39 of 2022 | |
40 of 2022 |
SOP Bulletin 230 [3]
This SOP covers malignant neoplasms of the follicular cells of the thyroid gland. Medullary carcinoma, arising in the parafollicular cells of the thyroid, is excluded.
This diagnosis is based on histopathology of the thyroid gland, from a (fine-needle aspiration) biopsy or surgery.
The relevant medical specialist is a general surgeon or endocrinologist.
* another SOP applies
# non-SOP condition
The condition usually presents with a thyroid nodule (lump) detected by the patient, by a doctor on clinical examination, or incidentally on imaging performed for another reason.
The only SOP worsening factor is for inability to obtain appropriate clinical management. Appropriate treatment typically comprises surgery, followed by radioiodine therapy (when indicated) and thyroid hormone suppression therapy.
Place holder node for Rulebase for malignant neoplasm of the thyroid gland
Malignant neoplasm of the thyroid gland - Atomic radiation to the thyroid gland Factor
Last reviewed for CCPS 18 July 2006.
Investigative Documents
Claimant Report - Exposure to Atomic Radiation [CR9171] Preliminary questions [23523]
25191 [6] the veteran's malignant neoplasm of the thyroid gland is a papillary, follicular or anaplastic thyroid carcinoma. 23526 — the veteran has established the causal connection between atomic radiation and VEA service for the clinical onset of malignant neoplasm of the thyroid gland. 35880 — the veteran has established the causal connection between atomic radiation and operational service for the clinical onset of malignant neoplasm of the thyroid gland. or 35881 — the veteran has established the causal connection between atomic radiation and eligible service for the clinical onset of malignant neoplasm of the thyroid gland. Clinical onset and operational service [35880] Clinical onset and eligible service [35881] 35890 — the veteran satisfies the dosage, latency and age requirements for atomic radiation and malignant neoplasm of the thyroid gland in Balance of Probability cases. [11]
35889 [13] the veteran has received a cumulative equivalent dose of at least 0.5 Sievert of atomic radiation to the thyroid gland where this dose was accumulated at least ten years before the clinical onset of the condition under consideration.
35891 [14] the veteran's eligible service made a material contribution to a cumulative equivalent dose of at least 0.5 Sievert of atomic radiation to the thyroid gland where this dose was accumulated at least ten years before the clinical onset of the condition under consideration.
or
35886 [15] the veteran has received a cumulative equivalent dose of at least 0.1 Sievert of atomic radiation to the thyroid gland at some time.
35887 [16] the veteran has received a cumulative equivalent dose of at least 0.1 Sievert of atomic radiation to the thyroid gland where this dose was accumulated at least five years before the clinical onset of the condition under consideration and when aged less than 20 years.
36240 [17] the veteran's eligible service made a material contribution to a cumulative equivalent dose of at least 0.1 Sievert of atomic radiation to the thyroid gland where this dose was accumulated at least five years before the clinical onset of the condition under consideration and when aged less than 20 years.
35892 [18] the veteran's satisfaction of the dosage, latency and age requirements for atomic radiation and malignant neoplasm of the thyroid gland in Balance of Probability cases, to which eligible service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline. [11]
Malignant neoplasm of the thyroid gland - Enlargement of the thyroid gland Factor
Last reviewed for CCPS 18 July 2006.
Investigative Documents
Medical Report - Specified Conditions - Malignant Neoplasm of the Thyroid Gland [MR9342] Preliminary questions [23537] 23540 — the veteran has established the causal connection between the enlargement of the thyroid gland and VEA service for the clinical onset of malignant neoplasm of the thyroid gland. 23542 — the veteran has established the causal connection between the enlargement of the thyroid gland and eligible service for the clinical onset of malignant neoplasm of the thyroid gland. or 23541 — the veteran has established the causal connection between the enlargement of the thyroid gland and operational service for the clinical onset of malignant neoplasm of the thyroid gland. Clinical onset and operational service [23541] 23543 — the identified illness or injury, an enlargement of the thyroid gland, is causally related to operational service. [22] [23] Clinical onset and eligible service [23542]
23544 — the identified illness or injury, an enlargement of the thyroid gland, is causally related to eligible service. [26] [23]
Malignant neoplasm of the thyroid gland - Ionising radiation to the thyroid gland Factor
Last reviewed for CCPS 18 July 2006.
Investigative Documents
Medical Report - Nuclear Medicine Scan of the Thyroid Gland - Malignant Neoplasm of the Thyroid Gland [MR9343] Preliminary questions [35895]
25191 [6] the veteran's malignant neoplasm of the thyroid gland is a papillary, follicular or anaplastic thyroid carcinoma. the veteran has received a dose of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, at some time. 35897 — the veteran has established the causal connection between the dose of ionising radiation to the thyroid gland and VEA service for the clinical onset of malignant neoplasm of the thyroid gland. 35898 — the veteran has established the causal connection between the dose of ionising radiation to the thyroid gland and operational service for the clinical onset of malignant neoplasm of the thyroid gland. or 35899 — the veteran has established the causal connection between the dose of ionising radiation to the thyroid gland and eligible service for the clinical onset of malignant neoplasm of the thyroid gland. Clinical onset and operational service [35898] 35905 — the identified illness or injury, for which the veteran received a dose of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, is causally related to operational service. [31] [32] Clinical onset and eligible service [35899] 35903 — the veteran has received a dose of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, satisfying the exposure and age requirements for malignant neoplasm of the thyroid gland in Balance of Probability cases. [33]
or
35902 [35] the veteran has received a cumulative equivalent dose of at least 0.5 Sievert of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, where this dose was accumulated at least ten years before the clinical onset of the condition under consideration.
35904 [36] the veteran received the dose of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, for an illness or injury which is identifiable. as a consequence of the identified illness or injury, the veteran received a dose of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, satisfying the exposure and age requirements for malignant neoplasm of the thyroid gland in Balance of Probability cases. [37]
35906 — the identified illness or injury, for which the veteran received a dose of ionising radiation to the thyroid gland, from internal deposition of radioactive nuclides, is causally related to eligible service. [38] [32]
Malignant neoplasm of the thyroid gland - No appropriate clinical management for malignant neoplasm of the thyroid Factor
Last reviewed for CCPS 18 July 2006.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [23545] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [40] 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 [43] 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. [47] [48] 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. [47] [48]
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 [55] 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 [6] the veteran's malignant neoplasm of the thyroid gland is a papillary, follicular or anaplastic thyroid carcinoma. the veteran has undergone a course of therapeutic radiation to the head or neck at some time.
25669 — the veteran underwent the course of therapeutic radiation to the head or neck region for treatment of an illness or injury which is identifiable.
35907 [56] 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. 23517 — the 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. 23518 — the 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 23519 — the 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] 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. [57] [58] Clinical onset and eligible service [23519] 35876 — for 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. [59]
or
35879 [61] 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.
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. [62] [58]
Malignant neoplasm of the thyroid gland - Thyroid adenoma Factor
Last reviewed for CCPS 18 July 2006.
Investigative Documents
Medical Report - Specified Conditions - Malignant Neoplasm of the Thyroid Gland [MR9342] Preliminary questions [23528] 23532 — the veteran has established the causal connection between the thyroid adenoma and VEA service for the clinical onset of malignant neoplasm of the thyroid gland. 23534 — the veteran has established the causal connection between the thyroid adenoma and eligible service for the clinical onset of malignant neoplasm of the thyroid gland. or 23533 — the veteran has established the causal connection between the thyroid adenoma and operational service for the clinical onset of malignant neoplasm of the thyroid gland. Clinical onset and operational service [23533] 23535 — the thyroid adenoma is causally related to operational service. [64] [65] Clinical onset and eligible service [23534]
23536 — the thyroid adenoma is causally related to eligible service. [68] [65]
Links
[1] http://www.rma.gov.au/assets/SOP/2022/9dba89dd2d/039.pdf
[2] http://www.rma.gov.au/assets/SOP/2022/a8a13294b0/040.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20230.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63822%23comment-form
[5] https://clik.dva.gov.au/ccpsclaimant-240
[6] https://clik.dva.gov.au/23512-therapeutic-radiation-head-or-neck-region
[7] https://clik.dva.gov.au/reasons-decision-138
[8] clikpopup://CCPS/reject35882No
[9] clikpopup://CCPS/reject35883No
[10] clikpopup://CCPS/reject35884No
[11] clikpopup://CCPS/rejectwilful
[12] clikpopup://CCPS/0.5 Sievert of atomic radiation to the thyroid
[13] clikpopup://CCPS/0.5 Sievert of atomic radiation to the thyroid 10 years before onset of MN thyroid
[14] clikpopup://CCPS/El service contributed to general BOP dosage and latency requirements for atomic radiation to the thyroid
[15] clikpopup://CCPS/0.1 Sievert of atomic radiation to the thyroid
[16] clikpopup://CCPS/0.1 Sievert of atomic radiation to the thyroid 5 years before onset and when under 20
[17] clikpopup://CCPS/El service contributed to under 20 BOP dosage and latency requirements for atomic radiation to the thyroid
[18] clikpopup://CCPS/Serious default, wilful act or breach of discipline
[19] https://clik.dva.gov.au/ccpsmedical-114
[20] clikpopup://CCPS/reject23538No
[21] clikpopup://CCPS/reject32621No
[22] clikpopup://CCPS/reject23539No
[23] clikpopup://CCPS/reject23543,23544No
[24] clikpopup://CCPS/Vet had enlargement of the thyroid one year before onset of MN thyroid
[25] clikpopup://CCPS/reject35894No
[26] clikpopup://CCPS/reject23544No
[27] https://clik.dva.gov.au/ccpsmedical-69
[28] clikpopup://CCPS/reject35896No
[29] clikpopup://CCPS/reject35900No
[30] clikpopup://CCPS/reject35904No
[31] clikpopup://CCPS/reject35909No
[32] clikpopup://CCPS/reject35905,35906No
[33] clikpopup://CCPS/reject35903No
[34] clikpopup://CCPS/0.1 Sievert of ionising radiation to the thyroid 5 years before onset and when under 20
[35] clikpopup://CCPS/0.5 Sievert of ionising radiation to the thyroid 10 years before onset
[36] clikpopup://CCPS/Ionising radiation to the thyroid for identifiable illness
[37] clikpopup://CCPS/reject35910No
[38] clikpopup://CCPS/reject35906No
[39] https://clik.dva.gov.au/ccpsother-31
[40] https://clik.dva.gov.au/node/71570
[41] clikpopup://CCPS/Reject/OnsetAfterService
[42] clikpopup://CCPS/Reject/NoPermanentWorsening
[43] clikpopup://CCPS/MN thyroid/ACM %C2%96 contributed to worsening
[44] clikpopup://CCPS/ACM/NoContribution
[45] clikpopup://CCPS/ACM/NotOpService
[46] clikpopup://CCPS/ACM/NotOperDuties
[47] clikpopup://CCPS/ACM/NoIllness
[48] clikpopup://CCPS/reject7390,7391No
[49] clikpopup://CCPS/MN thyroid/ACM %C2%96 onset prior to operational service
[50] clikpopup://CCPS/ACM/OnsetFailOper
[51] clikpopup://CCPS/ACM/NotEligService
[52] clikpopup://CCPS/ACM/NotEligDuties
[53] clikpopup://CCPS/MN thyroid/ACM %C2%96 onset prior to eligible service
[54] clikpopup://CCPS/ACM/OnsetFailElig
[55] clikpopup://CCPS/A course of therapeutic radiation to the head or neck
[56] clikpopup://CCPS/For identified illness had course of TR to head or neck where first exposure 5 years before onset of MN thyroid
[57] clikpopup://CCPS/reject35907No
[58] clikpopup://CCPS/reject11438,11439No
[59] clikpopup://CCPS/reject35876No
[60] clikpopup://CCPS/Last exposure to TR to head or neck when veteran under 20
[61] clikpopup://CCPS/Course of TR to head or neck where first exposure 10 years before onset of MN thyroid
[62] clikpopup://CCPS/reject11439No
[63] clikpopup://CCPS/reject23530No
[64] clikpopup://CCPS/reject23531No
[65] clikpopup://CCPS/reject23535,23536No
[66] clikpopup://CCPS/Thyroid adenoma one year before onset of MN thyroid
[67] clikpopup://CCPS/reject35893No
[68] clikpopup://CCPS/reject23536No