Malignant neoplasm of the salivary gland
Meaning of malignant neoplasm of the salivary gland: For the purposes of this Statement of Principles, malignant neoplasm of the salivary gland: (a) means a primary malignant neoplasm arising from the epithelial cells of the major salivary glands (parotid, submandibular and sublingual glands), minor salivary glands or salivary gland ducts; and (b) excludes: (i) carcinoid tumour; (ii) haematolymphoid tumours including non-Hodgkin lymphoma and Hodgkin lymphoma; and (iii) soft tissue sarcoma.
Reasonable Hypothesis (RH) — Statement of Principles No. 102 of 2023
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting malignant neoplasm of the salivary gland or death from malignant neoplasm of the salivary gland with the circumstances of a person's relevant service:
- (1)having received a cumulative equivalent dose of at least 0.1 sievert of ionising radiation to the salivary gland at least 5 years before the clinical onset of malignant neoplasm of the salivary gland;
Note: cumulative equivalent dose is defined in the Schedule 1 - Dictionary.
- (2)undergoing ablative treatment with radioactive iodine for thyroid cancer before the clinical onset of malignant neoplasm of the salivary gland, where the first exposure occurred at least 5 years before the clinical onset of malignant neoplasm of the salivary gland;
- (3)for lymphoepithelial carcinoma of the salivary gland only, having infection with Epstein-Barr virus before the clinical onset of malignant neoplasm of the salivary gland;
Note: infection with Epstein-Barr virus is defined in the schedule 1 dictionary.
- (4)having infection with human immunodeficiency virus before the clinical onset of malignant neoplasm of the salivary gland;
- (5)having smoked tobacco products in an amount of at least 20 pack-years at least 5 years before the clinical onset of malignant neoplasm of the salivary gland;
Note: one pack-year is defined in the Schedule 1 - Dictionary.
- (6)inability to obtain appropriate clinical management for malignant neoplasm of the salivary gland before the clinical worsening of malignant neoplasm of the salivary gland;
Aggravation-only factors: the factors in subsection 9(6) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 103 of 2023
5 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, malignant neoplasm of the salivary gland or death from malignant neoplasm of the salivary gland is connected with the circumstances of a person's relevant service:
- (1)having received a cumulative equivalent dose of at least 0.5 sievert of ionising radiation to the salivary gland at least 10 years before the clinical onset of malignant neoplasm of the salivary gland;
Note: cumulative equivalent dose is defined in the Schedule 1 - Dictionary.
- (2)for individuals aged 20 years or less, having received a cumulative equivalent dose of at least 0.5 sievert of ionising radiation to the salivary gland at least 5 years before the clinical onset of malignant neoplasm of the salivary gland;
Note: cumulative equivalent dose is defined in the Schedule 1 - Dictionary.
- (3)undergoing ablative treatment with radioactive iodine for thyroid cancer before the clinical onset of malignant neoplasm of the salivary gland, where the first exposure occurred at least 10 years before the clinical onset of malignant neoplasm of the salivary gland;
- (4)having infection with human immunodeficiency virus before the clinical onset of malignant neoplasm of the salivary gland;
- (5)inability to obtain appropriate clinical management for malignant neoplasm of the salivary gland before the clinical worsening of malignant neoplasm of the salivary gland;
Aggravation-only factors: the factors in subsection 9(5) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
