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The multivariate analysis showed that a tumors size ≥5 cm (OR = 3.69, 95% CI 1.17-11.6), serosa and adjacent organs invasion (pT4a and pT4b) (OR = 3.78, 95% CI 1.31-10.86) and ≥16 metastatic lymph nodes (pN3b) (OR = 3.21, 95%CI1.06-9.7) were independent risk factors for the presence of TDs. Larger tumors (tumor size ≥ 5cm), serosa and adjacent organs invasion (pT4 and pT4b), and ≥16 metastatic lymph nodes (pN3b) were independent risk factors for the presence of TDs. Larger tumors (tumor size ≥ 5cm), serosa and adjacent organs invasion