FOXM1 and metastatic malignant neoplasm in the lymph nodes: However, FoxM1 expression had a remarkably close link with lymph node metastasis (OR = 0.33, 95%CI = 0.19–0.62, P < .001, fixed effect), distant metastasis (OR = 0.35, 95%CI = 0.24–0.46, P < .001, fixed effect) and TNM stage (OR = 0.45, 95%CI = 0.29–0.72, P < .001, random effect) (Fig. 3D–F).