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Updated: Aug 6, 2026

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Published on: January 7, 2015
Hepatotoxicity of chemotherapy
Bradley Sachs1, Syed Haider, Rama Balaraman
1Department of Internal Medicine, University of Missouri-Columbia, Columbia, MO 65203, USA.
Choosing chemotherapy requires evaluating patient health and drug toxicities. This review details chemotherapy-induced liver injury (hepatotoxicity) from common anticancer drugs, aiding clinical decisions.
Area of Science:
- Oncology
- Hepatology
- Pharmacology
Background:
- Chemotherapy selection involves assessing patient status and drug toxicities.
- Liver function abnormalities are frequent in cancer patients, with complex causes.
- Differentiating chemotherapy-induced liver injury from other causes is challenging.
Purpose of the Study:
- To review the hepatotoxicity of commonly used antineoplastic agents.
- To provide a comprehensive understanding of liver injury caused by chemotherapy.
- To aid clinicians in managing chemotherapy-induced liver dysfunction.
Main Methods:
- Literature review of hepatotoxicity associated with common chemotherapeutic agents.
- Analysis of clinical data and established criteria for liver injury.
- Synthesis of information on the mechanisms and manifestations of drug-induced liver injury.
Main Results:
- Common chemotherapy drugs can cause various forms of liver injury.
- Factors like patient condition and other medications can complicate diagnosis.
- Standardized criteria exist, but dose adjustments often require clinical judgment.
Conclusions:
- Understanding chemotherapy hepatotoxicity is crucial for safe and effective cancer treatment.
- Accurate diagnosis and management of liver injury are essential for oncology patients.
- This review serves as a guide to the hepatotoxic effects of key antineoplastic drugs.
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