TY - JOUR ID - 47626 TI - Deranged Lipid Profiles and Hepatocellular Carcinoma: Clinical Significance and Association JO - Middle East Journal of Cancer JA - MEJC LA - en SN - 2008-6709 AU - Moustafa, Ehab Fawzy Abdo AU - Hassan, Elham Ahmed AU - Mahmoud, Mohamed Mustafa AU - Mahmoud, Amal A. AU - Ghaliony, Mohamed AA AD - Department of Gastroenterology and Tropical Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt AD - Fever Hospital, Ministry of Health, Sohag, Egypt AD - Department of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, Egypt Y1 - 2022 PY - 2022 VL - 13 IS - 2 SP - 275 EP - 284 KW - Dyslipidemias KW - Hepatocellular carcinoma (HCC) KW - Metabolic Syndrome KW - Risk factors DO - 10.30476/mejc.2021.86476.1346 N2 - Background: The increasing incidence of hepatocellular carcinoma (HCC) is a challenging health problem worldwide with poor prognosis and limited treatment options. The association between metabolic factors and HCC has been documented, however, there is a shortage of data about this association in our locality. Therefore, we aimed to determine the pattern of lipid profile in cirrhotic patients with HCC and investigate the association between dyslipidemia and HCC.Method: In this case-control hospital-based study, serum lipid profile [total cholesterol, triglycerides, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and very-low-density lipoprotein (VLDL)] was determined in 100 patients with cirrhosis and 100 patients with cirrhosis and HCC. Multivariate analysis of HCC risk factors was done.Results: Metabolic syndrome, hypertriglyceridemia, hypercholesterolemia, high LDL, and combined dyslipidemia were significantly more frequent in HCC patients than non-HCC patients. Low HDL and dyslipidemia were significantly associated with the late HCC stages and LDL levels were significantly correlated with α- fetoprotein levels. There was a tendency towards increasing the values of the other lipid parameters in advanced stages. Metabolic syndrome and combined dyslipidemia were associated with HCC risk.Conclusion: Deranged lipid profiles were common in HCC patients. Metabolic syndrome and combined dyslipidemia could be potential risk factors for HCC and may offer a useful strategy for risk stratification; thus, their control can reduce the HCC burden. UR - https://mejc.sums.ac.ir/article_47626.html L1 - https://mejc.sums.ac.ir/article_47626_5a2d43acabe3654a98914d45a15053eb.pdf ER -