Would you deliver SBRT to the adrenal gland if a patient has already undergone contralateral adrenalectomy for oligometastatic NSCLC?

I have treated one patient in a similar scenario, with bilateral adrenal metastases. I referred the patient to endocrinology for counseling about the need for future adrenal hormone replacement, and after thoroughly discussing these implications with the patient, we proceeded. This is of course an e...

I similarly have treated 1 such patient. He had only one adrenal gland/kidney and a met at the adrenal gland. After a well informed discussion we proceeded with SBRT to the adrenal met. I sent the patient for an Endocrinology consult. I also continued to follow him for a year and much to my surprise...

Yes, but keep endocrine in the loop. I have also treated bilateral adrenals with SABR. Just need endocrine to keep an eye on the cortisol level.