The ART group exhibited a significantly larger tumor size (median, 5 cm vs. 4.5 cm, P<0.001), more frequent STR (30.4% vs. 14.7%, P<0.001), and higher Ki-67 levels (median, 5.0% vs. 4.4%, P=0.027) compared with the surveillance group. Here, MKI67 is linked to neoplasm.