Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha, Maharashtra India.
J Oral Pathol Med. 2010 Feb;39(2):141-8. doi: 10.1111/j.1600-0714.2009.00828.x. Epub 2009 Dec 7.
Cholesterol at either higher/lower level can be troublesome. Health issues related to higher than normal levels have received much public attention because of their relationship to incidence of heart disease, whereas implications of decreased cholesterol levels remain unclear. Present study tried to evaluate and correlate the decreased cholesterol levels in Oral cancer, Oral precancer and in tobacco abuse.
Total Cholesterol (TC), High Density Lipoproteins (HDL), Very Low Density Lipoproteins (VLDL), Low Density Lipoproteins (LDL) and Triglyceride (Tri) were estimated in 210 subjects. Out of these 210 subjects, 70 subjects were histopathologically confirmed Oral Cancer, 70 subjects were histopathologically confirmed Oral precancer (OPC) and 70, age and sex matched, healthy subjects who are not having Oral Cancer, Oral precancer and who had no history of any major illness in the past. These groups were subdivided into: Subjects with No Habit of Tobacco (NHT) and Subjects With Habit of Tobacco (WHT).
There was significant decrease in TC, HDL, VLDL, and triglyceride in Oral Cancer group; and significant decrease in TC, and HDL in Oral precancer group as compared to Control. Mean serum lipid profile levels were not significantly different in subjects between NHT and WHT.
There is an inverse relationship between serum lipid profile and Oral Cancer and Oral precancer. There was no overall significant correlation of serum lipid profile with tobacco abuse.
胆固醇水平过高或过低都可能带来问题。由于与心脏病发病率有关,公众对高于正常水平的健康问题给予了高度关注,而胆固醇水平降低的影响仍不清楚。本研究试图评估和关联口腔癌、口腔癌前病变和烟草滥用患者胆固醇水平降低的情况。
对 210 名受试者的总胆固醇(TC)、高密度脂蛋白(HDL)、极低密度脂蛋白(VLDL)、低密度脂蛋白(LDL)和甘油三酯(Tri)进行了估计。在这 210 名受试者中,有 70 名经组织病理学证实为口腔癌,70 名经组织病理学证实为口腔癌前病变(OPC),70 名年龄和性别匹配的健康受试者,他们没有口腔癌、口腔癌前病变,过去也没有任何重大疾病史。这些组被进一步细分为:无烟草习惯(NHT)和有烟草习惯(WHT)的受试者。
与对照组相比,口腔癌组的 TC、HDL、VLDL 和甘油三酯显著降低;口腔癌前病变组的 TC 和 HDL 也显著降低。NHT 和 WHT 受试者之间的血清脂质谱水平无显著差异。
血清脂质谱与口腔癌和口腔癌前病变呈负相关。血清脂质谱与烟草滥用之间没有总体显著相关性。