AFP and neoplasm: The multivariate Cox analysis revealed serum AFP ≥20 ng/mL (HR: 1.727, p < 0.001), tumor size >3 cm (HR: 1.850, p < 0.001), presence of vascular invasion (HR: 1.809, p < 0.001), distant metastasis (HR: 1.494, p < 0.001), presence of ascites (HR: 1.288, p = 0.043), performance status 1–2 (HR: 1.413, p < 0.001), performance status 3–4 (HR: 1.985, p < 0.001), ALBI grade 2 (HR: 1.695, p < 0.001), and ALBI grade 3 (HR: 2.878, p < 0.001) as independent prognostic predictors of poor survival (Table 3).