A 58-years-old male was referred to our hospital for further evaluation and treatment due to hepatic mass which was found on US. He was a heavy drinker and there was no evidence of abnormal finding in liver function test including HBs Ag and Anti-HCV Ab negative. Liver CT revealed an enhancing hepatic mass on arterial phase. we had confirmed hepatocellular carcinoma by sono-guided liver biopsy, and so performed left lobectomy. After operation, We diagnosed the resected liver specimen not hepatocellular carcinoma but high grade dysplastic nodule by several immunohistochemical staining. There was no evidence of recurrence during 5-month follow-up.