HRD scores for primary pancreatic and lymph node metastasis in the MEN1/DAXXmut group were statistically elevated compared to those in the MEN1/DAXXwild group (MEN1/DAXXmut vs. MEN1/DAXXwild, Primary: 41.32 vs. 21.14, p = 0.006; Lymph node: 43.67 vs. 26.7, p = 0.049, Fig. 3A). Here, MEN1 is linked to metastatic malignant neoplasm in the lymph nodes.