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Patients with MLNR 0.25 had a 2.39-fold higher risk of disease development, and 3.76-fold higher chance of shorter survival. The research added to the literature that MLNR is sensible and helpful as an independent prognostic factor forecasting survival better yet than tumor/node/metastasis (TNM) staging system. Key Words Gastric disease, Metastatic lymph node ratio, Prognostic factor, Surgical treatment.The study added to the literary works that MLNR is practical and helpful as an indepen
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