Must pilots permanently quit flying career after treatment for colorectal cancer? - Medical waiver for Air Force pilots with colorectal cancer: Three case reports

World Journal of Clinical Cases
Guo-Li GuBo Zhang

Abstract

Colorectal cancer (CRC) could seriously threaten the physical and mental health of pilots. Shall they end their flying after treatment of CRC? With this study, we investigated the possibility of a gradual medical waiver for such pilots to fly aircrafts again after treatment of CRC. We analyzed the medical waiver and clinical data of 3 pilots with CRC, who had accepted the treatment at the Department of General Surgery, Air Force Medical Center (formerly, Air Force General Hospital) between 2013 and 2018. All 3 cases underwent a series of comprehensive treatment courses, including radical resection of CRC, sequential radiotherapy, and chemotherapy. The follow-up results were satisfactory. After passing through the high-risk period of recurrence and metastasis of CRC, they all were given a medical waiver for flying again. Medical observation showed that their flying operations were safe. The CRC treatment shall follow the guidelines for diagnosis and treatment and should simultaneously protect the combating capabilities of pilots as much as possible. It is safe for pilots with CRC, who are continuously monitored under medical observation after passing through the high-risk period of recurrence and metastasis, to undertake militar...Continue Reading

References

Jan 16, 2014·The Indian Journal of Surgery·Guo-Li GuJin Gu
Sep 24, 2014·Aviation, Space, and Environmental Medicine·Xian-Rong XuZhan-Guo Jin
Oct 19, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas SyburraJohn Pepper
Feb 21, 2018·Journal of Occupational Rehabilitation·Kenneth MurraySteven S Sadhra
Jun 21, 2018·Aerospace Medicine and Human Performance·Ian P CurrySteven J Gaydos
Jan 25, 2019·Molecular Oncology·Joakim Dillner
Jan 25, 2019·Molecular Oncology·Wladyslaw Januszewicz, Rebecca C Fitzgerald
Jun 22, 2019·Military Medicine·Amanda M KelleyNicole Powell-Dunford

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