Hepatocellular carcinoma (HCC) is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide. The radiologic findings of liver abscess, HCC, and metastatic tumor to the liver may be quite similar, and a specific diagnosis cannot be made using procedures such as serum tumor marker assay, computerized tomography, and ultrasonography of the liver. We report on a case of HCC successfully diagnosed and treated by surgery which was misconceived as a liver abscess.