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血清脂质水平的变化应被视为基底细胞癌发生的危险因素吗?

Should variation of serum lipid levels be considered a risk factor for the development of basal cell carcinoma?

作者信息

Zamanian Abbas, Rokni Ghasem Rahmatpour, Ansar Akram, Mobasher Pezhman, Jazi Ghazaleh Ahmadi

机构信息

Skin and Stem Cell Research Center, Department of Dermatology, Tehran University of Medical Sciences, Tehran, Iran, Department of Dermatology, Rasoul-e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Department of Dermatology, Hamedan University of Medical Sciences, Hamedan, Iran.

出版信息

Adv Biomed Res. 2014 Mar 31;3:108. doi: 10.4103/2277-9175.129704. eCollection 2014.

Abstract

BACKGROUND

Basal cell carcinoma (BCC) is the most common cutaneous neoplasm in human beings. Ultraviolet radiation is one of the most important predisposing factors for BCC. Although some recent investigations have shown a high serum level of phospholipids in actinic keratosis and BCC, this subject is still debated and needs approval. This study aimed to evaluate the association between serum lipid level and development of cutaneous BCC.

MATERIALS AND METHODS

In this case-control study, lipid profile including triglyceride (TG), Cholesterol (CHOL), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) were measured in 30 patients with BCC and 30 healthy controls. Data were analyzed by descriptive statistical tests including t tests and Chi square test.

RESULTS

This study shows that the mean age of the case and control groups were 63.93 ± 12.09 and 61.57 ± 21.1 years (mean ± SD), respectively. The average amount of triglyceride, cholesterol, HDL and LDL in the BCC patients were 139.73 ± 69.11 mg/dl, 179.20 ± 43.42 mg/dl, 39.40 ± 9.30 mg/dl and 110.70 ± 34.13 mg/dl, respectively, whereas these amounts in the control group were 141.83 ± 80.41 mg/dl, 173.60 ± 96.32 mg/dl, 36.97 ± 6.35 mg/dl, 110.70 ± 34.13 mg/dl and 104.87 ± 30.85 mg/dl, respectively. No significant difference was found in the lipid profile of the case and control groups (P > 0.05%).

CONCLUSION

This study shows that the serum lipid levels in patients with BCC has no significant difference in comparison with the control group and, therefore, relevance between BCC and serum lipid level is not proven. Further studies with a larger sample size are necessary for evaluating this subject.

摘要

背景

基底细胞癌(BCC)是人类最常见的皮肤肿瘤。紫外线辐射是BCC最重要的诱发因素之一。尽管最近一些研究表明光化性角化病和BCC患者血清磷脂水平较高,但这一问题仍存在争议,需要进一步证实。本研究旨在评估血清脂质水平与皮肤BCC发生之间的关联。

材料与方法

在这项病例对照研究中,对30例BCC患者和30例健康对照者测量了血脂谱,包括甘油三酯(TG)、胆固醇(CHOL)、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)。数据通过描述性统计检验进行分析,包括t检验和卡方检验。

结果

本研究表明,病例组和对照组的平均年龄分别为63.93±12.09岁和61.57±21.1岁(平均值±标准差)。BCC患者的甘油三酯、胆固醇、HDL和LDL平均含量分别为139.73±69.11mg/dl、179.20±43.42mg/dl、39.40±9.30mg/dl和110.70±34.13mg/dl,而对照组的这些含量分别为141.83±80.41mg/dl、173.60±96.32mg/dl、36.97±6.35mg/dl、110.70±34.13mg/dl和104.87±30.85mg/dl。病例组和对照组的血脂谱无显著差异(P>0.05%)。

结论

本研究表明,BCC患者的血清脂质水平与对照组相比无显著差异,因此,BCC与血清脂质水平之间的相关性未得到证实。需要进行更大样本量的进一步研究来评估这一问题。

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