AUTHOR=Yang ZiRu , Cao Lixia , Kuai Wentao , Yao Shengjuan , Li Shuang , Xu Liang TITLE=A case report of tumor-associated liver injury alleviated with antineoplastic drug JOURNAL=Frontiers in Oncology VOLUME=Volume 15 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2025.1644790 DOI=10.3389/fonc.2025.1644790 ISSN=2234-943X ABSTRACT=Tumors are the major diseases that threaten people’s health and life at present. Liver injury often happens in patients with cancer, and which mostly attribute to application of anti-cancer drugs. However, some cases caused by the infiltration and destruction of metastatic cancer, and anti-tumor drugs play a key role in restoring liver function instead of inducing drug induced liver injury (DILI). This article reports a case of tumor-associated Liver Injury (TALI) who suffered HER2-negative metastatic breast cancer with liver metastasis, but her liver function was recovery after treatment with Alpelisib, an anti-tumor drug, as meanwhile as achieving anti-tumor. Through this case we aims to emphasize to differentiate the causes of TALI and make the treatment strategies accordingly.