DI 23022: Processing Quick Disability Determination (QDD) and Compassionate Allowances (CAL) in the Disability Determination Services (DDS)
TN 1 (10-08)
COMPASSIONATE ALLOWANCE INFORMATION | |
NON-SMALL CELL LUNG CANCER | |
DESCRIPTION |
Lung Cancer (non small cell) forms in tissues of the lung, usually in the cells lining the air passages. The two main types are Small Cell Lung Cancer and Non-Small Cell Lung Cancer. Diagnosis of the type of cancer is based on microscopic examination. About 87% of lung cancers are Non-Small Cell Lung Cancers. This type spreads more slowly than Small Cell Lung Cancer. The three types of Non-Small Cell Lung Carcinoma are Squamous Cell Carcinoma, Large Cell Carcinoma, and Adenocarcinoma.
In Stage IV (Any T, Any N, M1) the tumor can be any size and may or may not have grown into nearby structures or reached nearby lymph nodes. It has spread to distant sites. |
ALTERNATE NAMES |
Squamous Cell Lung Carcinoma, Squamous Cell Lung Cancer, Large Cell Lung Carcinoma, Large Cell Lung Cancer, Adenocarcinoma of the Lung, Non-Small Cell Lung Cancer, Non-Small Cell Lung Carcinoma, Lung Carcinoma |
DIAGNOSTIC TESTING AND CODING |
The following may be used to diagnose the disease: physical exam and history, chest x-ray, CT scan, PET scan, sputum cytology, bronchoscopy, fine needle aspiration biopsy, thorascoscopy, thoracotomy, and/or mediastinoscopy. |
TREATMENT |
Treatment of Stage IIIB Non-Small Cell Lung Carcinoma may include surgery, external radiation therapy, chemotherapy, or a combination of all three. |
PROGRESSION |
Diagnosis in the early stages provides the greatest chance for survival; however, symptoms of lung carcinoma usually do not appear until the disease is in an advanced stage. Treatment for Stage IV will not cure the cancer, but can reduce symptoms and extend and improve the quality of life. |
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 |
13.14 A |
Lung Cancer that is inoperable, unresectable, recurrent, or with metastases to or beyond the hilar nodes meets Listing 13.14 A. |
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 |