Lung CA contouring

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Reaganite

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Wondering how you all treat spiculations when contouring GTVs for lung cancer...I've heard several ASTRO lectures where this is advocated, yet I've worked with attendings who do not include them in their GTVs. So what do you all do?
 
I consider them GTV and I am actually a bit more "generous" with the CTV around them.
I believe that spiculations are a sign of more subclinic spread, than in standard solid, round tumors.
 
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