The differential diagnosis of small nodular lesion arising in cirrhosis is basically restricted to early hepatocellular carcinoma(HCC) and non-malignant macronodules including large regenerative, low-and high-grade dysplastic nodules. Especially, differentiation of HCC from high-grade dysplasia is a well-recognized problem. Here we describe an unusual case of high-grade dysplasia which mimicks HCC. A 3 cm, hepatic mass was detected in a 47-year-old man with chronic hepatitis during abdominal sonography. Differential diagnosis was difficult with laboratory and radiological studies. It was proved to be a high-grade dysplasia after surgical resection.