Cutaneous metastases may be the first sign of an internal neoplasm; hepatocellular carcinoma is a very rare source of skin involvement and presents with a protean morphology: papules, nodules, and masses that may be by natural sources or by artificial mechanisms. We present a 41-year-old man with hepatocellular carcinoma and hepatic cirrhosis who developed metastatic disease, which in the skin showed as a pyogenic granuloma. We analyze 38 cases from the literature and present a practical review of the subject.