Guide for Aviation Medical Examiners
Decision Considerations – Aerospace Medical Dispositions
Item 41. G-U System – Neoplastic Disorders
| 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
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.