GPT and neoplasm: Of the 243 patients, 10 (4.1%) and one (0.4%) experienced grade 1 and 2 elevated alanine aminotransferase without disease progression, respectively, and 213 (87.7%) had no change in their Child–Pugh scores, 19 (7.8%) had a 1-point decrease, 10 (4.1%) had a 1-point increase, and one (0.4%) had a 2-point increase due to biliary obstruction by tumor progression.