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 assigned
- None in this 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 vetted 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. Look up the original decision on VA.gov (opens in a new tab) using citation 19128057.
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.
- 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.
- 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.
- 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.
- 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.
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.