A 68-year-old man underwent a partial hepatectomy for hepatocellular carcinoma of S8 in August 2000. One year later an intrahepatic recurrence took place and was treated by 4 courses of intrahepatic arterial infusion therapy and 3 times of TAE. The patient returned to the hospital because of the abrupt onset chest pain in December 2001. A chest X-ray disclosed hemothorax, when a tube thoracostomy was done. Further examination led to a diagnosis of a mediastinal lymph node metastasis with repture. Since hemorrhage persisted after tube thoracostomy, TAE was conducted to the left subphrenic artery. AFP level however elevated thereafter and a rapid enlargement of the tumor became apparent in 2 weeks following TAE. The tumor was removed surgically because of a high risk of rerupturing in February 2002. The tumor was seen adherent to the inferior vena cava without directly invasion. Histological pictures of the tumor were same as the original tumor. On the 14^th postoperative day, chemotherapy with CDDP/MMC (intrapleural), CPT-11 (systemic), and UFT (oral) was started. Thereafter the AFP level gradually decreased and the patient was discharged from the hospital 60 days after the operation. After discharge the chemotherapy was maintained. The patient is well without signs of recurrence as seen in the outpatient clinic 12 months after the operation.