In contrast, in the MORAL score proposed by Halazun in 2017, a preoperative NLR > 5 (HR: 6.2), AFP > 200 ng/mL (HR: 3.8), and tumor size > 3 cm (HR: 3.2) were found to be independently associated with a worse RFS, and it was concluded that the preoperative NLR was the most reliable predictive determinant of recurrence [27]. Here, AFP is linked to neoplasm.