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FIGURE 5. Example of diffuse gastric localization on SRS in patient with ZES with MEN-1 and gastric carcinoid. Coronal view (A), transverse view (B), and sagittal view (C) of SRS showed diffuse uptake in stomach. This patient had ZES of 20 y duration as part of MEN-1 syndrome, and gastric carcinoid was diagnosed 17 y after onset of disease. Gastric carcinoid was diagnosed by biopsy of gastric nodule. Patient did not have carcinoid syndrome. Mean fasting serum gastrin level was 3862 pg/mL (normal level is <200 pg/mL).
