ALB and neoplasm: Based on the factor coefficients we developed a prognostic scoring system assigning 1 point to age over 67 years, 1.5 points to tumor size over 2 cm, 1.5 points to high ALP, 1 point to CA 19-9 over 200 U/mL, 2.5 points to low albumin, and −1.5 points and −3 points to moderately and well differentiated tumors respectively.