A 75-year old male patient presented...a nodular malignant melanoma...NGS sequencing of the tumor revealed the canonical BRAF V600E mutation....He received vemurafenib at a dose of 480 mg bid combined with cobimetinib 60mg...the treatment was ongoing till disease progression in April 2020. Immunohistochemical analysis of the biopsy specimen demonstrated PD-L1 expression in 4% of tumor cells and immunotherapy was chosen as the third-line therapy.... the patient started off-label use of Sintilimab and achieved partial response.