24 (58.5%) lymph node metastases did not show PD-L1 expression in the tumour cells (category 0 in PD-L1 expression; Table 1), whereas the immune cells showed PD-L1 expression (categories ≥ 1 to < 50 in PD-L1 expression) in 38 (92.7%) of lymph node metastases. The gene discussed is CD274; the disease is metastatic malignant neoplasm in the lymph nodes.