CEACAM5 and metastatic malignant neoplasm in the lymph nodes: The high urinary DiAcSpm group often showed significantly elevated serum CEA (p = 0.023), lymph node metastasis (p = 0.048), lymphatic permeation (p = 0.046), and vascular invasion (p = 0.010) compared with the low urinary DiAcSpm group.