In our study, if the pattern of tumor enhancement was replaced by the grade of DMVD in the Cox model, the grade of DMVD and lymph node metastasis were significant relative risk factors for death, and age, grade of DMVD, lymph node metastasis and Ki67 were significant relative risk factors for tumor progression. Here, MKI67 is linked to metastatic malignant neoplasm in the lymph nodes.