The Board has determined that the Veteran's periampullary adenocarcinoma is not etiologically related to his in-service gunshot wound or presumed exposure to Agent Orange, and thus service connection cannot be established.
The deciding factor: The preponderance of the evidence does not support a finding that the Veteran's periampullary adenocarcinoma is due to his in-service injury or presumed exposure to herbicides.
- Claimed conditions
- periampullary adenocarcinoma
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- February 6, 2013
- Citation
- 1304327
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 1304327.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Denied
The Board denied an earlier effective date for the award of service connection for periampullary adenocarcinoma, finding that the appropriate effective date is February 24, 2020.
- Whole decision: Granted
The Board has granted the Veteran's claim of service connection for periampullary adenocarcinoma, finding that it is at least as likely as not related to exposure to contaminated water at Camp Lejeune.
- Whole decision: Remanded (sent back)
The Board has remanded the case to obtain a VA medical examination regarding the nature, extent, and etiology of the Veteran's periampullary adenocarcinoma in light of the argument that it is related to contaminated drinking water at Camp Lejeune. The Veteran will be scheduled for an appropriate VA examination by a VA physician.
- Whole decision: Denied
The Board found that there is no evidence linking the Veteran's periampullary adenocarcinoma to his in-service gunshot wound or presumed exposure to herbicides, and thus denied service connection for this condition.
Free starter guide for your own claim
Reading this because you were denied or under-rated? Get the plain-English next steps — your appeal options, the deadline that protects you, and how appeals like yours turn out. One email, no spam.
We will only use this to send the guide. No spam, unsubscribe any time. We never sell your information.
We are not the VA. Veterans’ Rights is an independent resource built for veterans. We are not the U.S. Department of Veterans Affairs, not part of the government, and not endorsed by any government agency.
This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.