The outcome revealed that expression of FoxM1 was associated with lymph node metastasis (OR = 0.33, 95%CI = 0.19–0.62, P < .001), distant metastasis (OR = 0.35, 95%CI = 0.24–0.46, P < .001) and tumor node metastasis (TNM) stage (OR = 0.45, 95%CI = 0.29–0.72, P < .001). The gene discussed is FOXM1; the disease is metastatic malignant neoplasm in the lymph nodes.