DI 23022: Processing Quick Disability Determination (QDD) and Compassionate Allowances (CAL) in the Disability Determination Services (DDS)
TN 1 (10-08)
COMPASSIONATE ALLOWANCE INFORMATION | |
SALIVARY CANCERS | |
DESCRIPTION |
Malignant Salivary Cancers are cancers that form in tissues of salivary glands in the floor of the mouth and throughout the oropharynx, the parotid glands and the submandibular glands. Cancer of the salivary glands commonly presents with one of several different histologies: mucoepidermoid, adenoid cystic, acinic cell, malignant mixed, squamous or adenocarcinoma. There are two rare histologies which have much worse prognosis than the standard pathological diagnoses: Anaplastic small cell and adenosquamous carcinoma of the salivary glands. |
ALTERNATE NAMES |
Salivary Glands Cancer, Anaplastic Small Cell Carcinoma of the Salivary Glands, Adenosquamous Carcinoma of the Salivary Glands, Anaplastic Small Cell Carcinoma, Adenosquamos Carcinoma |
DIAGNOSTIC TESTING AND CODING |
Small cell cancer of the salivary gland and adenosquamous cancer of the salivary gland can be determined only by pathologic evaluation of tissue obtained by needle biopsy or surgery. |
TREATMENT |
Treatment can consist of surgery, radiation, and chemotherapy in various combinations depending on the clinical circumstances. Unfortunately, treatment for small cell carcinoma or adenosquamous carcinoma of the salivary gland is rarely curative. |
PROGRESSION |
Progression can be with local recurrence or distant metastases. |
SUGGESTED PROGRAMMATIC ASSESSMENT* | ||
Suggested MER for Evaluation: A pathology report on needle biopsy or surgical specimen showing small cell cancer or adenosquamous cancer. | ||
Suggested Listings for Evaluation: | ||
DETERMINATION |
LISTING |
REMARKS |
Meets Listing |
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Medical Equals |
13.14 B |
Small cell carcinoma of the lung and small cell carcinoma of the salivary gland behave similarly with early metastatic progression |
13.14 B |
Adenosquamous carcinoma of a salivary gland equals 13.14 B because its poor prognosis is similar to small cell carcinoma of the lung as it is based on histology alone. |
* 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: 9/10/08 |
Office of Disability Programs |