Diffuse Intrasinusoidal Hepatic Metastasis from Breast Cancer Presenting as Liver Failure: Effective and Rapid Treatment with Weekly Low-Dose Adriamycin

Thanh-Phuong N. Afiat; Timothy N. Hembree; Erin A. Dean; Cyrillo Araujo; Luis R. Pena; Marilin Rosa; Hyo S. Han; Kaitlin Hendrix; Asha Ramsakal

doi:10.12659/AJCR.924141

02 September 2020 : Case report USA

Diffuse Intrasinusoidal Hepatic Metastasis from Breast Cancer Presenting as Liver Failure: Effective and Rapid Treatment with Weekly Low-Dose Adriamycin

Challenging differential diagnosis, Unusual setting of medical care

Thanh-Phuong N. Afiat^1BDEF*, Timothy N. Hembree^12BDEF, Erin A. Dean^3BDEF, Cyrillo Araujo^24DEF, Luis R. Pena^5DEF, Marilin Rosa^6DE, Hyo S. Han^27DEF, Kaitlin Hendrix^8E, Asha Ramsakal^12EF

DOI: 10.12659/AJCR.924141

Am J Case Rep 2020; 21:e924141

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Table 1. Lab values on admission at outside hospital and admission at our hospital to 5th cycle of weekly doxorubicin.

	AST	ALT	Alkaline phosphatase	Total bilirubin	Albumin
3/4/19	208	49	167	1.1	3
3/9/19	156	28	174	2	3
3/10/19	150	26	165	1.8	3
3/12/19	587	78	145	1.9	2.8
3/14/19	381	77	152	3.8	2.5
3/15/19	197	54	129	4.5	2.3
3/16/19	127	46	140	6.6	2.5
3/17/19	142	45	132	3.5	2.4
3/18/19	146	52	153	2.5	2.4
3/19/19	125	51	159	1.9	2.6
3/22/19	107	52	192	1.8	2.9
3/29/19	82	53	146	1.5	2.8
4/5/19	69	52	154	1.6	3.3
4/15/19	51	39	139	1	3
4/22/19	64	31	164	1	3.2
^* Labs on admission at outside hospital; ^ labs on admission at our hospital; ^* treatment dates.

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Diffuse Intrasinusoidal Hepatic Metastasis from Breast Cancer Presenting as Liver Failure: Effective and Rapid Treatment with Weekly Low-Dose Adriamycin

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