Gu Guo-Li, Duan Fu-Xiao, Zhang Zhi, Wei Xue-Ming, Cui Li, Zhang Bo
Department of General Surgery, Air Force Medical Center, PLA, Beijing 100142, China.
Department of General Surgery, the General Hospital of Northern Theater Command PLA, Shenyang 110016, Liaoning Province, China.
World J Clin Cases. 2020 Feb 26;8(4):790-797. doi: 10.12998/wjcc.v8.i4.790.
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 military flight missions again.
结直肠癌（CRC）会严重威胁飞行员的身心健康。CRC治疗后他们应停止飞行吗？通过本研究，我们调查了此类飞行员CRC治疗后逐步获得医学豁免再次驾驶飞机的可能性。
我们分析了2013年至2018年间在空军医学中心（原空军总医院）普通外科接受治疗的3例CRC飞行员的医学豁免及临床数据。所有3例均接受了一系列综合治疗疗程，包括CRC根治性切除、序贯放疗和化疗。随访结果令人满意。度过CRC复发转移高危期后，他们均获得再次飞行的医学豁免。医学观察表明他们的飞行操作是安全的。
CRC治疗应遵循诊疗指南，同时应尽可能保护飞行员的作战能力。CRC飞行员度过复发转移高危期后，在医学观察下持续监测，再次执行军事飞行任务是安全的。
