The Board remands the case to obtain further medical input regarding the relationship between the veteran's prostate cancer and his service-connected retained metallic shrapnel in his prostate gland, specifically addressing whether the veteran's prostate cancer was aggravated by an inability to undergo radiation therapy or a delay in diagnosis due to the presence of the shrapnel.
The deciding factor: The Board finds that further medical input from the VA physician who evaluated the veteran is necessary as the examiner did not fully address the question of aggravation of the veteran's prostate cancer as a result of the presence of metallic shrapnel in the area of his prostate, and to obtain an addendum addressing whether the delay in diagnosis due to the inability to undergo MRI studies aggravated the condition.
- Claimed conditions
- adenocarcinoma of the prostate
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 27, 2008
- Citation
- 0810238
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the claims for service connection for diabetes mellitus, hypertension, adenocarcinoma of the prostate, and erectile dysfunction due to inadequate toxic exposure risk activities (TERA) memoranda and a need for additional medical opinions.
- Partly granted
The Veteran was granted a total 100 percent rating for adenocarcinoma of the prostate, beginning February 26, 2018, due to a PSA level above 4.0 indicating local recurrence.
- Denied
The Board denied service connection for the Veteran's death, finding no evidence that his prostate cancer, heart disease, or cerebrovascular disease were related to his military service.
- Denied
The Veteran's claim for increased ratings for service-connected adenocarcinoma of the prostate, status post radiation therapy was denied. The rating prior to February 12, 2013 was found not to meet criteria for a higher than 10 percent rating due to voiding dysfunction or urinary tract infection symptoms. For the period as of February 12, 2013, the Veteran's condition did not warrant a higher than 20 percent rating based on his reported symptoms and medical evidence.
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