E-ISSN 2305-1620 | ISSN 2221-0288
 

Case Report
Online Published: 10 Jan 2025
 


Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.

Sabeen Zia, Aakif Ullah Khan, Nadeem Ahmad Lodhi, Hameedullah, Irfan Ullah, Maria Ashfaq.


Abstract
Background: Carcinoids are slow growing neuroendocrine tumors that can be found throughout the gastrointestinal tract and in other organs like lungs and kidneys. These tumors are capable of metastasis and production of certain chemicals e.g., serotonin that can cause carcinoid syndrome. Initial treatment is surgery, however inoperable or metastatic carcinoid tumors can be treated with peptide receptor radionuclide therapy (PRRT) using [177Lu]Lu-DOTA-TATE that can provide symptomatic relief and also slows the disease progression.
Case presentation: We present here a case of gastrointestinal carcinoid in a 65 year male patient treated with indigenously produced [177Lu]Lu-DOTA-TATE. The patient presented three years after resection of intestinal mass, and was on somatostatin analogues for control of flushing and diarrhea. Investigations revealed a focal lesion in the liver for which [177Lu]Lu-DOTA-TATE therapy was planned. The patient underwent four cycles of [177Lu]Lu-DOTA-TATE therapy with no undesirable side effects. Six months follow-up investigations after completion of four cycles of [177Lu]Lu-DOTA-TATE therapy showed no interval progression and a better control of symptoms.
Conclusion: [177Lu]Lu-DOTA-TATE therapy is an effective but expensive treatment for patients having symptomatic disease and inoperable or progressive neuroendocrine tumors; that do not respond well to conventional treatments. Until recently, [177Lu]Lu-DOTA-TATE had to be imported for use in such patients that increased its cost even more. However, the initiative for the production of this radio-pharmaceutical in Pakistan has made it easier to acquire, and also lowered the cost significantly.

Key words: PRRT, [177Lu]Lu-DOTA-TATE therapy, neuroendocrine tumors, small bowel carcinoid


 
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How to Cite this Article
Pubmed Style

Zia S, Khan AU, Lodhi NA, Hameedullah , Ullah I, Ashfaq M. Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. Pak J Nucl Med. Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907


Web Style

Zia S, Khan AU, Lodhi NA, Hameedullah , Ullah I, Ashfaq M. Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. https://www.pjnmed.com/?mno=222437 [Access: January 11, 2025]. doi:10.24911/PJNMed.175-1727608907


AMA (American Medical Association) Style

Zia S, Khan AU, Lodhi NA, Hameedullah , Ullah I, Ashfaq M. Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. Pak J Nucl Med. Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907



Vancouver/ICMJE Style

Zia S, Khan AU, Lodhi NA, Hameedullah , Ullah I, Ashfaq M. Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. Pak J Nucl Med, [cited January 11, 2025]; Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907



Harvard Style

Zia, S., Khan, . A. U., Lodhi, . N. A., Hameedullah, ., Ullah, . I. & Ashfaq, . M. (2024) Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. Pak J Nucl Med, Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907



Turabian Style

Zia, Sabeen, Aakif Ullah Khan, Nadeem Ahmad Lodhi, Hameedullah, Irfan Ullah, and Maria Ashfaq. 2024. Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. Pakistan Journal of Nuclear Medicine, Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907



Chicago Style

Zia, Sabeen, Aakif Ullah Khan, Nadeem Ahmad Lodhi, Hameedullah, Irfan Ullah, and Maria Ashfaq. "Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.." Pakistan Journal of Nuclear Medicine Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907



MLA (The Modern Language Association) Style

Zia, Sabeen, Aakif Ullah Khan, Nadeem Ahmad Lodhi, Hameedullah, Irfan Ullah, and Maria Ashfaq. "Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.." Pakistan Journal of Nuclear Medicine Online First: 10 Jan, 2025. Web. 11 Jan 2025 doi:10.24911/PJNMed.175-1727608907



APA (American Psychological Association) Style

Zia, S., Khan, . A. U., Lodhi, . N. A., Hameedullah, ., Ullah, . I. & Ashfaq, . M. (2024) Initial clinical experience with indigenously produced [177Lu]Lu-DOTA-TATE in small bowel carcinoid tumor - a case report.. Pakistan Journal of Nuclear Medicine, Online First: 10 Jan, 2025. doi:10.24911/PJNMed.175-1727608907





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