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21-1.80]), ulceration (aOR 1.74 [95% CI 1.48-2.05]), and mitoses (aOR 1.86 [95% CI 1.36-2.54]). Factors associated with a decreased risk of occult nodal metastasis included female sex (aOR 0.80 [0.67-0.94]) and desmoplastic histology (aOR 0.37 [95% CI 0.24-0.59]). Between the SEER database and the NCDB, factors associated with occult nodal involvement were similar except for nodular histology and female sex, which did not demonstrate significance in the NCDB. Conclusion Regarding clinically node-negative CHNM, the

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