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: history of present illness: mr. is a 43 year-old man with a newly diagnosed leiomyosarcoma involving the soft tissues anterior to the right tibia. he had initially detected a lump on the anterior surface of his right lower extremity in . he was sent for an ultrasound, which revealed a solid area of 2.6 by 1.0 cm that was nontender to touch. he did not seek any further evaluation for this until when he began to awaken in the night with pain in the area of the lump. he then received an mri scan, which noted to be a slightly increased interval in size to 3 cm and he was at this point referred to dr. for orthopedic evaluation. he was seen on at which time dr. received the ct scans that were performed on as well as an mri and a bone scan and plain films. the bone scan did show some mild increase uptake in the right tibia and the distal left femur. the plain film of the left distal femur showed evidence of an enchondroma. a ct and mri were significant for a periosteal reaction in the bone adjacent to the small subcutaneous mass of low signal abnormality, which did enhance diffusely and measured approximately 6 to 7 cm. at this point biopsy was recommended. he was taken to the operating room by dr. on for an incisional biopsy. final pathology report indicated a malignant spindle cell neoplasm consistent with a leiomyosarcoma. the tumor was moderate cellular with moderate cytologic atypia and rare mitosis. flow cytometry revealed poly clonality to the b cells and mature lineage antigens from b cells and t cells indicating no evidence for a hematologic origin for this malignancy. the surgical plan of treatment was to take the patient to the operating room for wide local excision of his leiomyosarcoma of the right tibia followed by immediate reconstruction by the plastic surgery service with a gracilis free flap and split thickness skin graft to cover the wound. hospital course: the patient was taken to the operating room as planned on where he received a wide local excision of the leiomyosarcoma of the right tibia followed by a gracilis free flap from the right leg with split thickness skin graft from right upper thigh to the right lower leg. the operation went well without any apparent complications and he was transferred to the pacu in stable condition. he had an excellent flap signal in the pacu, which was checked with doppler and a v.a.c. was placed prior to leaving the operating room and was set at 125 mmhg. the patient was initially kept on bed rest and he was started immediately on an aspirin for flap anticoagulation protection. the flap checks continued q one hours for a total of 48 hours without any complications and he was started on a diet on postoperative day two, which he tolerated well and was advanced without any apparent complications. he remained afebrile in his postoperative course with a stable hematocrit and stable chemistry panel. his pain control was managed initially with an epidural by the acute pain service, which infused until postoperative day three when he was found to be tolerating po well at which time he was switched to oxycontin 20 mg po b.i.d. with oxycodone for breakthrough pain. the v.a.c. dressing was taken down on postoperative day number five for evaluation revealing nearly complete 100% split thickness skin graft take and his flap continued to look well with excellent doppler signal. the donor site of his split thickness skin graft was covered with xeroform dressing and was blow dried 30 minutes t.i.d. with good effect. he was started initially on leg dangling exercises for five minutes three times a day, which was slowly increased through his hospitalization to a maximum of 15 minutes three times a day. he was made touch down weight bearing with crutches and mobilized by physical therapy on postoperative day number six, which he tolerated well without any apparent complications. on postoperative day number seven the patient was found afebrile ni good condition without any complaints of pain and he was cleared by the plastics team for discharge with follow up in one week and for daily dressing changes with xeroform and a kerlix wrap to the site of his flap and split thickness skin graft. from an orthopedic perspective dr. cleared the patient for weight bearing as tolerated to his right lower extremity and the patient will follow up with outpatient physical therapy to regain strength in his right leg. condition on discharge: stable. discharge status: home. discharge medications. 1. aspirin 325 mg po q day. 2. oxycontin 20 mg po b.i.d. for 10 days. 3. oxycodone 5/325, one tablet po q 4 to 6 hours prn pain. 4. colace 100 mg po b.i.d. 5. keflex 500 mg po q.i.d. for one week. discharge instructions: diet, resume a regular diet. activity, the patient may weight bear as tolerated to the right leg. he is to follow up with outpatient physical therapy as needed. he was cleared by plastic surgery to do 15 minute leg dangles three times a day starting today on and he should increase this by five minutes every day until a maximum of 30 minutes per day. the patient was instructed to call his physician or return to the emergency department if he developed any fevers or chills, temperature greater then 101.5 degrees, redness, swelling, discharge from the surgical site or if he is unable to eat or drink. final diagnoses: 1. leiomyosarcoma of his right lower extremity. 2. status post wide local excision of a leiomyosarcoma of the right leg with prophylactic plate fixation, gracilis free flap with split thickness skin graft on . recommended follow up: 1. the patient is to follow up with dr. within two weeks. he should call to schedule this appointment. 2. the patient is to follow up with the clinic within one week. he was given the number to follow up and to make this appointment. , dictated by: medquist36 procedure: local excision of lesion or tissue of bone, tibia and fibula other skin graft to other sites graft of muscle or fascia excision of lesion of other soft tissue internal fixation of bone without fracture reduction, tibia and fibula other immobilization, pressure, and attention to wound diagnoses: malignant neoplasm of connective and other soft tissue of lower limb, including hip 

Answer: The patient is high likely exposed to