ALB and hepatocellular carcinoma: However, some international literature reports significant associations with decreased serum albumin and platelet counts, increased levels of gamma-glutamyl transpeptidase, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, prothrombin time, indirect bilirubin, and alpha-fetoprotein in HCC cases [10, 25, 29, 50, 62–65].