Introduction:

hepatocellular carcinoma without cirrhosis has an incidence of 15%, with different presentation to cirrhotic patients. We present a patient with hepatocellular carcinoma, without cirrhosis.

Clinical case:

feminine 29 years, 9 cm lesion in right hepatic lobe, without cirrhosis (albumin 4.6 g/dl, total bilirubin 0.5 mg/dl, prothrombin time 13.7 seconds, international normalized ratio 0.98), and alfafetoprotein 1.38 ng/ml, treated with resection, discharge and readmission due to hepatic abscess. Twenty-one months disease-free survival follow-up.

Conclusion:

hepatocellular carcinoma without cirrhosis is infrequent. It should be considered in young people with abdominal pain and liver tumor. Resection is the treatment of choice.