作者报道1例多发性支气管粒状细胞瘤并发广泛肺外病变,成功地用CO_2激光除去一处支气管内病变,经随访未见复发。男性黑人,21岁。因前额及胸锁乳突肌前沿各有一个0.6cm大结节而于1966年7月就诊。活检为粒状细胞瘤。2年后枕部出现2cm大的结节,1977年5月面部及耻骨上有3cm大的病变,均经切除证实为粒状细胞瘤。1976年8月,因左前胸痛5小时,脑片发现左下肺浸润,疑肺栓塞入院。既往无肺部病史。肺部叩、听正常。面部及躯干皮肤上有14个硬的皮下结节,最大者3×3cm,均在5年间出现。舌背 The authors reported a case of multiple bronchogenic granulocytomas complicated with extensive extrapulmonary lesions. A CO2 laser was used successfully to remove a bronchial lesion. No recurrence was found after follow-up. Male black, 21 years old. The patient received medical treatment in July 1966 due to a large nodule of 0.6 cm on the front of the forehead and the sternocleidomastoid muscle. Biopsy is granulosa cell tumor. Two years later, 2cm large nodules appeared in the occipital region. In May 1977, 3cm large lesions appeared on the face and pubic bone. All of them were confirmed to be granulosa cell tumors. In August 1976, due to left chest pain for 5 hours, the brain showed infiltration of the left lower lung and admitted to hospital with suspected pulmonary embolism. No previous history of lung disease. The lungs are paralysed and normal. There were 14 hard subcutaneous nodules on the skin of the face and trunk, the largest being 3 × 3 cm, all appearing in 5 years. Tongue back