Bladder Cancer

Cancer—Bladder

BladderThe FAA considers bladder cancer to be disqualifying for a regular issuance certificate, but after favorable review of an airman's medical records, authorization may be granted for special issuance. Early detection and treatment of the tumor(s), before the cancer spreads beyond the bladder lining where it normally originates will be viewed more favorably than if the cancer has penetrated the bladder wall and advanced to other areas.

Treatment should be completed before submitting any medical records to the FAA.

Although there is no federal aviation regulation that specifically addresses malignancy, FAA policy considers a malignancy to be a self-grounding condition until the case is cleared.

First-time reporting of malignancies must undergo review by the FAA, and the aviation medical examiner cannot issue a medical certificate. The medical records will be forwarded to the FAA when your medical application is transmitted to the FAA.

If approved for certification, you'll receive an authorization letter and medical certificate. The authorization letter will explain the terms of the issuance and will specify what information will be required at your next renewal date. Each case will automatically be considered for placement in the AME-Assisted Special Issuance (AASI) renewal program. If you qualify for the program, it will be stated in your authorization letter.

When initially reporting your condition to the FAA, you'll need to submit the following:

  • Hospitalization records that include admission history and physical, laboratory studies, diagnostic test results, operative reports, pathology reports and discharge summary.
  • Current oncology report with tumor markers and other testing deemed necessary.
  • A detailed, current status report from the treating physician to include onset and duration of the disease, symptoms, treatment(s) start and completion dates, medication information including side effects.

AASI for Bladder Cancer:

After initial certification by FAA staff doctors, subsequent renewals may qualify for AME Assisted Special Issuance (AASI), a process that provides examiners the ability to issue an airman medical certificate to an applicant who has a medical condition that is disqualifying under 14 CFR Part 67.

The authorization letter received from FAA, granted in accordance with part 67 ( 14 CFR Part 67.401), is accompanied by attachments that specify what information the treating physician(s) must provide for the renewal issuance.

Examiners may issue renewal of an airman medical certificate if the applicant provides the following:

  • An Authorization granted by the FAA.
  • A current status report performed within 90 days that must include all the required follow-up items and studies as listed in the Authorization letter and that confirms absence of recurrent disease.

The AME should defer approval to the Regional Flight Surgeon or Aerospace Medical Certification division if:

  • There is recurrence of the cancer.
  • Any new treatment is initiated.

    How/Where to Submit to the FAA

    Helps you find the contact information for submitting your medical records.

    Updated October 27, 2009