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: sulfonamides attending: chief complaint: retroperitoneal tumor major surgical or invasive procedure: 1. excision of retroperitoneal tumor greater than 10 cm in size. 2. open cholecystectomy. 3. vena caval resection and reconstruction with bovine pericardium. history of present illness: this is a delightful 51-year-old lady who is totally healthy. a mass was picked up by her pcp in her abdomen. the lady had had many years of vague right back pain, however, no other symptoms were in play. the cat scan was obtained and there was a huge tumor in the retroperitoneum abutting the pancreas, the liver, the colon and the duodenum as well as the kidney. endoscopic ultrasound was used to identify this and it was uncertain if this was attached to the gi tract or not. a fine needle aspirate of this was suspicious for malignancy, however, more detail from this could not be ascertained. i met with ms. and her family and indicated that she had a malignancy suggestive of either a sarcoma or a lymphoma. also in play was the possibility of this being a gi stromal tumor arising from the pancreatic and duodenal head. i discussed the rationale for proceeding with a large open exploration and attempted resection of this mass past medical history: uc, ^lipids, hypoth, lbp, osteopenia social history: no tobacco no etoh family history: colorectal ca - sister liposarcoma - mother physical exam: avss gen: nad, a+o x3 heent: wnl, perrla cv; rrr, no m/r/g pulm: ctab abd: no scar, soft/nt, large palpable mass to ruq pertinent results: 04:20am blood wbc-4.9 rbc-3.49* hgb-9.5* hct-26.9* mcv-77* mch-27.1 mchc-35.2* rdw-13.9 plt ct-185 02:03pm blood hct-23.7* 03:40am blood wbc-8.7 rbc-3.23* hgb-8.8* hct-25.4* mcv-79* mch-27.1 mchc-34.5 rdw-13.0 plt ct-172 02:45am blood wbc-11.7* rbc-3.79* hgb-10.1* hct-29.2* mcv-77* mch-26.6* mchc-34.5 rdw-13.0 plt ct-232 03:40am blood pt-14.0* ptt-53.4* inr(pt)-1.2* 04:20am blood glucose-92 urean-9 creat-0.7 na-140 k-3.9 cl-107 hco3-28 angap-9 04:40am blood glucose-75 urean-11 creat-0.7 na-138 k-3.5 cl-104 hco3-26 angap-12 03:40am blood alt-36 ast-77* ld(ldh)-219 alkphos-44 amylase-42 totbili-0.5 04:20am blood calcium-7.9* phos-1.6* mg-1.6 . pathology examination name birthdate age sex pathology # , 51 female report to: dr. gross description by: dr. /dif specimen submitted: gall bladder, retroperitoneal tumor, left renal vein. procedure date tissue received report date diagnosed by dr. /yc previous biopsies: cytospins for immunohistochemistry, abdominal mass fna, fna for immunophenotyping colon bxs gi bx's, 9. (and more) diagnosis: 1. gallbladder, cholecystectomy (a): gallbladder with no diagnostic abnormalities recognized. 2. soft tissue and superior vena cava, retroperitoneum, resection (b-n): a. leiomyosarcoma, conventional type, intermediate grade, involving vein wall. see note. b. tumor is present at the superior vena cava margin and is within microns from the soft tissue margin. c. one unremarkable lymph node. 3. renal vein, left, resection (o): vessel wall with focal involvement by leiomyosarcoma. note: immunohistochemical stains show that the tumor cells are strongly positive for desmin and actin, focally positive for cytokeratin cocktail (ae1-3/cam5.2), and are negative for s-100 protein. staining for ckit is equivocal. these findings are in keeping with the above diagnosis. . 10:35am blood hct-32.2* 10:35am blood pt-14.9* ptt-30.8 inr(pt)-1.3* 11:35am blood glucose-104 urean-6 creat-0.7 na-142 k-3.4 cl-107 hco3-25 angap-13 brief hospital course: this is a 51 year old female with a large retroperitoneal tumor and went to the or on for: 1. excision of retroperitoneal tumor greater than 10 cm in size. 2. open cholecystectomy. 3. vena caval resection and reconstruction with bovine pericardium. she went to the icu post-op for monitoring. pain: she had a pca for pain control. once tolerating a diet, she was transitioned to po meds. gi: she had a ngt to lws. the ngt was removed on pod 2. her diet was slowly advanced and she was tolerating a regular diet at time of discharge. abd/pelvis: her abdominal incision was c/d/i. she had a left groin incision that was stable with no hematoma and minimal serosang drainage. heme: her hct was stable post-op. she was started on a heparin gtt on pod 1 per the vascular recs secondary to the cavoplasty. she had a hct drop after starting heparin. she had some oozing from the left groin. she was transfused 2 units blood and her hct was stable at 26.9. the heparin drip was stopped. the next day she was started on aspirin 325mg. on pod 6, she was started on lovenox with a bridge to coumadin. her inr at time of discharge was 1.3. she will remain on coumadin for 3 months. medications on admission: rowasa enema, levoxyl 88', lipitor 10', ca++/vit d, folic acid discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*45 tablet(s)* refills:*0* 4. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 5. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 10. mesalamine 1,000 mg suppository sig: one (1) suppository rectal daily (daily). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. enoxaparin 60 mg/0.6 ml syringe sig: one (1) subcutaneous (2 times a day) for 5 days. disp:*10 * refills:*0* 13. warfarin 2.5 mg tablet sig: one (1) tablet po once a day for 1 weeks: follow-up with your pcp for your next rx in one week. your inr on was 1.3. disp:*7 tablet(s)* refills:*0* 14. outpatient lab work inr check on , , and fax results to pcp. . . (f) (p) discharge disposition: home with service facility: homecare discharge diagnosis: retroperitoneal tumor post-op blood loss anemia discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. . * please resume all regular home medications and take any new meds as ordered. you are being discharged on aspirin, lovenox and coumadin. the vna will assist with lovenox injections and will check your inr level. your pcp, . , get the inr results faxed to her and dose your coumadin accordingly. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to increase activity daily * no heavy lifting (> lbs) for 6 weeks. * monitor your incision for signs of infection * keep your incision clean and dry. followup instructions: you need to follow-up with your pcp for inr monitoring and coumadin dosing. you will need to get a rx for coumadin from your pcp. to schedule an appointment. please follow-up with dr. in 2 weeks. call to schedule an appointment. your staples will be removed at that time. provider: (st-3) gi rooms date/time: 10:30 provider: ,md phone: date/time: 10:30 procedure: cholecystectomy excision or destruction of peritoneal tissue resection of vessel with replacement, abdominal veins diagnoses: acute posthemorrhagic anemia unspecified acquired hypothyroidism secondary malignant neoplasm of other specified sites other and unspecified hyperlipidemia ulcerative colitis, unspecified disorder of bone and cartilage, unspecified malignant neoplasm of retroperitoneum 

Answer: The patient is high likely exposed to