The Clinical Value of Lipid Abnormalities in Cervical Cancer

Background: To describe the characteristic of plasma lipid prolife among cervical cancer and further evaluate the prognostic significance of lipid levels in cervical cancer. Methods: : We retrospectively reviewed 1,713 patients with cervical cancer in our hospital. Preoperative plasma lipid profile, including cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL), and low-density lipoprotein cholesterol (LDL), of 1,713 cervical cancer patients were compared with 10,397 healthy women. Then, we evaluated the impact of lipids on overall survival (OS) and recurrence-free survival (RFS) in cervical cancer using univariate and multivariate Cox model. Results: : While plasma TC, TG and LDL were significantly higher, HDL was lower in patients with cervical cancer as compared with healthy women. TG was identified as independent predictors for RFS, and OS among patients with cervical cancer. Further stratified by age, patients with higher TG showed a significantly worse RFS and OS compared with those with lower TG among patients ≥50 years old, but not among <50 years old. Conclusion: Cervical cancer was associated with a disordered lipid profile. Hypertriglyceridemia was an independent poor prognostic indicator for cervical cancer, especially for elder patients. Strengthening lipid management may be beneficial for improving postoperative OS and RFS in patients with cervical cancer.