However, only TMN grade (hazard ratio [HR]: 5.853, 95% CI: 3.015–11.364; P < 0.001), AFP (HR: 2.366; 95% CI: 1.489–3.7589; P < 0.001), and NLR score (HR: 1.832, 95% CI: 1.157–2.901; P = 0.01). The gene discussed is AFP; the disease is therapy-related myeloid neoplasm.