Middle East Journal of Cancer

Deranged Lipid Profiles and Hepatocellular Carcinoma: Clinical Significance and Association

Document Type : Original Article(s)

Authors

Ehab Fawzy Abdo Moustafa 1
Elham Ahmed Hassan 1
Mohamed Mustafa Mahmoud 2
Amal A. Mahmoud 3
Mohamed AA Ghaliony 1

1 Department of Gastroenterology and Tropical Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt

2 Fever Hospital, Ministry of Health, Sohag, Egypt

3 Department of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, Egypt

https://doi.org/10.30476/mejc.2021.86476.1346
Abstract
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.

Keywords

Dyslipidemias
Hepatocellular carcinoma (HCC)
Metabolic syndrome
Risk factors

How to cite this article:

Abdo Moustafa EF, Hassan EA, Mahmoud MM, Mahmoud AA, Ghaliony MAA. Deranged lipid profiles and hepatocellular carcinoma: clinical significance and association. Middle East J Cancer. 2022;13(2):275-84. doi: 10.30476/mejc.2021.86476.1346.

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