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7627
§ 4.116 Schedule of ratings—gynecological conditions and disorders of the breast.

Gynecological cancer

Cancer affecting the female reproductive organs such as the ovaries, uterus, cervix, vagina, or fallopian tubes.

What the rating means

Gynecological cancer is rated under diagnostic code 7627 as a malignant neoplasm of the gynecological system. While the cancer is active and during any treatment — including surgery, radiation, antineoplastic chemotherapy, or other therapeutic procedures — the rating is 100 percent. That 100 percent rating does not stop the moment treatment ends. It continues for six months after treatment is discontinued. At that point, VA requires a mandatory examination to determine the appropriate rating going forward.

After that examination, VA rates any lasting effects — called chronic residuals — under the diagnostic codes that fit those specific conditions. Residuals can include scars, lymphedema, disfigurement, or other impairment of function, and each is rated under the relevant body system. Any change to your evaluation based on that exam or later exams is subject to the protections in 38 CFR § 3.105(e). VA will also consider whether loss or loss of use of a creative organ may entitle you to special monthly compensation under 38 CFR § 3.350.

Evidence that helps

During active disease and treatment, medical records confirming the diagnosis of a gynecological malignancy and documentation of ongoing surgical, radiation, chemotherapy, or other therapeutic treatment are the core evidence supporting a 100 percent rating. Oncology notes, pathology reports, operative reports, and treatment summaries all speak directly to this.

After treatment ends and the mandatory six-month examination occurs, the evidence that matters shifts to what residuals remain. Records documenting scars and their location, measurements, and effect on surrounding tissue support a scar-related rating. Lymphedema diagnoses with measurements and functional limitations support that residual. Records of disfigurement or any impairment of function in affected body systems are relevant as well. Statements from you describing how residual symptoms affect your daily activities and ability to work can help show the severity of those lasting effects. If there has been any loss or loss of use of a creative organ, medical records establishing that fact are relevant to a possible special monthly compensation determination.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.