External
Repatriation Medical Authority Statement

Malignant neoplasm of the thyroid gland - Therapeutic radiation to the head or neck region Factor

Last reviewed for CCPS 18 July 2006.

Preliminary questions [23512]

23515 there is some evidence that a course of therapeutic radiation to the head or neck may be a factor in the development of the condition under consideration.

25191 the veteran's malignant neoplasm of the thyroid gland is a papillary, follicular or anaplastic thyroid carcinoma.

11429

the veteran has undergone a course of therapeutic radiation to the head or neck at some time.

25669the veteran underwent the course of therapeutic radiation to the head or neck region for treatment of an illness or injury which is identifiable.

35907 for treatment of the identified illness or injury, the veteran underwent a course of therapeutic radiation to the head or neck region where the first exposure occurred at least five years before the clinical onset of malignant neoplasm of the thyroid gland.

23517the veteran has established the causal connection between the course of therapeutic radiation to the head or neck region and VEA service for the clinical onset of malignant neoplasm of the thyroid gland.

23518the veteran has established the causal connection between the course of therapeutic radiation to the head or neck region and operational service for the clinical onset of malignant neoplasm of the thyroid gland.

or

23519the veteran has established the causal connection between the course of therapeutic radiation to the head or neck region and eligible service for the clinical onset of malignant neoplasm of the thyroid gland.

Clinical onset and operational service [23518]

11438the identified illness or injury for which the course of therapeutic radiation to the head or neck was undergone is causally related to operational service.

Clinical onset and eligible service [23519]

35876for treatment of the identified illness or injury, the veteran underwent a course of therapeutic radiation to the head or neck region satisfying the exposure and age requirements for malignant neoplasm of the thyroid gland in Balance of Probability cases.

35878

the veteran's last exposure to therapeutic radiation for treatment of the identified illness or injury occurred when aged less than 20 years.

or

35879 for treatment of the identified illness or injury, the veteran underwent a course of therapeutic radiation to the head or neck region where the first exposure occurred at least ten years before the clinical onset of malignant neoplasm of the thyroid gland.

11439the identified illness or injury for which the course of therapeutic radiation to the head or neck was undergone is causally related to eligible service.