Kaplan–Meier incident curve including metastasis, recurrence, and death (all but disease free). Patients were divided into two groups based on the level of transcripts of activated leukocyte cell adhesion molecule (ALCAM). Pink line, patients with high levels of ALCAM; green line, patients with low levels of ALCAM. Pink line, mean time to incident was 100.5 months. Green line, mean time to incident was 79.6 months. Cox proportion analysis between the two groups, P = 0.009.