AFP was even used to stage HCC or used to select liver transplant candidates.17 Moreover, a number of investigations have also confirmed higher preoperative AFP level was associated with higher recurrence rate and poor outcomes for patients with HCC.3,18 Graham et al.19 even suggested liver transplantation should offer to patients with small solitary HCC and high preoperative AFP level rather than liver resection. Here, AFP is linked to hepatocellular carcinoma.