AFP and Ascites: AFP (OR = 10.547, 95% CI 2.083- 53.401; P = 0.004), APHE (OR = 740.876, 95% CI 56.527- 9710.303; P < 0.001), washout (OR = 0.028, 95% CI 0.002-0.348; P = 0.005), satellite lesions (OR = 15.164, 95% CI 2.199-104.579; P = 0.006), ascites (OR = 156.241, 95% CI 1.822-13394.835; P = 0.026), and nodule-in-nodule architecture (OR = 27.401, 95% CI 4.982-150.700; P < 0.001) were independent predictors of malignancy (Table 3).