Guide for Aviation Medical Examiners

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

Bladder 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 – 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.

Last updated: Thursday, March 9, 2023