Zystische Tumoren sind mit ca. 5% Gesamtanteil an den Neoplasien des Pankreas deutlich seltener als pankreatische duktale Adenokarzinome (PDAC). Während zu den molekularen Grundlagen der Entstehung und Progression von PDAC inzwischen eine Vielzahl von Studien durchgeführt wurde, liegen zu den zystischen Tumoren bislang vergleichsweise wenige Erkenntnisse vor. Mit der zunehmenden Häufigkeit der Diagnose und der Entstehung klarer diagnostischer Kriterien zur Abgrenzung der verschiedenen Tumorentitäten steigt jedoch auch das Interesse an der Erforschung der molekularen Ursachen, die der Entstehung verschiedener zystischer Neoplasien im Pankreas jeweils zugrunde liegen. Dieser Artikel fasst den Stand der Erkenntnisse zusammen und gibt einen Überblick über Gemeinsamkeiten und Unterschiede in der Pathogenese unterschiedlicher zystischer Raumforderungen im Pankreas.

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