Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: iodine; iodine containing attending: chief complaint: recurrent squamous cell carcinoma of the vagina major surgical or invasive procedure: exam under anesthesia exploratory laparotomy bilateral pelvic lymph node dissection bilateral para-aortic lymph node dissection total pelvic exenteration radical vulvectomy bilateral inguinal lyphadenectomy sigmoid urinary conduit omental transposition transverse colostomy bilateral gracilis myocutaneous graft history of present illness: the patient is a 55 yo g2p2 female with a history of stage squamous cell carcinoma of the vagina. she presented in and underwent radical chemoradiation and an open interstitial implant. in , she developed right groin pain and was found to have several vulvar lesions (squamous cell carcinoma on biopsy). she was scheduled to undergo a radical vulvectomy on , but it was abandoned when new palpable and visible lesions were seen on the rectovaginal septum. past medical history: pmh: vaginal cancer psh: splenectomy, tonsillectomy, broken elbow, lavh-bso, open interstitial implant. gyn history: last mammogram normal 1 yr ago. ob history: vaginal delivery x 2 social history: quit smoking 8 yrs ago no etoh drinks caffeinated beverages/day family history: significant for a sister with breast cancer. physical exam: multiple left vulvar lesions consistent with squamous cell carcinoma. rectovaginal examination reveled a firm rectovaginal tumor, about 2 cm above the anus with ulceration through the posterior vaginal wall. no other vulvar lesions were noted. pertinent results: 08:41am blood wbc-15.2* rbc-4.00* hgb-12.1 hct-36.5 mcv-91 mch-30.3 mchc-33.2 rdw-14.3 plt ct-960* 03:13am blood wbc-18.6* rbc-2.56* hgb-8.0* hct-22.6* mcv-88 mch-31.1 mchc-35.3* rdw-13.3 plt ct-305 06:35am blood pt-17.5* ptt-27.4 inr(pt)-1.9 04:58am blood pt-35.4* ptt-45.4* inr(pt)-7.9 05:29am blood glucose-114* urean-6 creat-0.6 na-137 k-4.2 cl-104 hco3-29 angap-8 05:47am blood calcium-7.6* phos-3.5 mg-1.8 08:42am other body fluid creat-0.4 jp creatinine brief hospital course: on the patient underwent an exam under anesthesia, exploratory laparotomy, bilateral pelvic lymph node dissection, bilateral para-aortic lymph node dissection, total pelvic exenteration, radical vulvectomy, bilateral inguinal lymphadenectomy, sigmoid urinary conduit, omental transposition, transverse colostomy and bilateral gracilis myocutaneous graft. please see operative note for details. the patient's postoperative course is as follows: 1) heme: she received a total of 4 uprbcs for blood loss (low hct 22.6). thereafter her hct remained stable at 35. she was placed on a heparin drip and transitioned to coumadin. by discharge, her inr was near therapeutic at 1.9. she will continue on her home dose of warfarin alternating 2mg/3mg qod. spoke to dr. who will continue to follow her pt/inr as outpatient. 2) id: the patient was administered levofloxacin/flagyl for a total of 9 days for prophylaxis. she remained afebrile and her wbc was stable at 15,200 on discharge. 3) pulmonary: the patient developed a non-productive cough. it resolved with chest physical therapy. 4) gi/fen: her stoma remained pink and healthy-appearing. the colostomy bag contained gas and liquid stool. her electrolytes were repleted as needed, and by discharge, she was tolerating some solid foods. her nausea resolved with antiemetics and scopolamine patch. 5) gu: the urinary stents remained in place. the conduit functioned well. she will have follow up with urology for stent removal 6) neuro: her pain was well-controlled with dilaudid and eventually oral pain medications. 7) plastics: the groin flaps were monitored closely for evidence of necrosis/graft rejection. she underwent a debridement at bedside. she will need repeat debridement and possible regrafting as an outpatient. she will follow up with plastic surgery for this procedure. 8) drains: her jp drains produced serosanguinous fluid. her abdominal jp drain had a creatine of 0.4 at discharge. at discharge she had 6 jp drains in place which will be pulled as an outpatient. medications on admission: prevacid discharge medications: 1. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 2. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical (2 times a day). disp:*1 * refills:*2* 3. warfarin sodium 1 mg tablet sig: three (3) tablet po qod (): alternate with 2mg dose qod. discharge disposition: home with service facility: homecare discharge diagnosis: recurrent squamous cell carcinoma of the vagina discharge condition: good. stable discharge instructions: 1) no heavy lifting, exercise or intercourse for 9 weeks. 2) no driving for 2 weeks. 3) please call your doctor if you experience fever/chills, nausea/vomiting, increasing abdominal pain, or other symptoms that concern you. followup instructions: please call dr. office to arrange an appointment. plastic surgery will call to arrange surgery for next week. follow up with dr. for management of coumadin dosing (. follow up with urology -dr. - for urostomy stent removal procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube non-invasive mechanical ventilation urinary diversion to intestine graft of muscle or fascia excisional debridement of wound, infection, or burn other lysis of peritoneal adhesions pelvic evisceration ureteral catheterization permanent colostomy radical excision of periaortic lymph nodes radical groin dissection application or administration of an adhesion barrier substance biopsy of pituitary gland, unspecified approach radical vulvectomy other repair of vulva and perineum radical excision of other lymph nodes diagnoses: acute posthemorrhagic anemia secondary malignant neoplasm of other specified sites personal history of tobacco use peritoneal adhesions (postoperative) (postinfection) long-term (current) use of anticoagulants tachycardia, unspecified attention to other artificial opening of urinary tract infection and inflammatory reaction due to other internal prosthetic device, implant, and graft closed fracture of pubis attention to colostomy family history of malignant neoplasm of breast encounter for therapeutic drug monitoring secondary and unspecified malignant neoplasm of lymph nodes of inguinal region and lower limb fracture, cause unspecified malignant neoplasm of other specified sites of female genital organs 

Answer: The patient is high likely exposed to