Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus

Background/purpose: Oral lichen planus (OLP) is generally considered as an oral potentially malignant disorder (OPMD). Previous studies have shown significantly higher serum carcinoembryonic antigen (CEA), squamous cell carcinoma-antigen (SCC-Ag), and ferritin levels in patients with OPMDs such as o...

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Main Authors: Yu-Hsueh Wu, Chun-Pin Chiang
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S199179022300065X
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author Yu-Hsueh Wu
Chun-Pin Chiang
author_facet Yu-Hsueh Wu
Chun-Pin Chiang
author_sort Yu-Hsueh Wu
collection DOAJ
description Background/purpose: Oral lichen planus (OLP) is generally considered as an oral potentially malignant disorder (OPMD). Previous studies have shown significantly higher serum carcinoembryonic antigen (CEA), squamous cell carcinoma-antigen (SCC-Ag), and ferritin levels in patients with OPMDs such as oral submucous fibrosis, oral leukoplakia, oral erythroleukoplakia, or oral verrucous hyperplasia. This study aimed to evaluate whether there were significantly higher serum levels and positive rates of CEA, SCC-Ag, and ferritin in OLP patients than in healthy control subjects. Materials and methods: The serum CEA, SCC-Ag, and ferritin levels in 106 OLP patients and 187 healthy control subjects were measured and compared. Patients with serum CEA level ≥3 ng/mL, SCC-Ag level ≥2 ng/mL, and ferritin level ≥250 ng/mL were scored as serum positive for CEA, SCC-Ag, and ferritin, respectively. Results: This study found significantly higher mean serum CEA and ferritin levels in 106 OLP patients than in 187 healthy control subjects. Moreover, 106 OLP patients had significantly higher serum positive rates of CEA (12.3%) and ferritin (33.0%) than 187 healthy control subjects. Although the mean serum SCC-Ag level was higher in 106 OLP patients than in 187 healthy control subjects, the difference was not statistically significant. Of the 106 OLP patients, 39 (36.8%), 5 (4.7%), and 0 (0.0%) had serum positivities of one, two, or three tumor biomarkers including CEA, SCC-Ag, and ferritin, respectively. Conclusion: Our findings indicate significantly higher serum levels and positive rates of CEA and ferritin in OLP patients than in healthy control subjects.
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spelling doaj.art-4a5ef7a9126f4b779585831c25c1263e2023-06-09T04:27:35ZengElsevierJournal of Dental Sciences1991-79022023-07-0118312881294Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planusYu-Hsueh Wu0Chun-Pin Chiang1Department of Stomatology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Institute of Oral Medicine, School of Dentistry, National Cheng Kung University, Tainan, TaiwanDepartment of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan; Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan; Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan; Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan; Corresponding author. Department of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 707, Section 3, Chung-Yang Road, Hualien 970, Taiwan.Background/purpose: Oral lichen planus (OLP) is generally considered as an oral potentially malignant disorder (OPMD). Previous studies have shown significantly higher serum carcinoembryonic antigen (CEA), squamous cell carcinoma-antigen (SCC-Ag), and ferritin levels in patients with OPMDs such as oral submucous fibrosis, oral leukoplakia, oral erythroleukoplakia, or oral verrucous hyperplasia. This study aimed to evaluate whether there were significantly higher serum levels and positive rates of CEA, SCC-Ag, and ferritin in OLP patients than in healthy control subjects. Materials and methods: The serum CEA, SCC-Ag, and ferritin levels in 106 OLP patients and 187 healthy control subjects were measured and compared. Patients with serum CEA level ≥3 ng/mL, SCC-Ag level ≥2 ng/mL, and ferritin level ≥250 ng/mL were scored as serum positive for CEA, SCC-Ag, and ferritin, respectively. Results: This study found significantly higher mean serum CEA and ferritin levels in 106 OLP patients than in 187 healthy control subjects. Moreover, 106 OLP patients had significantly higher serum positive rates of CEA (12.3%) and ferritin (33.0%) than 187 healthy control subjects. Although the mean serum SCC-Ag level was higher in 106 OLP patients than in 187 healthy control subjects, the difference was not statistically significant. Of the 106 OLP patients, 39 (36.8%), 5 (4.7%), and 0 (0.0%) had serum positivities of one, two, or three tumor biomarkers including CEA, SCC-Ag, and ferritin, respectively. Conclusion: Our findings indicate significantly higher serum levels and positive rates of CEA and ferritin in OLP patients than in healthy control subjects.http://www.sciencedirect.com/science/article/pii/S199179022300065XOral lichen planusCarcinoembryonic antigenSquamous cell carcinoma antigenFerritinBiomarker
spellingShingle Yu-Hsueh Wu
Chun-Pin Chiang
Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
Journal of Dental Sciences
Oral lichen planus
Carcinoembryonic antigen
Squamous cell carcinoma antigen
Ferritin
Biomarker
title Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
title_full Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
title_fullStr Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
title_full_unstemmed Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
title_short Significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
title_sort significantly higher serum levels and positive rates of tumor biomarkers in patients with oral lichen planus
topic Oral lichen planus
Carcinoembryonic antigen
Squamous cell carcinoma antigen
Ferritin
Biomarker
url http://www.sciencedirect.com/science/article/pii/S199179022300065X
work_keys_str_mv AT yuhsuehwu significantlyhigherserumlevelsandpositiveratesoftumorbiomarkersinpatientswithorallichenplanus
AT chunpinchiang significantlyhigherserumlevelsandpositiveratesoftumorbiomarkersinpatientswithorallichenplanus