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Published in: Breast Cancer Research and Treatment 3/2010

01-06-2010 | Brief Report

Severe prolonged cholestatic hepatitis caused by exemestane

Authors: Ting Bao, John Fetting, Laura Mumford, Jane Zorzi, Karineh Shahverdi, Stacie Jeter, Frank Herlong, Vered Stearns, Linda Lee

Published in: Breast Cancer Research and Treatment | Issue 3/2010

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Excerpt

Aromatase inhibitors (AIs) are used as first-line adjuvant hormonal therapy in postmenopausal women with hormone receptor-positive breast cancer, either as monotherapy or sequential therapy after tamoxifen [16]. Unlike tamoxifen, the former gold standard adjuvant hormonal therapy, AIs cause musculoskeletal symptoms, osteoporosis, and bone fractures [16]. Although AIs such as letrozole and anastrozole also cause liver enzyme elevation unrelated to liver metastasis in 3–5% patients,1 , 2 severe hepatotoxicity has rarely been associated with AIs. We report a case of severe prolonged cholestatic hepatitis caused by exemestane. …
Footnotes
1
Novartis, Femara (letrozole tablets) package insert, 2004.
 
2
AstraZeneca, ARIMIDEX (anastrozole tablets) package insert, 2005.
 
3
Pfizer, Aromasin (exemestane tablets) package insert, 2007.
 
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Metadata
Title
Severe prolonged cholestatic hepatitis caused by exemestane
Authors
Ting Bao
John Fetting
Laura Mumford
Jane Zorzi
Karineh Shahverdi
Stacie Jeter
Frank Herlong
Vered Stearns
Linda Lee
Publication date
01-06-2010
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 3/2010
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-009-0576-x

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