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Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 41. G-U System - Neoplastic Disorders

Testicular Cancer - All Classes

Disease/Condition Evaluation Data Disposition
A. Non metastatic and treatment completed 5 or more years ago No recurrence or ongoing treatment: ISSUE
Summarize this history in Block 60.
B. Non metastatic and treatment completed less than 5 years ago See CACI worksheet. Follow the CACI - Testicular Cancer Worksheet (PDF)

Note in Block 60.

C. Metastatic disease
Current OR anytime in the past

Recurrence of disease

Submit the following to the FAA review:

☐ Current status report from oncologist describing treatment plan and prognosis;

☐ List of medications with attention to any chemotherapy agents and dates used;

☐ Treatment records including clinic notes or summary letter describing disease course and initial staging;

☐ Operative notes and discharge summary (if applicable);

☐ Pathology report(s) (if applicable);

☐ MRI/CT or PET scan reports (in some cases, the actual CDs will be required in DICOM format for FAA review); and

☐ Serum tumor markers results (if applicable).

DEFER
Submit the information to the FAA for a possible Special Issuance.

Notes regarding Testicular Cancer: If the airman is currently on radiation or chemotherapy, the treatment course must be completed before medical certification can be considered. Watchful waiting is allowed. See CACI Testicular Cancer Worksheet (PDF).

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