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Adverse events: repeated grade 3 skin toxicity 1 pt, abdominal pain with elevated liver enzymes and asthenia 2 pts, duodenal ulcer 2 pts with catheter migration and intestinal buy tadalista near las vegas bleeding 1 pt, reversible interstitial pneumonitis 1 pt, and cystic bile duct dilatation 2 pts with arteriobiliary fistulisation 1 pt.