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Diagnostic commentary for malignant neoplasm of the liver

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Confirmation of a diagnosis of malignant neoplasm of the liver

During the investigation of this condition you will be asked whether the malignant neoplasm of the liver is a hepatocellular carcinoma. This is defined as a primary carcinoma of hepatocytes, also known as primary liver cancer or hepatocarcinoma. If the liver cancer is a hepatocellular carcinoma, then all the factors listed in the Statements of Principles will need to be considered, but if it is not, then only the “Inability to obtain appropriate clinical management” factor will apply. Hepatocellular carcinoma is the most common type of primary liver cancer, and several of the other types are childhood tumours, so it is more than likely that the veteran's liver cancer will be a hepatocellular carcinoma. However, you should seek medical advice to make sure.

If the available medical advice cannot confirm that the liver cancer is, or is not, a hepatocellular carcinoma then you should indicate that the diagnosis is not confirmed. A Diagnostic report (?)will then be generated which will allow you to request this information from the appropriate source.

Diagnostic criteria for malignant neoplasm of the liver

22889

There is some evidence that cigar smoking may be a factor in the development of the condition under consideration.

[Link to "Cigar smoking"]

[22601] Pipe smoking

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There is some evidence that cigar smoking may be a factor in the development of the condition under consideration.

[Link to "Pipe smoking"]

[35201] Smoking tobacco products - material contribution

30303

The veteran has smoked cigarettes, cigars or pipe tobacco at some time.

[Link to "Smoked cigarettes, pipe tobacco or cigars at some time"]

35206

The veteran had smoked at least ten pack years of cigarettes or the equivalent thereof in other tobacco products before the clinical onset of the malignant neoplasm of the liver, and, where smoking has ceased, the clinical onset occurred within ten years of cessation.