Authors :
Mausumi Iqbal; Mezbah Ul Azeez; A. K. M. Shafiul Kadir; Ariful Haque; Mohammad Ullah Shemanto; Asheque Rahman
Volume/Issue :
Volume 11 - 2026, Issue 5 - May
Google Scholar :
https://tinyurl.com/bdhffssk
Scribd :
https://tinyurl.com/5n6rvbzr
DOI :
https://doi.org/10.38124/ijisrt/26May963
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Squamous cell carcinoma antigen (SCCA) plays a pivotal role as a biomarker in various squamous cell carcinomas.
This investigation delves into the potential of serum SCCA levels as a predictive tumor indicator in patients with oral
squamous cell carcinoma (OSCC) undergoing definitive surgery. The research was carried out at a tertiary oral care center
in Dhaka, Bangladesh, involving a cohort of 30 OSCC patients. The primary objectives were to evaluate the correlation
between elevated serum SCCA levels and advanced-stage and poorly differentiated OSCC, as well as to assess SCCA's utility
as a biomarker for early recurrence detection.
The study, which transpired between July 2012 and June 2013, employed a cross-sectional analytical in vitro design.
Preoperative and postoperative (within one week and three months) serum samples were collected from each patient to
assess SCCA levels. The results demonstrated a compelling association between higher preoperative serum SCCA levels and
advanced-stage, poorly differentiated OSCC. Among the 30 patients, three experienced disease recurrence, all of whom
initially presented elevated SCCA levels, which subsequently normalized post-treatment, only to rise again within three
months.
In summary, the potential of serum SCCA levels as a valuable biomarker for identifying OSCC and assessing patient
prognosis post curative surgery is evident. Utilizing SCCA levels alongside other diagnostic methods can augment early
recurrence detection, ultimately contributing to improved patient outcomes.
Keywords :
Squamous Cell Carcinoma Antigen, Oral Squamous Cell Carcinoma, Prognostic Tumor Marker, Recurrence Detection, Curative Surgery.
References :
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- Soerjomataram, Isabelle, and Freddie Bray. “Planning for Tomorrow: Global Cancer Incidence and the Role of Prevention 2020–2070.” Nature Reviews Clinical Oncology, vol. 18, no. 10, Oct. 2021, pp. 663–72. DOI.org (Crossref), https://doi.org/10.1038/s41571-021-00514-z.
- Cancer Bangladesh 2020 Country Profile. https://www.who.int/publications/m/item/cancer-bgd-2020. Accessed 15 Nov. 2023.
- Van Dijk, Boukje A. C., et al. “Trends in Oral Cavity Cancer Incidence, Mortality, Survival and Treatment in the Netherlands: OCC Incidence, Mortality, Survival and Treatment.” International Journal of Cancer, vol. 139, no. 3, Aug. 2016, pp. 574–83. DOI.org (Crossref), https://doi.org/10.1002/ijc.30107.
- Pekarek, Leonel, et al. “Emerging Histological and Serological Biomarkers in Oral Squamous Cell Carcinoma: Applications in Diagnosis, Prognosis Evaluation and Personalized Therapeutics (Review).” Oncology Reports, vol. 50, no. 6, Oct. 2023, p. 213. DOI.org (Crossref), https://doi.org/10.3892/or.2023.8650.
- Das, N. K., Kadir, A. K. M. S., Shemanto, M. U., Akhter, E., Sharfaraz, A., Tripura, S., Kundu, J., & Ura, A. A. (2023). Genetic revelation of the potentially malignant disorders in the oral and maxillofacial region. IntechOpen. https://doi.org/10.5772/intechopen.112697
- Ghaderi, H., Kruger, E., Jafarinia, M., & Roshan Zamir, M. (2023). Oral squamous cell carcinoma: Focus on biomarkers for screening. Journal of Dentistry. https://doi.org/10.30476/dentjods.2023.96159.1924
- Zhu, H. (2022). Squamous cell carcinoma antigen: Clinical application and research status. Diagnostics, 12(5), 1065. https://doi.org/10.3390/diagnostics12051065
- Derakhshan, S., Poosti, A., Razavi, A. E., Moosavi, M. A., Mahdavi, N., Naieni, F. B., Hesari, K. K., &Rahpeima, A. (2021). Evaluation of squamous cell carcinoma antigen 1 expression in oral squamous cell carcinoma (Tumor cells and peritumoral t-lymphocytes) and verrucous carcinoma and comparison with normal oral mucosa. Journal of Applied Oral Science, 29, e20210374. https://doi.org/10.1590/1678-7757-2021-0374
- Yasumatsu, R., Nakano, T., Hashimoto, K., Kogo, R., Wakasaki, T., & Nakagawa, T. (2019). The clinical value of serum squamous cell carcinoma antigens 1 and 2 in head and neck squamous cell carcinoma. Auris Nasus Larynx, 46(1), 135–140. https://doi.org/10.1016/j.anl.2018.07.010
- Huang, G., Wu, Q., Zheng, Z., Shao, T., &Lv, X.-Z. (2019). Identification of candidate biomarkers and analysis of prognostic values in oral squamous cell carcinoma. Frontiers in Oncology, 9, 1054. https://doi.org/10.3389/fonc.2019.01054
- Lee, L., Lin, C., Cheng, N., Tsai, C., Hsueh, C., Fan, K., Wang, H., Hsieh, C., Ng, S., Yeh, C., Lin, C., Tsao, C., Fang, T., Huang, S., Lee, L., Kang, C., Fang, K., Wang, Y., Lin, W., … Liao, C. (2021). Poor tumor differentiation is an independent adverse prognostic variable in patients with locally advanced oral cavity cancer––Comparison with pathological risk factors according to the NCCN guidelines. Cancer Medicine, 10(19), 6627–6641. https://doi.org/10.1002/cam4.4195
- Derakhshan, S., Poosti, A., Razavi, A. E., Moosavi, M. A., Mahdavi, N., Naieni, F. B., Hesari, K. K., &Rahpeima, A. (2021). Evaluation of squamous cell carcinoma antigen 1 expression in oral squamous cell carcinoma (Tumor cells and peritumoral t-lymphocytes) and verrucous carcinoma and comparison with normal oral mucosa. Journal of Applied Oral Science, 29, e20210374. https://doi.org/10.1590/1678-7757-2021-0374
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16. Zhu, H. (2022). Squamous cell carcinoma antigen: Clinical application and research status. Diagnostics, 12(5), 1065. https://doi.org/10.3390/diagnostics12051065
Squamous cell carcinoma antigen (SCCA) plays a pivotal role as a biomarker in various squamous cell carcinomas.
This investigation delves into the potential of serum SCCA levels as a predictive tumor indicator in patients with oral
squamous cell carcinoma (OSCC) undergoing definitive surgery. The research was carried out at a tertiary oral care center
in Dhaka, Bangladesh, involving a cohort of 30 OSCC patients. The primary objectives were to evaluate the correlation
between elevated serum SCCA levels and advanced-stage and poorly differentiated OSCC, as well as to assess SCCA's utility
as a biomarker for early recurrence detection.
The study, which transpired between July 2012 and June 2013, employed a cross-sectional analytical in vitro design.
Preoperative and postoperative (within one week and three months) serum samples were collected from each patient to
assess SCCA levels. The results demonstrated a compelling association between higher preoperative serum SCCA levels and
advanced-stage, poorly differentiated OSCC. Among the 30 patients, three experienced disease recurrence, all of whom
initially presented elevated SCCA levels, which subsequently normalized post-treatment, only to rise again within three
months.
In summary, the potential of serum SCCA levels as a valuable biomarker for identifying OSCC and assessing patient
prognosis post curative surgery is evident. Utilizing SCCA levels alongside other diagnostic methods can augment early
recurrence detection, ultimately contributing to improved patient outcomes.
Keywords :
Squamous Cell Carcinoma Antigen, Oral Squamous Cell Carcinoma, Prognostic Tumor Marker, Recurrence Detection, Curative Surgery.