Non-Cochrane · aetiology · PM41917210

Serum lipid alterations in oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review and meta-analysis.

Kishor Shreeja, Rankovic Mila Janjic, Otto Sven, et al. · Scientific reports · 2026 · PubMed · doi:10.1038/s41598-026-46163-z

Findings

15 findings

Population
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (OSCC)Healthy controlsSerum Triglycerides (TGs) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.83 [0.37, 1.28]
GRADE not reported
35 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (OSCC)Healthy controlsSerum Low-density lipoprotein cholesterol (LDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.96 [0.42, 1.51]
GRADE not reported
34 studies
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (OSCC)Healthy controlsSerum High-density lipoprotein cholesterol (HDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 1.97 [1.08, 2.85]
GRADE not reported
37 studies · 3604 participants
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (OSCC)Healthy controlsSerum Total cholesterol (TC) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 1.55 [0.95, 2.15]
GRADE not reported
37 studies · 3604 participants
Patients with oral squamous cell carcinoma (OSCC) and healthy controlsOral squamous cell carcinoma (OSCC)Healthy controlsSerum Very low-density lipoprotein cholesterol (VLDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.82 [0.09, 1.56]
GRADE not reported
29 studies
Patients with oral potentially malignant disorders (OPMD) and healthy controlsOral potentially malignant disorders (OPMD)Healthy controlsSerum Triglycerides (TGs) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.69 [0.25, 1.14]
GRADE not reported
29 studies
Patients with oral potentially malignant disorders (OPMD) and healthy controlsOral potentially malignant disorders (OPMD)Healthy controlsSerum Very low-density lipoprotein cholesterol (VLDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.60 [0.05, 1.16]
GRADE not reported
27 studies
Patients with oral potentially malignant disorders (OPMD) and healthy controlsOral potentially malignant disorders (OPMD)Healthy controlsSerum Low-density lipoprotein cholesterol (LDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.75 [0.24, 1.26]
GRADE not reported
28 studies
Patients with oral potentially malignant disorders (OPMD) and healthy controlsOral potentially malignant disorders (OPMD)Healthy controlsSerum Total cholesterol (TC) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 1.37 [0.86, 1.88]
GRADE not reported
31 studies · 2527 participants
Patients with oral potentially malignant disorders (OPMD) and healthy controlsOral potentially malignant disorders (OPMD)Healthy controlsSerum High-density lipoprotein cholesterol (HDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 1.47 [0.81, 2.12]
GRADE not reported
31 studies · 2527 participants
Patients with oral squamous cell carcinoma (OSCC) and patients with oral potentially malignant disorders (OPMD)Oral squamous cell carcinoma (OSCC)Oral potentially malignant disorders (OPMD)Serum Low-density lipoprotein cholesterol (LDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 1.13 [0.05, 2.20]
GRADE not reported
13 studies
Patients with oral squamous cell carcinoma (OSCC) and patients with oral potentially malignant disorders (OPMD)Oral squamous cell carcinoma (OSCC)Oral potentially malignant disorders (OPMD)Serum High-density lipoprotein cholesterol (HDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.18 [-0.60, 0.96]
GRADE not reported
16 studies · 1446 participants
Patients with oral squamous cell carcinoma (OSCC) and patients with oral potentially malignant disorders (OPMD)Oral squamous cell carcinoma (OSCC)Oral potentially malignant disorders (OPMD)Serum Triglycerides (TGs) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.76 [-0.04, 1.55]
GRADE not reported
15 studies
Patients with oral squamous cell carcinoma (OSCC) and patients with oral potentially malignant disorders (OPMD)Oral squamous cell carcinoma (OSCC)Oral potentially malignant disorders (OPMD)Serum Total cholesterol (TC) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.62 [0.08, 1.16]
GRADE not reported
16 studies · 1446 participants
Patients with oral squamous cell carcinoma (OSCC) and patients with oral potentially malignant disorders (OPMD)Oral squamous cell carcinoma (OSCC)Oral potentially malignant disorders (OPMD)Serum Very low-density lipoprotein cholesterol (VLDL) level
Cross-sectional (single measurement) · Hospital-based case-control studies, mostly India (47 of 52)
SMD 0.66 [-0.14, 1.47]
GRADE not reported
12 studies

Included primary studies 90

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Kumar 2013
matched by author and year (probable)
NR2 other reviewsnot statednot extracted yet
Ramesh 2020
matched by author and year (probable)
NR2 other reviewsnot statednot extracted yet
Agrawal 2021
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Singh 2013
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Singh 2021
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Acharya 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Acharya 2016
Serum lipid profile in oral squamous cell carcinoma: alterations and association with some clinicopathological parameters and tobacco use.
PMID:26899131
2016this review onlynot statednot extracted yet
Adnan 2023
Alterations of Serum Lipids Profiles in Patients with Head and Neck Cancers
DOI:10.23937/2378-3419/1410181
2023this review onlynot statednot extracted yet
Agarwal 2015
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Agarwal 2015
Exploratory Study to Evaluate Changes in Serum Lipid Levels as Early Diagnostic and/or Prognostic Indicators for Oral Submucous Fibrosis…
PMID:26434856
2015this review onlynot statednot extracted yet
Ajai 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ajai 2014
Estimation of serum lipids in patients with Oral Submucous Fibrosis in India.
PMID:25136423
2014this review onlynot statednot extracted yet
Alazzawi 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Alazzawi 2022
The evaluation of serum lipid profile and apolipoprotein C-1 in the Iranian patients of Oral Squamous Cell Carcinoma.
PMID:36381193
2022this review onlynot statednot extracted yet
Anand 2018
Alteration in serum lipid profile pattern in oral cancer and oral submucous fibrosis patients
DOI:10.4103/jiaomr.jiaomr_88_17
2018this review onlynot statednot extracted yet
Anand 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Anuradha 2013
Lipid Profile in Oropharyngeal Cancers in Southern India
DOI:10.6000/1929-2279.2013.02.02.3
2013this review onlynot statednot extracted yet
Anuradha 2013
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Banseria 2014
CORRELATION OF SERUM LIPID PROFILE, SERUM CALCIUM, ALKALINE PHOSPHATASE AND SERUM PROTEIN WITH HISTOPATHOLOGICAL GRADING AND STAGING IN…
DOI:10.14260/jemds/2014/2090
2014this review onlynot statednot extracted yet
Banseria 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bhagat 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bhagat 2017
PMID:54912017
NRthis review onlynot statednot extracted yet
Chandra 2025
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Chandra 2025
Comparison of haematological and serum lipid profile parameters in oral potentially malignant disorders and oral squamous cell carcinoma.
PMID:41019684
2025this review onlynot statednot extracted yet
Chawda 2011
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Chawda 2011
The relationship between serum lipid levels and the risk of oral cancer.
PMID:21731214
2011this review onlynot statednot extracted yet
Chowdhury 2022
LIPID PROFILE ESTIMATION IN ORAL MALIGNANT AND PREMALIGNANT LESIONS
DOI:10.36106/ijsr/3609104
2022this review onlynot statednot extracted yet
Dongre 2015
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ganavi 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ganavi 2014
Evaluation of serum lipids and lipoproteins as prognosticators in leukoplakia.
PMID:25307809
2014this review onlynot statednot extracted yet
Garg 2014
Serum lipid profile in oral precancer and cancer: a diagnostic or prognostic marker?
PMID:24876700
2014this review onlynot statednot extracted yet
Garg 2014
PMID:62332014
NRthis review onlynot statednot extracted yet
Goel 2014
Lipid profile in oral potentially malignant disorders
DOI:10.4103/0972-1363.155633
2014this review onlynot statednot extracted yet
Goel 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Gupta 2011
Alterations in serum lipid profile patterns in oral cancer and oral precancerous lesions and conditions—a clinical study
DOI:10.1016/s0975-962x(11)60002-6
2011this review onlynot statednot extracted yet
Gupta 2011
Molecular dynamic behavior and binding affinity of flavonoid analogues to the cyclin dependent kinase 6/cyclin D complex.
PMID:22172011
2012this review onlynot statednot extracted yet
Kamath 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kamath 2014
Risk factors, lipid profile, and histopathological study of oral cancers in Kolar district: a case-control study.
PMID:24762506
2014this review onlynot statednot extracted yet
Kanthem 2015
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kanthem 2015
Serum lipid profile in oral submucous fibrosis: A clinico pathological study.
PMID:26604487
2015this review onlynot statednot extracted yet
Khyalia 2022
A Comparative Study of Serum Lipid Profile in Patients with Oral Squamous Cell Carcinoma and Healthy Population in a Tertiary Health Care…
DOI:10.31557/apjcb.2022.7.3.239-244
2022this review onlynot statednot extracted yet
Khyalia 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kumar 2012
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kumar 2012
Serum lipid profile in oral cancer and leukoplakia: correlation with tobacco abuse and histological grading.
PMID:23174719
2012this review onlynot statednot extracted yet
Kumar 2013
Alteration in plasma lipid profile in oral submucous fibrosis patients: A case control study.
PMID:24455599
2013this review onlynot statednot extracted yet
Li 2016
Alteration of serum lipid profile and its prognostic value in head and neck squamous cell carcinoma.
PMID:26189546
2016this review onlynot statednot extracted yet
Lohe 2010
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Lohe 2010
Evaluation of correlation of serum lipid profile in patients with oral cancer and precancer and its association with tobacco abuse.
PMID:20002982
2010this review onlynot statednot extracted yet
Mahesh 2014
Alterations of Plasma lipid profile patterns in oral leukoplakia.
PMID:24653608
2014this review onlynot statednot extracted yet
Mahesh 2014
PMID:61782014
NRthis review onlynot statednot extracted yet
Mehta 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Mehta 2014
Serum lipid profile in patients with oral cancer and oral precancerous conditions.
PMID:25097644
2014this review onlynot statednot extracted yet
Mujoo 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Nayak 2010
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Neerupakam 2014
Alterations in plasma lipid profile patterns in oral cancer
DOI:10.4103/0972-1363.145004
2014this review onlynot statednot extracted yet
Neerupakam 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Patel 2004
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Patel 2004
Alterations in plasma lipid profile patterns in head and neck cancer and oral precancerous conditions.
PMID:15105576
2004this review onlynot statednot extracted yet
Poorey 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Poorey 2016
Alteration of Lipid Profile in Patients with Head and Neck Malignancy.
PMID:27340626
2016this review onlynot statednot extracted yet
Pratap 2018
Estimation of serum lipid profile in patients with OSMF
DOI:10.4103/jiaomr.jiaomr_21_17
2018this review onlynot statednot extracted yet
Pratap 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Qian 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Qian 2023
Clinical relevance of serum lipids in the carcinogenesis of oral squamous cell carcinoma.
PMID:37013557
2023this review onlynot statednot extracted yet
Radhakrishna 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Radhakrishna M.D.S 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ramesh 2020
Evaluation of serum lipid profile and complete hemogram in patients with oral submucous fibrosis: A case control study
DOI:10.4103/jioh.jioh_308_19
2020this review onlynot statednot extracted yet
Rashmi 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Reddy 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Reddy 2016
Analysis of lipid profile in cancer patients, smokers, and nonsmokers.
PMID:28182070
2016this review onlynot statednot extracted yet
Sachin 2022
DOI:10.9756/int-jecse/v14i4.68
NRthis review onlynot statednot extracted yet
Sai 2022
Lipid profile in oral potentially malignant disorders and oral squamous cell carcinoma - A prognostic view.
PMID:37082055
2022this review onlynot statednot extracted yet
Sasankoti 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Siddique 2021
Evaluation of Serum Lipid Profile in Patients Suffering from Oral Submucous Fibrosis
DOI:10.53350/pjmhs2115102793
2021this review onlynot statednot extracted yet
Siddique 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Singh 2013
Alterations in serum lipid profile patterns in oral cancer.
PMID:24082735
2013this review onlynot statednot extracted yet
Singh 2021
Diagnostic significance of serum and salivary lipid levels in oral precancer and oral cancer.
PMID:34483575
2021this review onlynot statednot extracted yet
Srinivas 2013
Evaluation and correlation of serum lipid profile in oral and gastrointestinal cancer patients.
PMID:24453448
2013this review onlynot statednot extracted yet
Srinivas 2013
PMID:56722013
NRthis review onlynot statednot extracted yet
Swamy 2017
Alterations of serum lipid profile in oral submucous fibrosis
DOI:10.18203/issn.2454-5929.ijohns20174334
2017this review onlynot statednot extracted yet
Swamy 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Varshney 2023
Study of serum lipid profile in patients of oral squamous cell carcinoma
DOI:10.4103/jdrysruhs.jdrysruhs_4_21
2023this review onlynot statednot extracted yet
Varshney 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Vijay 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Vikram 2022
Biochemical profile alterations of lipids in oral submucous fibrosis
DOI:10.33545/26174693.2022.v6.i2b.149
2022this review onlynot statednot extracted yet
Vyas 2016
Comparative Study of Serum Lipid Profile Parameters for Oral Cancer and Non Oral Cancer Patients
DOI:10.21276/ijchmr.2016.2.2.08
2106this review onlynot statednot extracted yet
Vyas 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Vyas 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Yashveer 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Yashveer 2018
Alteration of Serum Lipid in Oral Sub Mucous Fibrosis in Central India.
PMID:30211101
2018this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with OSCC or OPMD (leukoplakia, erythroplakia, oral submucous fibrosis, lichen planus) and matched healthy controlsOSCC (n=1855) vs controls (n=1749) in 37 studies; OPMD (n=1398) vs controls (n=1129) in 31 studies; OSCC (n=701) vs OPMD (n=745) in 16 studies
InterventionQuantitative assessment of serum lipid parameters (TC, LDL, HDL, VLDL, TGs)Serum TC, HDL, LDL, VLDL, TGs (n=52 studies)
ComparisonHealthy controls without oral cancer, precancerous lesions or other head and neck malignancyHealthy controls; OPMD as comparator for OSCC
OutcomesAlterations in serum lipid profileReduced TC, HDL, LDL, VLDL and TGs in OSCC and OPMD vs controls; OSCC vs OPMD differed for TC and LDL
Study designsCase-control studies with at least 30 participants, peer-reviewed, EnglishCase-control studies (n=52); 47 from India, 2 China, 1 each Pakistan, Syria, Iran
TimingNot specifiedNot specified