A thirteen-year-old girl with a payillary cystic and solid tumor of the pancreas is presented. This neoplasm is very uncommon and occurs predominantly in girls and young women. However, the incidence of the tumor in early teenagers is very rare. The tumor has very low malignant potential and surgical resection would be curative in almost all cases. Our case was initially misdiagnosed with pancreatic pseudocyst, so therapeutic percutaneous aspiration was done and the aspiration cytology demonstrated the papillary cyetic and solid tumor. Grossly, the tumor was round with 3 cm in diameter and located in the paricreatic head attaching to the medial wall of the duodenum. Pylorus preserving pancreatoduodenectomy was done. Microscopically, the tumor cells were monotonous with round to oval bland-appearing nuc1ei and scanty to moderate ill-defined cytoplasm. There were numerous capillaries and branching papillary clusters. Postoperative course was uneventful. Long term follow-up would be recommended although the tumor has very low potential of recurrence and metastasis.