Overexpression of lncRNA BCAR4 was related to lymph node metastasis (OR 3.68, 95% CI: 2.25–6.00; P < .001), high tumor stage (OR 3.19, 95% CI: 1.98–5.13; P < .001), and distant metastasis (OR 3.83, 95% CI: 2.15–6.82; P < .001), but not to tumor size. This evidence concerns the gene BCAR4 and metastatic malignant neoplasm in the lymph nodes.