Solid and pseudopapillary tumor of the pancreas (SPT) is a rare low grade malignant tumor predominantly occurring in young females. They are characterized by varying amounts of solid areas (upper left), discohesive pseudopapillary structures (lower right), and frequently show hemorrhagic-cystic changes. Approximately 15% of patients with SPT develop metastatic disease, mostly involving the liver or peritoneum. Good prognosis is expected after surgical resection of the tumor. Even in the presence of disseminated disease, there is an overall 5-year survival of 97%.