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Three New Presumptive Cancer Types

June 15, 2024

U.S. Department of Veterans Affairs


The U.S. Department of Veterans Affairs (VA) added three new cancer types in the list of presumed service-connected disabilities due to military environmental exposure under the PACT Act.

Through a sub-regulatory policy letter published to the Federal Register, the following three cancer types have been included in the list of presumptive diseases:


Male breast cancer
Symptoms may include a lump in the breast tissue, changes in the skin of the breast or nipple, nipple discharge, and breast pain. It is important for men to be vigilant about any changes in their breast tissue and seek medical attention if they notice any of these symptoms












Urethral cancer
Common symptoms of urethral cancer may include blood in the urine, pain or burning during urination, frequent urination, discharge from the urethra, and a lump or swelling in the groin area.



Cancer of the paraurethral glands
Common signs include abnormal vaginal bleeding, pain or discomfort in the pelvic area, changes in urinary habits, such as increased frequency or urgency, and the presence of a palpable mass near the urethra.











This policy establishes presumptions of service connection for eligible Gulf War and post-9/11 Veterans who deployed to Afghanistan, Somalia, Djibouti, Egypt, Jordan, Lebanon, Syria, Yemen, Uzbekistan, and the entire Southwest Asia theater of operations, which includes Iraq.  Presumptive service connection means VA automatically assumes service connection for the disease and provides benefits to eligible Veterans who have submitted claims with evidence of a diagnosis.

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