Reasonable Hypothesis SOP [1] | 85 of 2016 |
Balance of Probabilities SOP [2] | 86 of 2016 |
SOP bulletin 193 [3]
This SOP covers cancers arising in the brain tissue itself, but not neoplasms of adjacent structures (e.g. meninges, pituitary gland), nor brain tumours of lymph or connective tissue (lymphomas and sarcomas), nor secondary brain tumours originating from other sites. There are more than 100 types of tumours that can affect the brain and the terminology can be confusing. The distinction between benign and malignant brain tumours is also less clear cut than for tumours arising at other sites.
Histological confirmation is required for diagnosis.
The relevant medical specialist is a neurosurgeon, neurologist, or oncologist.
Diagnoses covered by SOP
Common
Uncommon
* another SOP applies
# non-SOP condition
The clinical presentation is highly variable. Initial symptoms may include headaches, seizures, focal neurological symptoms or cognitive dysfunction. Once the diagnosis has been confirmed, clinical onset can be backdated to the time of onset of the first symptoms that are clinically consistent with the location, size or other features of the tumour.
The only worsening factor is for inability to obtain appropriate clinical management. Appropriate treatment varies with the type and stage of the tumour and other factors. The natural history for most brain cancers is for disease progression.
Place holder node for Rulebase for malignant neoplasm of the brain
Malignant neoplasm of the brain - A course of therapeutic radiation to the head or neck Factor
Last reviewed for CCPS 15 October 2008.
Preliminary questions [11424]
23515 [5] 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.
11429 [5] the veteran has undergone a course of therapeutic radiation to the head or neck at some time.
11431 [6] the veteran underwent a course of therapeutic radiation to the head or neck for treatment of an illness or injury which is identifiable. 11433 — 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 the condition under consideration. 11437 — 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 the condition under consideration. or 11436 — 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 the condition under consideration. Clinical onset and operational service [11436] 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. [8] [9] Clinical onset and eligible service [11437]
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. [12] [9]
Malignant neoplasm of the brain - Atomic radiation Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Claimant Report - Exposure to Atomic Radiation [CR9171] Preliminary questions [33207]
33208 — the veteran has established the causal connection between atomic radiation and VEA service for the clinical onset of malignant neoplasm of the brain.
33209 — the veteran has established the causal connection between atomic radiation and operational service for the clinical onset of malignant neoplasm of the brain.
or
33210 — the veteran has established the causal connection between atomic radiation and eligible service for the clinical onset of malignant neoplasm of the brain.
Clinical onset and operational service [33209]
33211 [14] the veteran received a cumulative equivalent dose of at least 0.05 Sievert of atomic radiation to the brain. the veteran received a cumulative equivalent dose of at least 0.05 Sievert of atomic radiation to the brain 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 brain where this dose was accumulated at least five years before the clinical onset of the condition under consideration. the cumulative equivalent dose of at least 0.05 Sievert of atomic radiation to the brain, to which operational service made a material contribution and this dose was accumulated at least five years before the clinical onset of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline. Clinical onset and eligible service [33210]
Malignant neoplasm of the brain - Infection with the human immunodeficiency virus (HIV) Factor
Last reviewed for CCPS 15 October 2008.
Preliminary questions [11425]
17599 [22] there is some evidence that HIV may be a factor in the development of the condition under consideration.
2464 [22] the veteran has been infected with the human immunodeficiency virus (HIV).
17557 [23] the veteran was infected with HIV before the clinical onset of the condition under consideration. [24]
11444 — the veteran has established the causal connection between the human immunodeficiency virus (HIV) and operational service for the clinical onset of malignant neoplasm of the brain.
Clinical onset and operational service [11444]
2466 — the human immunodeficiency virus (HIV) infection is causally related to operational service. [25]
Malignant neoplasm of the brain - No appropriate clinical management for malignant neoplasm of the brain Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [11427] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [27] 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 [30] 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. [34] [35] 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. [34] [35]
Malignant neoplasm of the brain - Organ transplant Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Medical Report - Organ transplant - Malignant neoplasm of the brain [MR9303] Preliminary questions [33218]
33364 [43] the veteran has received an organ transplant at some time. the veteran received an organ transplant from a donor with malignant neoplasm of the brain. the veteran received an organ transplant from a donor with malignant neoplasm of the brain before the clinical onset of the condition under consideration. the veteran received an organ transplant from a donor with malignant neoplasm of the brain before the clinical onset of the condition under consideration, for treatment of an illness or injury which is identifiable. [47]
33219 — the veteran has established the causal connection between the organ transplant and operational service for the clinical onset of malignant neoplasm of the brain.
Clinical onset and operational service [33219]
33223 — the identified illness or injury for which the organ transplant from a donor with malignant neoplasm of the brain was received is causally related to operational service. [48]
Links
[1] http://www.rma.gov.au/assets/SOP/2016/085.pdf
[2] http://www.rma.gov.au/assets/SOP/2016/086.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20bulletin%20193_0.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63746%23comment-form
[5] clikpopup://CCPS/A course of therapeutic radiation to the head or neck
[6] clikpopup://CCPS/Therapeutic radiation to the head or neck for identifiable illness
[7] clikpopup://CCPS/reject11431No
[8] clikpopup://CCPS/reject11432No
[9] clikpopup://CCPS/reject11438,11439No
[10] clikpopup://CCPS/Therapeutic radiation to the head or neck with first exposure at least 5 years before onset on MN brain
[11] clikpopup://CCPS/reject27936No
[12] clikpopup://CCPS/reject11439No
[13] https://clik.dva.gov.au/ccpsclaimant-240
[14] clikpopup://CCPS/Veteran received cumulative dose of 0.05 Sievert of atomic radiation to the brain
[15] clikpopup://CCPS/reject33211No
[16] clikpopup://CCPS/reject33212No
[17] clikpopup://CCPS/reject35152No
[18] clikpopup://CCPS/rejectwilful
[19] clikpopup://CCPS/reject33214No
[20] clikpopup://CCPS/reject33216No
[21] clikpopup://CCPS/reject33215No
[22] https://clik.dva.gov.au/ccpsj006rc-5
[23] https://clik.dva.gov.au/11425-infection-human-immunodeficiency-virus-hiv
[24] clikpopup://CCPS/reject17557No
[25] clikpopup://CCPS/reject2466No
[26] https://clik.dva.gov.au/ccpsother-31
[27] https://clik.dva.gov.au/node/71278
[28] clikpopup://CCPS/Reject/OnsetAfterService
[29] clikpopup://CCPS/Reject/NoPermanentWorsening
[30] clikpopup://CCPS/Malignant neoplasm of the brain/ACM %C2%96 contributed to worsening
[31] clikpopup://CCPS/ACM/NoContribution
[32] clikpopup://CCPS/ACM/NotOpService
[33] clikpopup://CCPS/ACM/NotOperDuties
[34] clikpopup://CCPS/ACM/NoIllness
[35] clikpopup://CCPS/reject7390,7391No
[36] clikpopup://CCPS/Malignant neoplasm of the brain/ACM %C2%96 onset prior to operational service
[37] clikpopup://CCPS/ACM/OnsetFailOper
[38] clikpopup://CCPS/ACM/NotEligService
[39] clikpopup://CCPS/ACM/NotEligDuties
[40] clikpopup://CCPS/Malignant neoplasm of the brain/ACM %C2%96 onset prior to eligible service
[41] clikpopup://CCPS/ACM/OnsetFailElig
[42] https://clik.dva.gov.au/ccpsmedical-222
[43] https://clik.dva.gov.au/ccpsc002rc-6
[44] clikpopup://CCPS/reject33364No
[45] clikpopup://CCPS/reject33221No
[46] clikpopup://CCPS/reject33220No
[47] clikpopup://CCPS/reject33222No
[48] clikpopup://CCPS/reject33223No