Malignant Neoplasm of the Larynx B013

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/m/malignant-neoplasm-larynx-b013-c32

Last amended

Rulebase for malignant neoplasm of the larynx

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/rulebase-malignant-neoplasm-larynx

Alcohol consumption

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/alcohol-consumption

Being on land in Vietnam or in Vietnamese waters or consuming Vietnamese water

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/being-land-vietnam-or-vietnamese-waters-or-consuming-vietnamese-water

Cigar smoking

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/cigar-smoking

Cigarette smoking

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/cigarette-smoking

Exposure to a visible tobacco smoke haze

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/exposure-visible-tobacco-smoke-haze

Exposure to mustard gas

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/exposure-mustard-gas

Exposure to TCDD

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/exposure-tcdd

Inhaling respirable asbestos fibres

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/inhaling-respirable-asbestos-fibres

Inhaling smoke from the combustion of biomass or fossil fuels

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/inhaling-smoke-combustion-biomass-or-fossil-fuels

No appropriate clinical management for malignant neoplasm of the larynx

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/no-appropriate-clinical-management-malignant-neoplasm-larynx

Pipe smoking

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/pipe-smoking

Smoking tobacco products - material contribution

Current RMA Instruments

Reasonable Hypothesis SOP

41 of 2022

Balance of Probabilities SOP

42 of 2022

Changes from previous Instruments

 

ICD Coding

 

  • ICD-9-CM Code: 161
  • ICD-10-AM Code: C32
Brief description

The larynx is the upper part of the wind pipe and it includes the vocal cords. This SOP covers primary cancers arising in the larynx.

Confirming the diagnosis

The diagnosis requires confirmation with histology, with tissue obtained from a biopsy or surgery.

The relevant medical specialist is an ENT surgeon, head and neck surgeon, or oncologist.

Additional diagnoses covered by SOP

Malignant neoplasm of the glottis, supraglottis or subglottis

Conditions excluded from SOP
  • Carcinoid of the larynx#
  • Hodgkin’s lymphoma of the larynx*
  • non-Hodgkin lymphoma of the larynx*
  • Secondary/metastatic cancer involving the larynx (code to primary cancer site)
  • soft tissue sarcoma of the larynx*

* another SOP applies

# non-SOP condition

Clinical onset

The most common presenting symptom is change in voice / persistent hoarseness.  Other symptoms include, cough, haemoptysis (coughing blood), and strider (noisy, high pitched breathing). The condition may also be found after investigation of palpable lymph nodes in the neck.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Appropriate management of the disease varies considerably with the type and stage of the disease and other factors.  A delay in obtaining treatment could lead to a worsening of the prognosis.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/m/malignant-neoplasm-larynx-b013-c32/rulebase-malignant-neoplasm-larynx/smoking-tobacco-products-material-contribution