The results showed that positive HER2 expression (OR = 1.979, P = 0.011), positive vascular cancer thrombus (OR = 3.183, P < 0.001), larger lesion size (OR = 1.036, P = 0.004), MR-reported positive ALN (OR = 1.862, P = 0.010), and TIC types (II: OR = 3.363, P = 0.027; III: OR = 3.811, P = 0.014) were independent risk factors for ALN metastasis (Figure 4). This evidence concerns the gene ERBB2 and vascular cancer.