Among age, sex, AFP, albumin, CP score, receipt of surveillance, platelets, total bilirubin, type 2 diabetes, and initial tumor size, we found that higher AFP (P = 0.048), lower albumin at presentation (P = 0.028), and lower initial tumor size (P = 0.025) were associated with higher TGR. The gene discussed is AFP; the disease is type 2 diabetes mellitus.