Chinese Journal of Pharmacovigilance ›› 2020, Vol. 17 ›› Issue (10): 703-706.
DOI: 10.19803/j.1672-8629.2020.10.11

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One Case of Hepatic Injury Caused by Chemotherapy of Breast Cancer

SHEN Limeng, JIANG Sunmin, YAO Ying, XU Yinying*   

  1. The Affiliated Wuxi Matemity and Child Health Care Hospital of Nanjing Medical University, Wuxi Jiangsu 214002, China
  • Received:2020-10-14 Revised:2020-10-14 Online:2020-10-15 Published:2020-10-13

Abstract: Objective To analyze the causes of drug-induced liver injury (DILI) in breast cancer patients during chemotherapy, in order to provide reference for workers in related fields. Methods The causes of DILI in a breast cancer patient with multiple chemotherapies were explored and the drugs that may cause liver injury were evaluated according to the guidelines for the diagnosis and treatment of drug-induced liver injury, relevant research publications and the Roussel Uclaf Causality Assessment Method(RUCAM). Results This patient's DILI could not be excluded. Considering length of drug administration and RUCAM quantitative form, the liver injury showed associations with trastuzumab, paclitaxel and cimetidine. Conclusion DILI is a dose-limiting toxicity of anti-tumor drugs. For patients with malignant tumors that require multiple cycles of chemotherapy, RUCAM quantitative form can distinguish potential DILI and improve treatment outcomes.

Key words: breast cancer, chemotherapy, drug-induced liver injury, RUCAM

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