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.
The deciding factor: The evidence did not reflect a VA received intent to file or formal claim for service connection for periampullary adenocarcinoma prior to February 24, 2020.
- Claimed conditions
- periampullary adenocarcinoma
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- December 4, 2025
- Citation
- A25104470
Veterans Law Judge
Decisions by this judge: 3,038 · Granted: 30% (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 A25104470.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- 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.
- 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.
- Denied
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.
- 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.
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