Hepatotoxicity of chemotherapy

被引:151
作者
Floyd, J [1 ]
Mirza, I [1 ]
Sachs, B [1 ]
Perry, MC [1 ]
机构
[1] Univ Missouri, Ellis Fischel Canc Ctr, Div Hematol & Med Oncol, Dept Internal Med, Columbia, MO 65203 USA
关键词
D O I
10.1053/j.seminoncol.2005.11.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The selection of an antineoplastic regimen for an oncology patient is based first on the availability of effective drugs and then on a balancing of potential treatment-related toxicities with the patient's clinical condition and associated comorbidities. Liver function abnormalities are commonly observed in this patient population and identifying their etiology is often difficult. Immunosuppression, paraneoplastic phenomena, infectious diseases, metastases, and poly-pharmacy may cloud the picture. While criteria for standardizing liver injury have been established, dose modifications often rely on empiric clinical judgment. Therefore, a comprehensive understanding of hepatotoxic manifestations for the most common chemotherapeutic agents is essential. We herein review the hepatotoxicity of commonly used antineoplastic agents and regimens. © 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:50 / 67
页数:18
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