The Board has remanded both the service connection claims for thyroid cancer residuals and hypothyroidism due to potential exposure to herbicide agents in Vietnam, as well as contaminated water at Camp Lejeune. The Veteran will need a TERA-specific examination to assess his total exposure through all deployments.
The deciding factor: The PACT Act requires VA to obtain medical opinions that consider the synergistic effect of all toxic exposures (including those from Camp Lejeune) when assessing service connection for endocrine cancers like thyroid cancer.
- Claimed conditions
- Thyroid Cancer, Hypothyroidism
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Camp Lejeune water
- Rating assigned
- None in this decision
- Decision date
- January 28, 2026
- Citation
- A26008060
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 A26008060.
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.
- Denied
The Board has denied service connection for high blood pressure, gastroesophageal reflux disease (GERD), aortic valve regurgitation, and hypothyroidism as the evidence does not support a finding of direct service connection due to lack of in-service diagnosis or chronic symptoms.
- Remanded (sent back)
The Board has remanded the Veteran's claim of entitlement to an initial compensable disability rating for right shin splints due to inadequate examination and failure to address increased symptomatology during flare-ups. The Veteran's service connection for hypothyroidism was granted in full, leaving only her right shin splint issue on appeal.
- Granted
The Board has granted service connection for Major Depressive Disorder, Hypothyroidism, and Hypertension. The decision is based on direct evidence of these conditions during service.
- Remanded (sent back)
The Board has determined that the Veteran's PTSD, hypertension, DMII, hypothyroidism, and skin condition are related to his active-duty service. However, further development is needed for the claims of erectile dysfunction and skin condition due to potential exposure to toxins during service.
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