Abstract
Sarcomas are rare malignant soft tissue tumours. This case report outlines a 45 year old pilot, presenting with a non-tender mass in his left medial thigh, subsequently diagnosed with a pleomorphic sarcoma. His management consisted of radiotherapy and surgical removal. Grading was considered FNCLCC grade 3 and there were no metastases. Surgery was followed by a structured rehabilitation program. The paper discusses aeromedical considerations for return to flying duties, regarding the natural history of the condition and recurrence risk as well as the operational mitigations to flight incapacitation risk.