The results indicated that lymph node metastasis and distant metastasis were independent predictors of ADSL expression (lymph node metastasis: OR = 0.70; 95% CI: 0.49–0.99; P = 0.046; distant metastasis: OR = 0.48; 95% CI: 0.28–0.81; P = 0.007) (Table 3). This evidence concerns the gene ADSL and metastatic malignant neoplasm in the lymph nodes.