INTRODUCTION Hepatocellular carcinoma (HCC) is the most common form of liver cancer; most cases of HCC (approximately 80%) are associated with chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infections. Variations in the age-, sex-, et al. race-specific rates of HCC rates in different geographic regions are likely to be related to differences in the prevalence of hepatitis viruses in the populations, as well as the timing of the spread of the viral infection et al. the age of individuals at the time of the infection. According to the International Agency for Research on Cancer, liver cancer is the fifth most common cancer in men worldwide (523,000 cases per year,7.9% of all cancers) et al. the seventh in women (226,000 cases per year, 6.5% of all cancers). Liver cancer has high mortality; the geographic distribution of mortality is similar to that of incidence. Most of the burden of liver cancer is in developing countries, where almost 85% of the cases occur (El-Serag, 2012). The burden of HCC has been increasing in Egypt with a doubling in the incidence rate in the past 10 years. This has been attributed to several biological (e.g. HBV et al. HCV infections) et al. environmental factors (e.g. aflatoxin).