This association ((DKK4 level (HR = 2.18, 95% CI = 1.37–3.46, P = 0.001) and FIGO stage (HR = 2.21, 95% CI = 1.41–3.46, P = 0.001)) was also significant in the multivariate Cox model adjusted for age, cell differentiation, and lymph node metastasis. This evidence concerns the gene DKK4 and metastatic malignant neoplasm in the lymph nodes.