Univariate analysis showed that alanine aminotransferase (ALT), ALB, PLR, CEA and CA19-9, tumor number, VI and lymph node metastasis were significantly associated with the OS, while just the ALB, PLR, CA19-9, tumor number, VI and lymph node metastasis could independently predict the OS in multivariate analysis (Table 2). This evidence concerns the gene GPT and metastatic malignant neoplasm in the lymph nodes.