Abstract
Metastasis to lymph nodes in a patient with hepatocellular carcinoma is generally observed to occur in regional nodes.We are reporting a rare case of hepatocellular carcinoma without any predisposing factors, initially presenting as leftmid cervical lymphadenopathy and subsequently diagnosed on fine needle aspiration. The surgeon and pathologistshould be aware of this entity, so that the correct diagnosis and subsequent management of the patient is rendered ontime.