THBS4 and metastatic malignant neoplasm in the lymph nodes: The multivariate analysis revealed that THBS4 expression, age ≥65 years, macroscopic type 4 (p<0.001), lymph node metastasis (p<0.001), cytology-positive status (p<0.001), peritoneal metastasis (p<0.001), and hepatic metastasis (p<0.001) were independent prognostic factors.