Clinical, biological, histological features of the 2 groups (HCC-Cirrhosis and HCC-NAFLD) are reported in the Table 1 Serum AFP level <20 ng/mL was found in 85% of patients with HCC-NAFLD versus 45% in patients with HCC-cirrhosis (p = 0.047). Here, AFP is linked to metabolic dysfunction-associated steatotic liver disease.