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他莫昔芬致严重肝损伤 被引量:2

Severe hepatic injury induced by Tamoxifen
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摘要 1名44岁女性乳腺癌患者,于手术及化疗后服用他莫昔芬20mg/d作为辅助内分泌治疗。3个月后患者ALT、AST、γ-GT值升高,服用6个月时患者肝功能检查显示:ALT396U/L、AST278U/L、γ-GT211U/L。经保肝治疗后好转,后改用阿那曲唑、戈舍瑞林治疗,未再出现肝功能异常。 A 4.4-year-old women with breast cancer was treated with oral tamoxifen 20 mg/d as adjuvant endocrine therapy after breast operation and chemotherapy. Three months later, her levels of ALT, AST, and γ-GT increased. After 6 months of medication, her liver function examination showed the levels as follows: ALT 396 U/L, AST 278 U/L, and γ-GT 211 U/L. After liver-protective treatment, her hepatic function returned to normal limits. Then she was treated with anastrozole and goserelin instead of tamoxifen, and liver dysfunction did not recur.
机构地区 军事医学科学院
出处 《药物不良反应杂志》 2007年第6期413-413,419,共2页 Adverse Drug Reactions Journal
关键词 他莫昔芬 肝损伤 tamoxifen hepatic injury
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参考文献3

  • 1Liu CL,Huang JK,Cheng SP,et al. Fatty liver and transaminase changes with adjuvant tamoxifen therapy [ J ]. Anticancer Drugs, 2006, 17(6) :709-713.
  • 2Ahmed MH, Osman KA. Tamoxifen induced-non-alcoholic steatohepatitis (NASH) : has the time come for the oncologist to be diabetologist [ J]. Breast Cancer Res Treat, 2006, 97(2) :223-224.
  • 3Elefsiniotis IS, Pantazis KD, Ilias A, et al. Tamoxifen induced hepatotoxicity in breast cancer patients with preexisting liver steatosis: the role of glucose intolerance [ J ]. Eur J Gastroenterol Hepatol, 2004, 16 (6) : 593- 598.

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