Solid-pseudopapillary tumor (SPT) of the pancreas is an exceptionally neoplasm in children. In this report, we investigate the clinical characteristics and results of surgical therapy of two children with SPT. Methods: Between 2014 and January 2019, two children with a definitive pathological diagnosis of SPT were retrospectively reviewed. Results: Case 1: A 12 year old female presents with a left upper quadrant pain and occasional vomits. Laboratory tests showed CA 19-9, alpha fetoprotein and carcinoembryonic antigen, on normal range. Computed tomography revealed a larg, inhomogenous, and encapsulated mass originating from the head of the pancreas with displacement and partial obstruction of the duodenum. The patient underwent pancreatoduodenectomy. The final histology report confirmed the diagnosis of SPT. The postoperative course was uneventful and the patient is without evidence of disease for a 4-year follow-up period, but she needed insulin therapy. Case 2: A 13 year old male was admitted for blunt abdominal trauma. Radiologic investigations showed a circumscribed and encapsulated tumor with solid and necrotic components in the pancreatic tail. The mass was 11 cm in diameter. Tumor markers were normal. After CT-guided biopsy, SPT was diagnosed. A spleen-sparing distal pancreatectomy was performed. Anatomopathology confirm the diagnosis. The patient was discharged at 10 days post-surgery. He had no recurrence for a follow-up period of 2 years, but he needed insulin therapy continuously. Conclusion: SPT is a rare differential diagnosis of a pancreatic mass in children. After surgery, the development of pancreatic diabetes should be checked during the follow-up period.