ALB and Encephalopathy: Although the CP score has traditionally been used to assess the severity of hepatic dysfunction in cirrhosis and for staging and management patients of with HCC, it has some limitations, such as it does not consider renal function, the evaluation of ascites and encephalopathy is subjective and may vary according to physician judgement, some indexes such as ascites and serum albumin are interrelated and all five parameters have equal weight [16].