Reasonable Hypothesis SOP [1] | 57 of 2023 |
Balance of Probabilities SOP [2] | 58 of 2023 |
SOP Bulletin 236 [3]
ICD-10-AM Code C92.1
This is a malignant neoplasm of white blood cells, involving increased and unregulated production of the myeloid line of cells (predominantly neutrophils, but also basophils and eosinophils) in the bone marrow. It is associated with specific gene abnormalities.
Confirmation of the diagnosis is typically based on findings from bone marrow aspiration and biopsy together with genetic testing.
The relevant medical specialists are a haematologist and a pathologist.
* another SOP applies
# non-SOP condition
The condition may be asymptomatic and first suspected following a blood test. Symptomatic presentations may include fatigue, weight loss, bleeding episodes, excessive sweating and abdominal fullness. An enlarged spleen may be found on examination. Average age of onset is around 60 years old.
The only SOP worsening factor is for inability to obtain appropriate clinical management. The condition is potentially curable with a hematopoietic cell transplant. The condition can now also be controlled long term (without cure) using tyrosine kinase inhibitors.
Place holder node for Rulebase for chronic myeloid leukaemia
Chronic myeloid leukaemia - Atomic radiation Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Claimant Report - Exposure to Atomic Radiation [CR9171] Preliminary questions [1444]
33184 — the veteran has established the causal connection between atomic radiation and VEA service for the clinical onset of chronic myeloid leukaemia.
10884 — the veteran has established the causal connection between atomic radiation and operational service for the clinical onset of chronic myeloid leukaemia. [Default true]
or
10887 — the veteran has established the causal connection between atomic radiation and eligible service for the clinical onset of chronic myeloid leukaemia. [Default true]
Clinical onset and operational service [10884]
31995 [6] the veteran received a cumulative equivalent dose of at least 0.01 Sievert of atomic radiation to the bone marrow. the veteran received a cumulative equivalent dose of at least 0.01 Sievert of atomic radiation to the bone marrow where this dose was accumulated at least two years before the clinical onset of the condition under consideration. the veteran's operational service made a material contribution to the cumulative equivalent dose of at least 0.01 Sievert of atomic radiation to the bone marrow where this dose was accumulated at least two years before the clinical onset of the condition under consideration. the cumulative equivalent dose of at least 0.01 Sievert of atomic radiation to the bone marrow, to which operational service made a material contribution and this dose was accumulated at least two years before the clinical onset of chronic myeloid leukaemia, was due to the veteran's serious default, wilful act or serious breach of discipline. Clinical onset and eligible service [10887]
Chronic myeloid leukaemia - Cigar smoking Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Claimant Report - Smoking [CRD905] [15] Claimant Report - Smoking [CRV905] Preliminary questions [22730]
22732 — the veteran has established the causal connection between the service related cigar smoking and operational service for the clinical onset of chronic myeloid leukaemia.
Clinical onset and operational service [22732]
22734 [17] the veteran smoked at least 15 pack years of cigars before the clinical onset of chronic myeloid leukaemia, and, where smoking has ceased, the clinical onset occurred within ten years of cessation. [18]
4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service. [19]
Chronic myeloid leukaemia - Cigarette smoking Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Claimant Report - Smoking [CRD905] [15] Claimant Report - Smoking [CRV905] Preliminary questions [10876] 10880 — the veteran has established the causal connection between the cigarette smoking and operational service for the clinical onset of chronic myeloid leukaemia. Clinical onset and operational service [10880]
3116 — the veteran has some period or periods of cigarette smoking that are causally related to operational service. [23]
Chronic myeloid leukaemia - No appropriate clinical management for chronic myeloid leukaemia Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [10877] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [25] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [28] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [32] [33] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [32] [33]
Chronic myeloid leukaemia - Pipe smoking Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Claimant Report - Smoking [CRD905] [15] Claimant Report - Smoking [CRV905] Preliminary questions [22736]
22738 — the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of chronic myeloid leukaemia.
Clinical onset and operational service [22738]
22740 [17] the veteran smoked at least 15 pack years of pipe tobacco before the clinical onset of chronic myeloid leukaemia, and, where smoking has ceased, the clinical onset occurred within ten years of cessation. [41]
4911 — the veteran has some period or periods of pipe smoking that are causally related to operational service. [42]
Chronic myeloid leukaemia - Smoking tobacco products - material contribution Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Claimant Report - Smoking [CRD905] [15] Claimant Report - Smoking [CRV905] Preliminary questions [35163] 35164 — the veteran has established the causal connection between smoking tobacco products and operational service for the clinical onset of chronic myeloid leukaemia. Clinical onset and operational service [35164]
Chronic myeloid leukaemia - Undergoing a course of therapeutic radiation Factor
Last reviewed for CCPS 17 December 2003.
Preliminary questions [1440]
7629 [47] there is some evidence that therapeutic radiation may be a factor in the development of the condition under consideration.
5031 [47] the veteran has received a course of therapeutic radiation at some time.
22713 [48] the veteran underwent a course of therapeutic radiation before the clinical onset of chronic myeloid leukaemia. the veteran underwent a course of therapeutic radiation before the clinical onset of chronic myeloid leukaemia, where the first exposure occurred more than one year before the clinical onset of chronic myeloid leukaemia. the course of therapeutic radiation before the clinical onset of chronic myeloid leukaemia where the first exposure occurred more than one year before onset was given for an illness or injury which is identifiable. 22714 — the veteran has established the causal connection between the course of therapeutic radiation and VEA service for the clinical onset of chronic myeloid leukaemia. 22715 — the veteran has established the causal connection between the course of therapeutic radiation and operational service for the clinical onset of chronic myeloid leukaemia. or 22716 — the veteran has established the causal connection between the course of therapeutic radiation and eligible service for the clinical onset of chronic myeloid leukaemia. Clinical onset and operational service [22715] 5326 — the identified illness or injury for which the course of therapeutic radiation was received is causally related to operational service. [51] [52] Clinical onset and eligible service [22716]
5327 — the identified illness or injury for which the course of therapeutic radiation was received is causally related to eligible service. [55] [52]
Links
[1] http://www.rma.gov.au/assets/SOP/2023/d9a58b8543/057.pdf
[2] http://www.rma.gov.au/assets/SOP/2023/8f1604302e/058.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20236.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63392%23comment-form
[5] https://clik.dva.gov.au/ccpsclaimant-240
[6] https://clik.dva.gov.au/1659-atomic-radiation
[7] clikpopup://CCPS/reject31995No
[8] clikpopup://CCPS/reject31996No
[9] clikpopup://CCPS/reject35162No
[10] clikpopup://CCPS/rejectwilful
[11] clikpopup://CCPS/reject32001No
[12] clikpopup://CCPS/reject32003No
[13] clikpopup://CCPS/reject32002No
[14] clikpopup://CCPS/reject33185No
[15] https://clik.dva.gov.au/ccpsclaimant-115
[16] clikpopup://CCPS/Cigar smoking
[17] https://clik.dva.gov.au/ccpsb016rc-4
[18] clikpopup://CCPS/reject22734No
[19] clikpopup://CCPS/reject4921No
[20] clikpopup://CCPS/Cigarette smoking
[21] clikpopup://CCPS/reject5803No
[22] https://clik.dva.gov.au/reasons-decision-211
[23] clikpopup://CCPS/reject3116No
[24] https://clik.dva.gov.au/ccpsother-31
[25] https://clik.dva.gov.au/node/71658
[26] clikpopup://CCPS/Reject/OnsetAfterService
[27] clikpopup://CCPS/Reject/NoPermanentWorsening
[28] clikpopup://CCPS/Chronic myeloid leukaemia/ACM %C2%96 contributed to worsening
[29] clikpopup://CCPS/ACM/NoContribution
[30] clikpopup://CCPS/ACM/NotOpService
[31] clikpopup://CCPS/ACM/NotOperDuties
[32] clikpopup://CCPS/ACM/NoIllness
[33] clikpopup://CCPS/reject7390,7391No
[34] clikpopup://CCPS/Chronic myeloid leukaemia/ACM %C2%96 onset prior to operational service
[35] clikpopup://CCPS/ACM/OnsetFailOper
[36] clikpopup://CCPS/ACM/NotEligService
[37] clikpopup://CCPS/ACM/NotEligDuties
[38] clikpopup://CCPS/Chronic myeloid leukaemia/ACM %C2%96 onset prior to eligible service
[39] clikpopup://CCPS/ACM/OnsetFailElig
[40] clikpopup://CCPS/Pipe smoking
[41] clikpopup://CCPS/reject22740No
[42] clikpopup://CCPS/reject4911No
[43] clikpopup://CCPS/Smoked cigarettes, pipe tobacco or cigars at some time
[44] clikpopup://CCPS/reject30303No
[45] clikpopup://CCPS/reject35165No
[46] clikpopup://CCPS/reject35166No
[47] https://clik.dva.gov.au/ccpsb029rc-15
[48] clikpopup://CCPS/Therapeutic radiation before onset of chronic myeloid leukaemia
[49] clikpopup://CCPS/reject22713No
[50] clikpopup://CCPS/reject22717No
[51] clikpopup://CCPS/reject33186No
[52] clikpopup://CCPS/reject5326,5327No
[53] clikpopup://CCPS/Onset of chronic myeloid leukaemia within 40 years of cessation of therapeutic radiation for illness or injury
[54] clikpopup://CCPS/reject22719No
[55] clikpopup://CCPS/reject5327No