Reasonable Hypothesis SOP [1] | 3 of 2018 |
Balance of Probabilities SOP [2] | 4 of 2018 |
SOP Bulletin 200 [3]
This SOP covers malignant meningiomas arising in the lining of the brain. It does not cover benign cerebral meningiomas, which are much more common and which are covered by a separate SOP.
The diagnosis may be suspected based on imaging findings (CT or MRI of the brain), but definitive diagnosis requires histology.
The relevant medical specialist is a neurosurgeon or oncologist.
* another SOP applies
# non-SOP condition
The condition tends to be asymptomatic or minimally symptomatic and be found incidentally on imaging (or at autopsy). Clinical features may include seizures and focal defects related to the tumour location.
The condition rarely metastasises to other sites but local recurrence occurs in the majority of cases and overall 5 year survival is less than 50%. Evidence of clinical worsening beyond the normal course of the disease is required for a clinical worsening factor to apply.
WHO Grade 1 (covered by meningioma SOP)
WHO Grade 2 (covered by meningioma SOP)
WHO Grade 3 (covered by MN cerebral meninges SOP)
Confirmation of a diagnosis of malignant neoplasm of the cerebral meninges
To investigate this condition you will need to know whether the malignant neoplasm of the cerebral meninges is a particular type of neoplasm known as a sarcoma of the cerebral meninges. If you do not know this then you should indicate that the diagnosis is not confirmed. A Diagnostic report (? [4]) will then be generated which will allow you to request this information from the appropriate source.
Diagnostic criteria for malignant neoplasm of the cerebral meninges [5]
The veteran has sarcoma of the cerebral meninges.
Place holder node for Rulebase for malignant neoplasm of the cerebral meninges
Malignant neoplasm of the cerebral meninges - No clinical management for malignant neoplasm of the cerebral meninges Factor
Last reviewed for CCPS 19 February 1996.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [13980]
13989 [8] the clinical onset of malignant neoplasm of the cerebral meninges occurred after the end of the veteran's last period of VEA service. the veteran's malignant neoplasm of the cerebral meninges permanently worsened. the veteran was unable to obtain appropriate clinical management for malignant neoplasm of the cerebral meninges at some time.
13992 [11] the inability to obtain appropriate clinical management for malignant neoplasm of the cerebral meninges contributed to the clinical worsening of the veteran's malignant neoplasm of the cerebral meninges. 13994 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for malignant neoplasm of the cerebral meninges and VEA service for the clinical worsening of malignant neoplasm of the cerebral meninges. 13995 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for malignant neoplasm of the cerebral meninges and operational service for the clinical worsening of malignant neoplasm of the cerebral meninges. or 13996 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for malignant neoplasm of the cerebral meninges and eligible service for the clinical worsening of malignant neoplasm of the cerebral meninges. Clinical worsening and operational service [13995] or 14003 — the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for malignant neoplasm of the cerebral meninges is causally related to operational service. [16] [17] Clinical worsening and eligible service [13996] or 14004 — the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for malignant neoplasm of the cerebral meninges is causally related to eligible service. [16] [17]
Malignant neoplasm of the cerebral meninges - Therapeutic radiation to the head or neck Factor
Last reviewed for CCPS 19 February 1996.
Preliminary questions [13979]
13981 [24] the veteran has sarcoma of the cerebral meninges. the veteran has undergone a course of therapeutic radiation to the head or neck at some time.
11431 [26] the veteran underwent a course of therapeutic radiation to the head or neck for treatment of an illness or injury which is identifiable. the course of therapeutic radiation to the head or neck was given for treatment of the identified illness or injury before the clinical onset of malignant neoplasm of the cerebral meninges. [28]
13983 — the veteran has established the causal connection between the course of therapeutic radiation to the head or neck and VEA service for the clinical onset of malignant neoplasm of the cerebral meninges.
13986 — the veteran has established the causal connection between the course of therapeutic radiation to the head or neck and operational service for the clinical onset of malignant neoplasm of the cerebral meninges.
or
13987 — the veteran has established the causal connection between the course of therapeutic radiation to the head or neck and eligible service for the clinical onset of malignant neoplasm of the cerebral meninges.
Clinical onset and operational service [13986]
11438 — the identified illness or injury for which the course of therapeutic radiation to the head or neck was undergone is causally related to operational service. [29] [30]
Clinical onset and eligible service [13987]
11439 — the identified illness or injury for which the course of therapeutic radiation to the head or neck was undergone is causally related to eligible service. [31] [30]
Links
[1] http://www.rma.gov.au/assets/SOP/2018/003.pdf
[2] http://www.rma.gov.au/assets/SOP/2018/004.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20200.pdf
[4] https://clik.dva.gov.au/sop-information
[5] https://clik.dva.gov.au/node/73513
[6] https://clik.dva.gov.au/user/login?destination=comment/reply/63754%23comment-form
[7] https://clik.dva.gov.au/ccpsother-31
[8] https://clik.dva.gov.au/node/71755
[9] clikpopup://CCPS/Reject/OnsetAfterService
[10] clikpopup://CCPS/Reject/NoPermanentWorsening
[11] clikpopup://CCPS/Malignant neoplasm of the cerebral meninges/ACM - contributed to worsening
[12] clikpopup://CCPS/ACM/NoContribution
[13] clikpopup://CCPS/ACM/NotOpService
[14] clikpopup://CCPS/ACM/NotOperDuties
[15] clikpopup://CCPS/rejectwilful
[16] clikpopup://CCPS/ACM/NoIllness
[17] clikpopup://CCPS/reject14003,14004No
[18] clikpopup://CCPS/Malignant neoplasm of the cerebral meninges/ACM - onset prior to operational service
[19] clikpopup://CCPS/ACM/OnsetFailOper
[20] clikpopup://CCPS/ACM/NotEligService
[21] clikpopup://CCPS/ACM/NotEligDuties
[22] clikpopup://CCPS/Malignant neoplasm of the cerebral meninges/ACM - onset prior to eligible service
[23] clikpopup://CCPS/ACM/OnsetFailElig
[24] https://clik.dva.gov.au/therapeutic-radiation-head-or-neck-0
[25] clikpopup://CCPS/reject13981No
[26] clikpopup://CCPS/Therapeutic radiation to the head or neck for identifiable illness
[27] clikpopup://CCPS/reject11431No
[28] clikpopup://CCPS/reject13982No
[29] clikpopup://CCPS/reject11438No
[30] clikpopup://CCPS/reject11438,11439No
[31] clikpopup://CCPS/reject11439No