DI 23022: Processing Quick Disability Determination (QDD) and Compassionate Allowances (CAL) in the Disability Determination Services (DDS)
TN 1 (10-08)
COMPASSIONATE ALLOWANCE INFORMATION | |
ADRENAL CANCER | |
DESCRIPTION |
Adrenal Cancer forms in the outer tissue layer of the adrenal gland. Adrenocortical Carcinoma is also called Cancer of the Adrenal Cortex. A tumor of the adrenal cortex may be functioning (producing excess hormones) or non-functioning (not producing hormones). Individuals with the hereditary diseases LiFraumeni Syndrome, Beckwith-Wiedemann Syndrome, and Carney Complex are at risk for Adrenal Cancer. |
ALTERNATE NAMES |
Adrenal Carcinoma, Adrenocortical Carcinoma, Adrenocortical Cancer, Cancer of the Adrenal Cortex, Carcinoma of the Adrenal Cortex |
DIAGNOSTIC TESTING AND CODING |
The following may be used to diagnose the disease: x-rays, MRI, CT scan, and laboratory tests including blood and urine analysis. |
TREATMENT |
Treatment may include surgery, radiation, and/or chemotherapy. Treatment for inoperable or unresectable tumors can be utilized for palliation, but the prognosis is poor. |
PROGRESSION |
The 5-year survival rate for inoperable or unresectable tumors is less than 10%. |
SUGGESTED PROGRAMMATIC ASSESSMENT* | ||
Suggested MER for Evaluation: A pathology report and an operative report are the preferred methods for documentation. | ||
Suggested Listings for Evaluation: | ||
DETERMINATION |
LISTING |
REMARKS |
Meets Listing |
13.21 |
Adrenal Cancer that is inoperable, unresectable, recurrent, or with metastases meets Listing 13.21. |
Medical Equals |
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* Adjudicators may, at their discretion, use the Medical Evidence of Record or Listings suggested to evaluate the claim. However, the decision to allow or deny the claim rests with the adjudicator. |
Last Updated: 9/30/08 |
Office of Disability Programs |