Guntinas-Lichius Orlando, Ihrler Stephan, Freesmeyer Martin, Gühne Falk, Kluge Regine, Bräuer Lars, Iro Heinrich, Paulsen Friedrich, Dietz Andreas, Bechmann Ingo
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Jena.
Labor für Dermatohistologie und Oralpathologie, München.
Laryngorhinootologie. 2021 Jan;100(1):12-14. doi: 10.1055/a-1307-3872. Epub 2020 Nov 16.
In October 2020, the lay press, but also some medical journals and websites reported the putative discovery of a new salivary gland in the nasopharynx based on prostate-specific membrane antigen positron emission tomography computed tomography (PSMA-PET/CT) examinations. As an interdisciplinary group from the fields of anatomy, pathology, nuclear medicine and otorhinolaryngology, we come to the view that an accumulation of minor salivary glands has been described here. Minor salivary glands in the nasopharynx and in the peritubar region have been described at least since 1866. The current description in PSMA-PET/CT does not justify the definition of a new, independent salivary gland. The PSMA-PET/CT could, however, be suitable to better protect salivary glands in the nasopharynx when planning radiation therapy. This should be evaluated in clinical trials.
2020年10月,大众媒体以及一些医学期刊和网站报道了基于前列腺特异性膜抗原正电子发射断层扫描计算机断层扫描(PSMA-PET/CT)检查推测发现鼻咽部有一个新的唾液腺。作为来自解剖学、病理学、核医学和耳鼻喉科领域的跨学科团队,我们认为这里描述的是小唾液腺的聚集。至少自1866年以来,就已描述过鼻咽部和咽周区域的小唾液腺。PSMA-PET/CT中的当前描述并不足以定义一个新的独立唾液腺。然而,PSMA-PET/CT在放疗计划中可能适合更好地保护鼻咽部的唾液腺。这一点应在临床试验中进行评估。