In conclusion, this study elucidated the risk factors for BCR and lymph node metastasis in patients who underwent RARP using detailed morphological and immunohistochemical analyses, and found that the independent risk factors for BCR were GG and tumor diameter, while the independent risk factors for lymph node metastasis were lymphatic and seminal vesicle invasion and the presence of EPE. The gene discussed is BCR; the disease is metastatic malignant neoplasm in the lymph nodes.