Following the ULR and MLR analyses, it was revealed that ER status (OR = 2.692, 95% CI = [1.277–5.985], p = 0.011), HER2 status (OR = 0.383, 95% CI = [0.176–0.796], p = 0.012), tumor size (OR = 1.538, 95% CI = [1.023–2.373], p = 0.043), and Path‐score (OR = 7.374, 95% CI = [3.014–19.68], p < 0.001) remained significantly related to ALNM. Here, ESR1 is linked to neoplasm.