The Veteran's claim for service connection for nasopharyngeal carcinoma, claimed as stage IV squamous cell carcinoma of the nasopharynx, is being remanded due to insufficient medical opinions regarding the relationship between herbicide exposure and the cancer.
The deciding factor: The VA clinician failed to address Dr. K. Z.'s reasoning that the severity of the Veteran's cancer and its rarity among Caucasians make a link with conceded herbicide exposure more likely.
- Claimed conditions
- nasopharyngeal carcinoma, stage IV squamous cell carcinoma of the nasopharynx
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Burn pits / airborne hazards
- Rating
- Not verified here — check the original decision
- Decision date
- April 10, 2019
- Citation
- 19128057
Veterans Law Judge
Decisions by this judge: 1,886 · Granted: 24% (granted or partly granted, in the indexed decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
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 19128057.
What this means for you
A remand sends an issue back for more development, often a new examination or missing records. It does not award the benefit or decide the final outcome. The original decision explains the additional work ordered.
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: Granted
The Board has granted service connection for the Veteran's cause of death due to recurrent nasopharyngeal carcinoma, finding that it is at least as likely as not related to exposure to herbicides in service, including Agent Orange.
- Whole decision: Partly granted
The Board granted an effective date of August 10, 2022, for the award of service connection for nasopharyngeal carcinoma based on the Veteran's claim being filed within one year of the PACT Act's passage.
- Whole decision: Partly granted
The Board denied a compensable rating for papillary thyroid carcinoma and nasopharyngeal carcinoma, but granted service connection for vocal cord paralysis and odynophagia as additional residual disabilities due to the service-connected nasopharyngeal carcinoma.
- Whole decision: Remanded (sent back)
The Veteran's claims for service connection for residuals of mouth trauma and nasopharyngeal carcinoma are remanded due to the need for additional development, including obtaining private treatment records and medical opinions.
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