颅骨转移性肝癌是指原发性肝癌转移至颅骨。肝癌发生颅骨转移者罕见,我院1981～1983年收治2例,手术前分别误诊为头皮血管瘤、脑膜瘤,均经手术,病理确诊。现报告如下:例1.60岁。入院前半年左额颞部逐渐长一无痛性肿物,无头痛、恶心、呕吐及其他不适感。检查:一般情况尚好,身体消瘦,左额颞部有约8×8cm隆起肿物,质韧,无结节,轻度触痛,无血管杂音。神经系统检查无异常。肝大肋下4cm,质韧,未及结节,轻度触痛,在门诊行头部肿物诊断性穿刺,抽吸出少量血性液体,拟诊“头皮血管瘤”入院。次晨突然昏迷,左侧瞳孔5mm,光反射迟钝,右侧瞳孔2mm,光反射存在,右中枢性面瘫,右上下肢瘫痪,锥体束征(+)。初诊脑膜瘤 Skull metastatic liver cancer refers to the primary liver cancer metastasis to the skull. HCC skull metastasis is rare, our hospital from 1981 to 1983, 2 cases were treated before surgery were misdiagnosed as scalp hemangiomas, meningioma, were surgery, pathological diagnosis. The report is as follows: Example 1.60 years old. Six months before admission, the left frontotemporal gradually grew a painless mass without headache, nausea, vomiting and other discomforts. Check: The general situation is good, the body weight loss, left frontotemporal swelling about 8 × 8cm mass, quality tough, no nodules, mild tenderness, no vascular murmur. No abnormal neurological examination. Large ribs under the liver 4cm, quality and toughness, no nodules, mild tenderness, head office diagnostics in the clinic puncture, aspiration a small amount of bloody fluid, the proposed diagnosis of “scalp hemangiomas” admitted. The next morning a sudden coma, left pupil 5mm, slow light reflex, the right pupil 2mm, the presence of light reflexes, right central paralysis, paralysis of the right lower limbs, pyramidal tract signs (+). New meningioma