Primary manifestation of hepatocellular carcinoma as a cervical mass.

Metastasis of hepatocellular carcinoma to the head and neck region is unusual and its exact frequency is unknown. A 72-year-old male patient presented with a mass on the left side of the neck. Clinical examination showed multiple, painless, immobile lymphadenopathies in the cervical region. Computed tomography revealed both an irregular mass in the cervical region and hepatomegaly accompanied by a lobulated liver contour. The patient was diagnosed as having hepatocellular carcinoma following an excisional biopsy from the cervical mass and fine needle aspiration biopsy from the liver.