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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breast Cancer In Remission. Tested For Tumor Markers. Metastatized. Taking Anastrozole. Elevated Liver Enzymes. Reason?

I am a breast cancer survivor who was in remission from 1996 to 2007 and reoccurence in 2007 which has metastasized but in in remission again which will be 5 years in October. My oncologist normally tests only for tumor markers. This last time in April I had a complete blood count and CMP because I was coming on the 5 year mark. My SGOT/AST April 20 was 60 and SGPT/ALT was 74. He wanted to do more lab work 3 weeks later which was May 18 to see if a pattern. AST was 58 but ALT was 91. My calcium levels were a little high in April which was 4.1. I take 600 mg Calcium 2 x daily and for my cancer I take oral Med of 1 mg Anastrozole . What is this reason for elevated liver enzymes and I am very concerned.
Fri, 24 May 2013
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General Surgeon,  's  Response
Hi
Your AST and ALT are not that much elevated to be worried.
Breast cancer can spread to the liver.But,it is better for you to go for an ultrasound abdomen and rule out spread to liver.
Or else go for a PET scan and search for secondaries in various parts of the body.
So,elevated enzymes can be due to drugs or breast cancer spread to liver or any obstruction in the common bile duct.
If you come back with ultrasound report,i will clarify further
Regards
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Breast Cancer In Remission. Tested For Tumor Markers. Metastatized. Taking Anastrozole. Elevated Liver Enzymes. Reason?

Hi Your AST and ALT are not that much elevated to be worried. Breast cancer can spread to the liver.But,it is better for you to go for an ultrasound abdomen and rule out spread to liver. Or else go for a PET scan and search for secondaries in various parts of the body. So,elevated enzymes can be due to drugs or breast cancer spread to liver or any obstruction in the common bile duct. If you come back with ultrasound report,i will clarify further Regards