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Carcinoid syndrome

Hello, I have some questions related to carcinoid syndrome.
1. Is that possible to have carcinoid syndrome without any metastasis in liver visible by ultrasound?
2. Is that possible to have only face Flushing (just only cheeks) without neck flushing?
3. Could also some other symptoms like tinnitus, dizziness, or visible spots be connected with this syndrome?
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