I have had a very simular case of carcinoid and have had injections for 122 times on 28 day cycles. Leasions were stable or showed very minor growth until early this year. I just completed Luthera treatment, 4 treatments 8 weeks apart. A scan before my 3rd treatment showed no increase in tumor size, some reduction in size and no new leasions. The most significant side affect was headache and fatigue, started 3-4 days after each treatment and lasted about 10 days and then I felt fine with normal activity. I will have a scan in December to see how things are going.