Between 1885 and 1991 only 71 cases of malignant pancreatic tumours in
childhood and adolescence have been reported in literature; the major
ity of these were pancreatoblastomas. The symptoms, pathology and ther
apy of this rare tumour are demonstrated in the case of a 17-year-old
girl. The tumour is believed to develop at an early stage of pancreati
c cell differentiation. Usually it is composed of both exocrine and en
docrine cell types. The treatment of choice is radical resection. In c
ontrast to pancreatic neoplasms in adult patients the pancreatoblastom
a has a favourable prognosis. The role of adjuvant chemotherapy or rad
iotherapy is still under discussion due to the small number of patient
s treated as yet.