Primary hepatocellular carcinoma is a very rare disease, especially in
association with a pregnancy. We report on a 22-year-old primigravida
, who underwent Caesarian section in the 29th week of pregnancy in con
junction with tumour-reductive surgery for hepatocellular carcinoma. T
he further course of the disease was characterised by an early recurre
nce and lung metastases. Under palliative chemotherapy with 5-fluorour
acil, the patient has been in a state of stable disease for several mo
nths. Typical risk factors for the hepatocellular carcinoma do not exi
st in the patient. Alternative explanations for the aetiology of the d
isease are discussed.