INTRODUCTION
Hepatic angiomyolipomas are rare mesenchymal neoplasms composed of an admixture of smooth muscle cells, adipose tissue, and blood vessels [1]. Epithelioid angiomyolipoma is a rare variant of angiomyolipoma where the epithelioid smooth muscle cells predominate [2]. Due to their varying composition, particularly their frequent paucity of fat, diagnosis can be challenging both radiologically and histologically resulting in misdiagnosis prior to excision [3]. Herein, the authors report a new case of hepatic epithelioid angiomyolipoma with a minor adipocytic component mimicking a hepatocellular carcinoma. They describe its histopathological characteristics illustrating the wide variety of its appearances, and highlight the challenges and potential errors that can be made.