Hodgkin Lymphoma B006

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81

Last amended

Rulebase for Hodgkin's lymphoma

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma

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

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/being-land-vietnam-or-vietnamese-waters-or-consuming-vietnamese-water

Cigar smoking

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/cigar-smoking

Cigarette smoking

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/cigarette-smoking

Inability to obtain appropriate clinical management for Hodgkin's disease

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/inability-obtain-appropriate-clinical-management-hodgkins-disease

Infection with Epstein-Barr virus

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/infection-epstein-barr-virus

Infection with the human immunodeficiency virus (HIV)

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/infection-human-immunodeficiency-virus-hiv

Inhaling chemical agents contaminated by TCDD

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/inhaling-chemical-agents-contaminated-tcdd

Pipe smoking

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/pipe-smoking

Rheumatoid arthritis

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/rheumatoid-arthritis

Smoking tobacco products - material contribution

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/smoking-tobacco-products-material-contribution

Solid organ or bone marrow transplantation

Current RMA Instruments
Reasonable Hypothesis SOP
70 of 2023
Balance of Probabilities SOP
71 of 2023
Changes from previous Instruments

ICD Coding

ICD-10-AM Code: C81

Brief description

Hodgkin Lymphoma is a malignant neoplasm of the lymph nodes and of lymphoid tissue.  This condition is characterised by the presence of specific cells called Reed-Sternberg cells, which arise from B lymphocytes (a type of white blood cell).  This neoplasm principally causes a space occupying lesion (mass) effect. 

Confirming the diagnosis

The diagnosis is confirmed based on histopathology from a biopsy of an involved lymph node or a mediastinal mass, or less commonly by biopsy of an involved organ.

The relevant medical specialist is a haematologist or oncologist.

Additional diagnoses covered by SOP
  • Hodgkin’s disease
  • Hodgkin's lymphoma
    • classic type
      • Nodular sclerosis cHL
      • Mixed cellularity cHL
      • Lymphocyte rich cHL
      • Lymphocyte depleted cHL
    • Nodular lymphocyte predominant type
Conditions excluded from SOP
  • Burkitt’s lymphoma#
  • Chronic lymphoid leukaemia* - mature B-cell lymphoid luekaemia/small lymphocytic lymphoma SOP
  • Hairy cell leukaemia* - mature B-cell lymphoid leukaemia/small lymphocytic lymphoma SOP
  • Non-Hodgkin Lymphoma*
  • Plasma call malignancy* - myeloma SOP

* another SOP applies

# non-SOP condition

Clinical onset

Most patients present with asymptomatic enlarged lymph nodes (particularly in the neck or groin), unexplained fever, fatigue, night sweats, itching, or unintentional weight loss.  This condition is also sometimes detected after the discovery of a mediastinal mass on chest X-ray after a patient initially presents for review of persistent coughing, shortness of breath, or retrosternal chest pain.

There are two peak ages for this condition- first in late adolescence/young adulthood and then a second peak in older adults.

Clinical worsening

The only SOP worsening factor involves the inability to obtain appropriate clinical management.  Advances in treatment (with chemotherapy and radiotherapy) have seen the condition go from a uniformly fatal disease to one that is now curable in about 75% of cases.  Treatment can be associated with serious complications.  The choice of treatment is tailored for the individual patient and involves balancing treatment effectiveness and complication risk.

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/hodgkins-lymphoma-b006-c81/rulebase-hodgkins-lymphoma/solid-organ-or-bone-marrow-transplantation