A 71-year-old male affected by chronic alcoholism presented with malaise and abdominal pain at the urgency hospital with an HCC suspected on Computed Tomography (CT) scan. A liver biopsy was performed and confirmed the HCC diagnosis. At that time the patient also presented a small mass in the left parotid region. The ultrasonographic evaluation showed a solid heterogeneous nodular lesion with 30x17x25mm embedded in the left masseter muscle, posteriorly to the parotid gland. There was