Guide for Aviation Medical Examiners

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

Renal Cancer – All Classes
Disease/Condition Evaluation Data Disposition
A. Non metastatic with treatment completed 5 or more years ago If no recurrence or ongoing treatment: ISSUE
Summarize this history in Block 60.
B. Non metastatic with treatment completed less than 5 years ago Follow CACI worksheet. Follow the CACI – Renal Cancer Worksheet. Note in Block 60.

Metastatic disease
Current OR any time in the past


Recurrence of disease

Submit the following to the FAA review:

☐ Current status report from your treating oncologist. It should describe the treatment plan, how long the condition has been stable, prognosis, and if any upcoming treatment change is planned or expected;

☐ List of medications and presence or absence of side effects with specific mention of chemotherapy and dates used;

☐ Treatment records including clinic notes or a summary letter describing initial staging, disease course, locations of metastatic disease, and stability;

☐ Operative notes and discharge, if applicable;

☐ Pathology report(s), if applicable;

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

☐ Copies of most recent lab results performed by your treating physician.


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

Followup Special Issuance Will be per the airman's authorization letter

Last updated: Tuesday, March 21, 2023