Osiecki et al. reported that pCC/IDCP in RP specimens was associated with EPE (pooled OR = 2.55), SVI (pooled OR = 4.27), lymph node metastasis (pooled OR = 6.47), BCR (pooled OR = 5.09) and distant metastasis or CSM (pooled OR = 9.84).6 Here, BCR is linked to metastatic malignant neoplasm in the lymph nodes.