Abstract
A case is reported with pulmonary metastases from malignant melanoma of the vulva, in which response to tamoxifen was observed after 6 months of continuous therapy, and complete response was still maintained after 29 months of therapy. An 81-year-old woman presented in June 1982 with a weeks' history of pigmented lumps on her vulva. She had other symptoms. On examination, extensive pigmentation the vulva, with several deeply pigmented dark nodules, was found. Biopsy of one of the nodules showed ulcerated malignant melanoma with many heavily pigmented tumour cells (Fig. 1).

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