Abstract
We report a case of left ventricular (LV) myocardial uptake of a labeled somatostatin analog in a patient with a carcinoid tumor of the small bowel. The patient developed liver metastases and a carcinoid syndrome, including right carcinoid heart disease, without right-to-left shunt on contrast ultrasonography or left ventricular myocardial metastases. The basis for visualization of the LV myocardium is probable somatostatin receptor upregulation.
MeSH terms
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Aged
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Carcinoid Heart Disease / diagnostic imaging*
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Carcinoid Heart Disease / metabolism
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Carcinoid Tumor / complications
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Carcinoid Tumor / secondary
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Female
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Heart / diagnostic imaging*
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Heart Ventricles / diagnostic imaging
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Humans
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Indium Radioisotopes*
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Intestinal Neoplasms / complications
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Liver Neoplasms / secondary
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Myocardium / metabolism
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Radionuclide Imaging
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Receptors, Somatostatin / metabolism
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Somatostatin / analogs & derivatives*
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Ultrasonography
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Up-Regulation
Substances
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Indium Radioisotopes
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Receptors, Somatostatin
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Somatostatin
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pentetreotide