AFP and metastasis: Common high-risk factors for recurrence (10) include vascular invasion (such as vascular thrombus or bile duct thrombus), lymph node metastasis, tumor size, tumor number (≥3), tumor stage, histological grade, satellite metastasis, intact peritoneum status, tumor rupture, alpha-fetoprotein (AFP) levels, degree of cirrhosis, HBV/HCV infection status, and Child-Pugh classification.