In contrast, other studies revealed contradictory results, showing worse survival in patients with high intra-tumoral CD8 T lymphocyte density, and suggested that the effects of CD8 T lymphocytes on cancer cells are dependent on the histopathological features of cancer cells and other immune factors in the tumor microenvironment, such as programmed death-ligand 1 (PD-L1) expression [35,38,39]. This evidence concerns the gene CD8A and neoplasm.