A member asked:

I am 2 years out from breast cancer diagnosis; idc. tamoxifen. bloodwork shows alt level of 74. my pcp just says to retest 6 mo. should i do more?

6 doctors weighed in across 2 answers

Retest later is fine: Transaminases (ast and alt) are liver enzymes that if elevated can suggest liver injury. That level is not concerning. Continue taking your tamoxifen and follow your treatment plan as discussed.

Answered 10/4/2016

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Non specific: The alt is a liver enzyme that can be elevated from liver metastasis. These can be reliably diagnosed with liver ultrasound or ct scan your medical oncologist would give your good advice.

Answered 10/24/2017

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