Furthermore, patients with CCA who survived for 2 years with high ACSL4 expression were associated with the extrahepatic type (p = 0.04), the tumor growth type (p = 0.03), and alanine transferase (ALT) levels above the normal range (≥33 U/L; p = 0.05), as shown in Table 1. The gene discussed is ACSL4; the disease is cholangiocarcinoma.