Guide for Aviation Medical Examiners
Decision Considerations – Aerospace Medical Dispositions
Item 41. G-U System – Neoplastic Disorders
|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 – Bladder Cancer Worksheet.
Local recurrence within the bladder only: Follow CACI – Bladder Cancer Worksheet.
|Follow the CACI – Bladder Cancer Worksheet (PDF)
Note in Block 60.
|C. Metastatic disease, muscle invasion, or Recurrent disease that has spread outside the bladder||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 initial staging and treatment course;
☐ Operative notes and discharge summary (if applicable);
☐ Pathology report(s) (if applicable); and
☐ MRI/CT or PET scan reports (in some cases, the actual CDs will be required in DICOM format for FAA review)
Initial Issuance-Submit the information to the FAA.
Follow-up Issuance-Will be per the airman's authorization letter.
Notes regarding Bladder Cancer: If the airman is currently on radiation or chemotherapy, the treatment course must be completed before medical certification can be considered.