Urological involvement of hepatocellular carcinoma (hepatoma) is rare. Auto
psy studies of patients with hepatoma revealed renal metastases in less tha
n 5%(1) but to date only 1 with bladder spread has been reported to our kno
wledge. We report another case of hepatocellular carcinoma metastatic to th
e bladder, and discuss the presentation, management and followup of this un
usual neoplasm.