Reasonable Hypothesis SOP [1] | 95 of 2021 |
Balance of Probabilities SOP [2] | 96 of 2021 |
SOP Bulletin 224 [3]
Myeloma is a cancer of plasma cells arising in the bone marrow. Plasma cells are a type of white blood cell.
Diagnosis is complex and requires specialist opinion based on a range of tests including bone marrow biopsy and serum electrophoresis and immunofixation.
The relevant medical specialist is a haematologist or haematologist oncologist.
* another SOP applies
The clinical presentation is variable. The condition may be asymptomatic and uncovered by routine blood testing or X-rays. Bone pain is a common presenting symptom. Clinical onset is likely to be when test results first indicate abnormalities that are subsequently confirmed to be due to myeloma, are present. It may be possible to back date onset to an earlier time based on the presenting symptoms.
The only SOP worsening factor is for inability to obtain appropriate clinical management. Treament may be initially effective and may prolong survival. The usual course of myeloma is of relapse following treatment.
Place holder node for Rulebase for myeloma
Myeloma - Atomic radiation Factor
Last reviewed for CCPS 30 April 2004.
Investigative Documents
Claimant Report - Exposure to Atomic Radiation [CR9171] Preliminary questions [33504]
33505 — the veteran has established the causal connection between the atomic radiation and operational service for the clinical onset of myeloma.
Clinical onset and operational service [33505]
33506 [7] the veteran received a cumulative equivalent dose of at least 0.05 Sievert of atomic radiation to the bone marrow. the veteran received a cumulative equivalent dose of at least 0.05 Sievert of atomic radiation to the bone marrow where this dose was accumulated at least five 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 0.05 Sievert of atomic radiation to the bone marrow where this dose was accumulated at least five years before the clinical onset of the condition under consideration. [10]
Myeloma - Being on land in Vietnam or in Vietnamese waters or consuming Vietnamese water Factor
Last reviewed for CCPS 30 April 2004.
Preliminary questions [33510]
2448 [11] the veteran had operational service in Vietnam. 33511 — the veteran has established the causal connection between being on land in Vietnam or at sea in Vietnamese waters or having consumed water from estuarine Vietnamese waters as specified in the SOP for myeloma and operational service for the clinical onset of the condition under consideration. Clinical onset and operational service [33511] or
Myeloma - Inability to obtain appropriate clinical management for myeloma Factor
Last reviewed for CCPS 30 April 2004.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [8115] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [20] 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 [23] 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. [28] [29] 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. [28] [29]
Myeloma - Infection with the human immunodeficiency virus (HIV) Factor
Last reviewed for CCPS 30 April 2004.
Preliminary questions [2447]
17599 [36] there is some evidence that HIV may be a factor in the development of the condition under consideration.
2464 [36] the veteran has been infected with the human immunodeficiency virus (HIV).
17557 [37] the veteran was infected with HIV before the clinical onset of the condition under consideration. [38]
2463 — the veteran has established the causal connection between the infection with human immunodeficiency virus (HIV) and VEA service for the clinical onset of the condition under consideration.
2465 — the veteran has established the causal connection between the HIV infection and operational service for the clinical onset of the condition under consideration.
or
8082 — the veteran has established the causal connection between the HIV infection and eligible service for the clinical onset of the condition under consideration.
Clinical onset and operational service [2465]
2466 — the human immunodeficiency virus (HIV) infection is causally related to operational service. [39] [40]
Clinical onset and eligible service [8082]
7788 — the human immunodeficiency virus (HIV) infection is causally related to eligible service. [41] [40]
Myeloma - Spraying or decanting a herbicide Factor
Last reviewed for CCPS 30 April 2004.
Investigative Documents
Claimant Report - Herbicides Containing 2,4-D or 2,4,5-T [CR9152] Preliminary questions [33559]
33509 — the veteran has established the causal connection between spraying or decanting a herbicide and operational service for the clinical onset of myeloma.
Clinical onset and operational service [33509]
28428 [43] on operational service, the veteran sprayed or decant a herbicide containing 2,4-dichloro-phenoxyacetic acid (2,4-D) or 2,4,5-trichlorophenoxyacetic acid (2,4,5-T). on operational service, the veteran sprayed or decant a herbicide containing 2,4-dichloro-phenoxyacetic acid (2,4-D) or 2,4,5-trichlorophenoxyacetic acid (2,4,5-T) in circumstances likely to result in inhalation or absorption of the herbicide. on operational service, the veteran sprayed or decant a herbicide containing 2,4-dichloro-phenoxyacetic acid (2,4-D) or 2,4,5-trichlorophenoxyacetic acid (2,4,5-T) in circumstances likely to result in inhalation or absorption of the herbicide at least 5 years before the clinical onset of the condition under consideration. the spraying or decanting on operational service of a herbicide containing 2,4-dichloro-phenoxyacetic acid (2,4-D) or 2,4,5-trichlorophenoxyacetic acid (2,4,5-T) was due to the veteran's serious default, wilful act or serious breach of discipline. [27]
Myeloma - Working as a painter Factor
Last reviewed for CCPS 30 April 2004.
Investigative Documents
Claimant Report - Work as a Painter [CR9005] Preliminary questions [8113]
33544 [48] the clinical onset of myeloma occurred during operational service or within the 20 years following the end of operational service. the veteran has worked as a painter on operational service at some time. 8125 — the veteran has established the causal connection between working as a painter and operational service for the clinical onset of myeloma. Clinical onset and operational service [8125]
Links
[1] http://www.rma.gov.au/assets/SOP/2021/331eed03f7/095.pdf
[2] http://www.rma.gov.au/assets/SOP/2021/bb94cf3e31/096.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20224.pdf
[4] https://clik.dva.gov.au/sop-information
[5] https://clik.dva.gov.au/user/login?destination=comment/reply/63886%23comment-form
[6] https://clik.dva.gov.au/ccpsclaimant-240
[7] https://clik.dva.gov.au/33504-atomic-radiation
[8] clikpopup://CCPS/reject33506No
[9] clikpopup://CCPS/reject33507No
[10] clikpopup://CCPS/reject33533No
[11] https://clik.dva.gov.au/ccpsresidual-service-eligibility-commentary-4
[12] clikpopup://CCPS/reject2448No
[13] clikpopup://CCPS/reject33543No
[14] clikpopup://CCPS/reject8078No
[15] clikpopup://CCPS/reject33512No
[16] clikpopup://CCPS/reject33513No
[17] clikpopup://CCPS/reject33514No
[18] clikpopup://CCPS/reject33508No
[19] https://clik.dva.gov.au/ccpsother-31
[20] https://clik.dva.gov.au/node/71713
[21] clikpopup://CCPS/Reject/OnsetAfterService
[22] clikpopup://CCPS/Reject/NoPermanentWorsening
[23] clikpopup://CCPS/Myeloma/ACM - contributed to worsening
[24] clikpopup://CCPS/ACM/NoContribution
[25] clikpopup://CCPS/ACM/NotOpService
[26] clikpopup://CCPS/ACM/NotOperDuties
[27] clikpopup://CCPS/rejectwilful
[28] clikpopup://CCPS/ACM/NoIllness
[29] clikpopup://CCPS/reject7390,7391No
[30] clikpopup://CCPS/Myeloma/ACM - onset prior to operational service
[31] clikpopup://CCPS/ACM/OnsetFailOper
[32] clikpopup://CCPS/ACM/NotEligService
[33] clikpopup://CCPS/ACM/NotEligDuties
[34] clikpopup://CCPS/Myeloma/ACM - onset prior to eligible service
[35] clikpopup://CCPS/ACM/OnsetFailElig
[36] https://clik.dva.gov.au/ccpsj006rc-5
[37] clikpopup://CCPS/Infected with HIV before onset of myeloma
[38] clikpopup://CCPS/reject17557No
[39] clikpopup://CCPS/reject2466No
[40] clikpopup://CCPS/reject2466,7788No
[41] clikpopup://CCPS/reject7788No
[42] https://clik.dva.gov.au/ccpsclaimant-201
[43] clikpopup://CCPS/Sprayed or decanted a herbicide containing 2,4-D or 2,4,5-T on operational service
[44] clikpopup://CCPS/reject28428No
[45] clikpopup://CCPS/reject28429No
[46] clikpopup://CCPS/reject28430No
[47] https://clik.dva.gov.au/ccpsclaimant-91
[48] clikpopup://CCPS/Onset of myeloma occurred during op service or within 20 years following end of op service
[49] clikpopup://CCPS/reject33544No
[50] clikpopup://CCPS/reject22846No
[51] clikpopup://CCPS/reject8127No
[52] clikpopup://CCPS/reject22203No
[53] clikpopup://CCPS/reject33515No