Nm23/NDPK-A staining patterns did not differ by age, gender, tumor location, histological differentiation, pathological stage, lymph node metastasis, National Comprehensive Cancer Network (NCCN) resectability status, pre- and postoperative CA19-9 levels, or adjuvant chemotherapy. The gene discussed is NME1; the disease is metastatic malignant neoplasm in the lymph nodes.