Do you ever consider a dose constraint to the spleen when treating lung tumors with stereotactic radiotherapy?

Spleen-schmeen. :) Which is a non-professional way so say I think it’s okay to treat it. If you consider we used to remove them for Hodgkin Lymphoma, they are important organs but not crucial. If you’re treating a corner of it (which I have done many times) you will be safe IMO. It’s not hollow visc...

I think the question sets up another question, namely under what circumstances (if any) might it be advisable to offer pneumococcal vaccination to someone treated for a splenic metastasis (admittedly quite uncommon, of course). Given how seldom we treat the spleen nowadays with conventional RT for l...

I agree with @Dr. First Last re: considering vaccination.

I routinely offer vaccination to patients with distal esophageal/GEJ tumors and for others with significant splenic RT dose. From Dr. Norm Coleman and Dr. Henry Kaplan in NEJM (1980) re: splenic atrophy https://www.ncbi.nlm.nih.gov/pubmed/7350...