He subsequently developed dyspnea on exertion. Diagnosis. Carcinoid tumor of midgut origin with large segment 3 liver metastasis. Carcinoid syndrome and carcinoid heart disease. Management.

Carcinoid tumors: 100–600mcg daily in 2–4 divided ... 4 weeks once yearly to assess disease activity; resume if growth hormone or IGF-1 levels increase or signs/symptoms recur.

Clinical Director of the Gastrointestinal Cancer Center and Director of the Program in Carcinoid and Neuroendocrine Tumors at Dana-Farber Cancer Institute. "It was encouraging to see that ...