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: patient recorded as having no known allergies to drugs attending: chief complaint: increasing abdominal girth; lower extremity edema major surgical or invasive procedure: exploratory laparotomy, bilateral salpingo-oophorectomy, removal of 7.5 liters abdominal ascites, cul-de-sac biopsy history of present illness: 36 y.o. g0 referred to triage for evaluation of increasing abdominal girth, lower extremity edema. interview conducted in mandarin, so somewhat limited. pt reports ~2 months of sensation of "something there", i.e. palpable abdominal masses bilaterally. she was seen at for evaluation, and had a transabdominal ultrasound (pt refused transvaginal u/s) which showed 2 large fundal pedunculated fibroids. neither ovary was visualized transabdominally at that time. the pt was originally scheduled for or w/ dr. next week, but was referred for evaluation presently given rapidly progressing physical findings. the pt reports that over the past month, she has had increasing abdominal girth and distention - no pain, fevers, bleeding, changes in urination, nausea/vomiting, or any weight changes beyond abdominal girth. has had light vaginal spotting x 2 days, but is due for her period. past medical history: pgynhx: - lmp: , for past few years, has had irregular menses and increasing dysmenorrhea; no menorrhagia - no known h/o std's, abnormal paps - last pap: negative for intraepithelial lesion/malignancy pobhx: g0 pmedhx: - anemia psurghx: - ear surgery social history: denies use of tobacco/etoh/drugs. moved to u.s. from family history: denies any family h/o malignancies or other significant medical conditions physical exam: pe: chronically ill looking patient, walking around relatively easy despite grossly distended abdomen vs: normal and stable gen: aaox3, mild distress heent: perrl, eomi, sclera normal, no jaundice heart: rrr, no murmurs or gallop lungs: ctab, with decreased breath sounds over the bases abdomen: severly distended and tight w/ ascitis, non-tender, normal bowel sounds, dull to percussion in the bilateral pelvic area extremities: 2+ pitting edema skin: normal neuro: intact pertinent results: 12:38pm glucose-105 urea n-9 creat-0.9 sodium-132* potassium-4.6 chloride-99 total co2-23 anion gap-15 12:38pm alt(sgpt)-22 ast(sgot)-47* ld(ldh)-272* alk phos-33* amylase-60 tot bili-0.5 12:38pm lipase-31 12:38pm albumin-2.9* calcium-8.1* phosphate-4.0 magnesium-1.8 12:38pm hcg-<5 12:38pm cea-36* ca125-630* 12:38pm wbc-7.7 rbc-4.73 hgb-14.7# hct-42.6# mcv-90# mch-31.1# mchc-34.5# rdw-13.4 12:38pm plt count-494* 12:38pm pt-13.3* ptt-29.7 inr(pt)-1.2* brief hospital course: upon presentation, the pt had a ct scan of her abdomen and pelvis to help delineate the etiology of her abdominal girth. the ct demonstrated two dominant and large pelvic masses, the right measuring 11.7 x 18.5 x 22.0 cm in size. the left was slightly smaller at 8.8 x 6.8 x 10.6 cm; both lesions had cystic components. the uterus was unremarkable but there was a massive amount of abdominal and pelvic free fluid noted. additionally, there was a question of a focus of soft tissue thickening along the anterior/inferior aspect of the body of the stomach. these findings were concerning for either ovarian cancer or bilateral krukenberg tumors. bilateral lower extremity dopplers were also obtained to rule out dvt given the pt's lower extremity edema which were negative. the pt was admitted to the gyn oncology service. given the question of stomach-thickening on ct scan, gi was consulted to rule out a gi primary prior to proceeding w/ an exploratory laparotomy. the pt underwent an egd on hd#2 at which point an ulcerated, fungating and infiltrative mass w/ malignant appearance was noted in the stomach body and cardia. biopsies were taken which ultimately demonstrated adenocarcinoma, predominantly signet ring cell type. the heme/onc service was also consulted regarding the pt's condition and, conjointly, the decision was made to take the pt to the or for a debulking procedure both for symptomatic relief for the pt as well as to decrease her tumor burden for possible chemotherapy and ascertain more definitively the extent of peritoneal disease. also, it was felt that if the ovarian metastases were the only areas of extensive disease, then a gastrectomy performed in the near-future may be able to render the pt w/ no evidence of disease. on , the pt was taken to the or and an exploratory laparotomy, bilateral salpingo-oophorectomy, and peritoneal biopsy were performed. approximately 8 liters of ascites were additionally drained intraoperatively. please see operative report for full detail regarding the procedure. the pt's postoperative course was complicated initially by decreased o2 sats. the pt did receive a large amount of iv fluids intraoperatively, and a cxr obtained in the pacu demonstrated moderate-sized bilateral pleural effusions. it was felt that the pt's o2 requirement was secondary to volume overload and she was given 10 mg of lasix in the pacu to help reverse this. the pt was temporarily monitored in the overnight on pod#0/1 given her o2 requirement but diuresed well and was transferred out on pod#1. the pt continued to diurese well without any further diuretics necessary and was weaned from o2 completely on pod#3. the pt's postoperative course was otherwise uncomplicated. she was tolerating a full diet, her pain was well controlled w/ oral medications, and she was ambulating and voiding without difficulty on pod#3. thus, she was discharged to home on pod#3 in stable condition. she has an appointment to follow-up with the hematology/oncology team on at 9:30 am to discuss chemotherapy options. medications on admission: none discharge medications: 1. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*45 tablet(s)* refills:*1* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*50 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: metastatic signet ring adenocarcinoma of the stomach discharge condition: good discharge instructions: - please call dr. if you experience fever > 100.5, chills, nausea and vomiting, worsening or severe abdominal pain, or if you have any other questions or concerns. please call if you have redness and warmth around your incision, if your incision drains pus, or if your incision reopens. - no driving for 2 weeks after surgery and no driving while taking percocet as it can make you drowsy. - no heavy lifting or exercise for 6 weeks to allow your incision to heal fully. - please keep your follow-up appointments as outlined below. followup instructions: the following appointments have been scheduled for you: 1) provider: md/, md phone: date/time: 9:30 ; hematology/oncology-cc9 2) please call dr. office at to schedule a postoperative appointment within 4 weeks of discharge. md, procedure: exploratory laparotomy esophagogastroduodenoscopy [egd] with closed biopsy other removal of both ovaries and tubes at same operative episode biopsy of cul-de-sac diagnoses: unspecified pleural effusion pulmonary collapse volume depletion, unspecified secondary malignant neoplasm of retroperitoneum and peritoneum secondary malignant neoplasm of genital organs secondary malignant neoplasm of ovary malignant neoplasm of body of stomach 

Answer: The patient is high likely exposed to