7619 - Ovary, removal of
DBQ: Link to Index of DBQ/Exams by Disability for DC 7619
Definition
The ovary is the gland in the female reproductive system that produces the reproductive cell and the hormones (estrogen and progesterone). There are two ovaries, one at either side of the pelvis. Oophorectomy is defined as the removal of an ovary.
Etiology
The ovary may be removed due to a benign cyst or a tumor. Removal of the organ may also be done as a preventative measure when a strong family history of ovarian cancer exists.
Signs & Symptoms
Manifestations related to the need for removal include: dyspepsia, bloating, decreased appetite, backache, abdominal or pelvic pain, fever, infection, and anemia. There may be an adnexal mass or nodular implants found on examination. With certain tumors, there may be thyroid dysfunction or virilization.
Tests
Tests may include: physical and pelvic examinations; vaginal or pelvic ultrasonography; laboratory studies; laparoscopy; and surgical cancer staging.
Treatment
Surgery, chemotherapy, radiation treatment, bone marrow transplant or a combination of these measures may be indicated depending on the type of tumor and stage of the disease.
Residuals
In the event of cancer, the outcome depends on the stage and amount of residual disease, as well as the patient's genetic and biologic factors. There may be a need for frequent re-examination, laboratory tests, and additional surgery. Residual cancer may remain after chemotherapy, and advanced stage cancer may recur. There may also be infertility, and the possible development of osteoporosis. Counseling, psychotherapy, and support groups may be indicated to assist the patient in dealing with the diagnosis.
Special Considerations
- None.
Notes
- In cases of the removal of one ovary as the result of a service-connected injury or disease, with the absence or nonfunctioning of a second ovary unrelated to service, an evaluation of 30 percent will be assigned for the service-connected ovarian loss.
- Natural menopause, primary amenorrhea, and pregnancy and childbirth are not disabilities for rating purposes. Chronic residuals of medical or surgical complications of pregnancy may be disabilities for rating purposes.
- When evaluating any claim involving loss or loss of use of one or more creative organs or anatomical loss of one or both breasts, refer to 38 CFR 3.350 to determine whether the Veteran may be entitled to special monthly compensation. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, almost any condition in 38 CFR 4.116 might, under certain circumstances, establish entitlement to special monthly compensation.
- May be entitled to special monthly compensation where the veteran has a single service-connected disability rated as 100% with additional service-connected disability or disabilities independently ratable at 60% or more, which are separate and distinct from the 100% service-connected disability and involves different anatomical segments or bodily systems. See 38 CFR 3.350(i)(1) – Special Monthly Compensation (SMC).