Hx Two Premature Delivies, One Tubal Pregnancy, One Sided Salpingo

Hx two premature delivies, one tubal pregnancy, one sided salpingo oophorectomy. Experiencing increasing ascites, sob, feeling of fullness, loss of appetite, weight gain, post menopausal bleeding, and new onset right sided pain and back pain. Strong family Hx of colon cancer and lung cancer with early deaths. I am 53.