Liver resection is the major curative treatment modality for hepatocellular carcinoma(HCC). However, postoperative intrahepatic recurrence is common and remains the main obstacle to long-term cure. Although small HCC without vascular invasion showed more than 50 % of 5-year survival rate, some patients with HCC at early stage cannot attain long-term survival after hepatectomy. We report here a case of stage Ⅰ HCC in a 64-year-old man showing early, widespread intrahepatic metastasis at 4 months after resection.