International Journal of Basic & Clinical Pharmacology | July 2020 | Vol 9 | Issue 7 Page 1090
International Journal of Basic & Clinical Pharmacology
Singh S et al. Int J Basic Clin Pharmacol. 2020 Jul;9(7):1090-1094
http://www.ijbcp.com
pISSN 2319-2003 | eISSN 2279-0780
Original Research Article
Evaluation of hematological parameters in oral cancer and
oral pre-cancer
Shruti Singh
1
, Jaya Singh
1
, Fahad Mansoor Samadi
1
*, Shaleen Chandra
1
,
Roop Ganguly
2
, Shaista Suhail
1
INTRODUCTION
Oral cancer reports for approximately 3% of all
malignancies and affects 2,70,000 patients annually
worldwide.
1
It is noteworthy that majority of the oral
cancer derived from oral precancerous lesions such as
leukoplakia, oral submucous fibrosis, amongst others.
1
Oral pre-cancer lesions have quite high malignant
transformation rate.
2
Numerous biomarkers are have
been studied in order to provide early diagnosis and
treatment, thus better survival rate of the patients.
3
Many
attempts have been done on blood biochemistry and
hematology to explore the etiology of cancers and to
establish this as tumor markers. Quantitative alteration in
the serum during tumor initiation and progression takes
place. Thus, authors aim to study the haematological
DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20202947
1
Department of Oral Pathology and Microbiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
2
Department of Oral and Maxillofacial Surgery, King George’s Medical University, Uttar Pradesh, India
Received: 04 April 2020
Revised: 14 May 2020
Accepted: 15 May 2020
*Correspondence:
Dr. Fahad Mansoor Samadi,
Email: oralpathresearch1@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Oral squamous cell carcinoma (OSCC) is the most common public health issue in Indian population.
Quite a large number of OSCC cases are preceded by potentially malignant disorders of oral cavity. The need for
simple diagnostic marker for early diagnosis and thus better therapeutic outcome is imperative. The current study
aims to evaluate hematological parameters such as hemoglobin, bleeding time, clotting time, total leucocyte count
(TLC) and differential leucocyte count (DLC) in OSCC and oral potentially malignant disorder cases along with
normal healthy controls.
Methods: A total of 150 subjects; 50 in each group were taken and 2.5 ml of blood were withdrawn from each subject
and TLC, DLC and hemoglobin assessment was done using autoanalyzer while bleeding time and clotting time was
recorded through Duke’s method and modified Dale’s method respectively.
Results: All the data were tabulated and recorded as mean±standard deviation and comparison was done using one-
way ANOVA test (p<0.05). TLC count, neutrophil count and lymphocyte count showed statistically significant
difference amongst three groups while other parameters such as hemoglobin percentage, bleeding time, clotting time,
eosinophil count, monocyte count and basophil count were statistically non-significant.
Conclusions: This study showed TLC count, neutrophil count and lymphocyte count might prove as useful
determinant factor in oral squamous cell carcinoma and oral potentially malignant disorders. However, further study
with larger sample size is required to establish their role as diagnostic, prognostic marker or predictor of malignant
transformation.
Keywords: Bleeding time, Clotting time, Haemoglobin, Hematological, Differential leucocyte count, Oral potentially
malignant disorders of oral cavity, Oral squamous cell carcinoma, Total leucocyte count