Hepatocellular carcinoma recurring as isolated endobronchial metastasis 8 years after primary surgery

Metastasis to the bronchus from an extrathoracic primary is a rare event. Most endobronchial lesions are primary lung malignancies. Breast, colon, and kidney are the most common primary tumors associated with endobronchial metastases. We report a case of hepatocellular carcinoma that presented with hemoptysis due to endobronchial metastasis 8 years after primary surgery. Indolent course of the primary hepatocellular carcinoma and the solitary site of endobronchial recurrence prompted a surgical resection of the endobronchial metastasis.