External
Repatriation Medical Authority Statement

Malignant neoplasm of the liver - Smoking tobacco products - material contribution Factor

Last reviewed for CCPS 14 December 1998.

Investigative Documents

Claimant Report - Smoking [CRD905]

Claimant Report - Smoking [CRV905]

Preliminary questions [35201]

22577

the condition under consideration is a hepatocellular carcinoma.

30303

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

35203the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical onset of malignant neoplasm of the liver.

35204the veteran has established the causal connection between smoking tobacco products and operational service for the clinical onset of malignant neoplasm of the liver.

or

35205the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical onset of malignant neoplasm of the liver.

Clinical onset and operational service [35204]

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.

35208

smoking as a causal result of operational service made a material contribution to the SOP requirements for malignant neoplasm of the liver and smoking tobacco products.

Clinical onset and eligible service [35205]

35207

the veteran had smoked at least twenty 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.

35209

smoking as a causal result of eligible service made a material contribution to the SOP requirements for malignant neoplasm of the liver and smoking tobacco products.