Solid/cystic pseuodopapillary tumor (SPPT) is a rare Pancreatic tumor of low malignant potential, with a worse prognosis at male patients. At female patients the tumor is less agresive. The ki-67 indexes are < 1% while 40% at the male patient. The tumor is agresive, metastasing with hıgh grade atypical areas, hıgh mitosis rate. There is no hıgh grade atypical areas at female patients even though the tumor exceeds its capsule. Surgical treatment should be restricted to the tumor at female patients and no additional treatments should be needed.