer syndrome is suspected. Cossult your oncologist for genetic testing. Thanks and take care Dr Shailja P Wahal