Article: Bicalutamide: Fulminant hepatotoxicity: case report

A 59-year-old man developed fulminant hepatotoxicity during treatment with bicalutamide for metastatic prostate cancer: he subsequently died of multiple organ failure.

Upon diagnosis of stage IV prostate cancer with limited metastases, the man began treatment with leuprorelin, bicalutamide [dosage not stated] for 1 month, and chemotherapy with cisplatin and etoposide. After four 21-day cycles of chemotherapy he received radiotherapy, and 3 months after completion, leuprorelin was withheld. New metastases were discovered two months later and bicalutamide [dosage not stated] was restarted. Four days later, after receiving four doses of bicalutamide, he was admitted with abdominal pain, ...

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