Abstract: Objective : To raise knowledge for fibrolamellar hepatocellular carcinoma(FHC),and avoid misunderstanding for common type hepatocellular carcinoma,and dignosis in early stage,treat and improve prognosis. Methods : To combine case report with a review of the litorature about dignosis, judge dignosis,treatment and prognosis of FHC. Results : Combining FHC with common HC, its degree of malignant is cow, its development is slow, and it has a few transfer, it has more probability to resected by operation. The rate of operation is 58 percent The prognosis of FHC would better than CHC clearly. But the rate of relapse after operation is high. The most position of transfer is lymphoid node in abdominal cavity? abdominal member and lungs. Conclusion : FHC would put to the best use to perform a surgical operation,and patients be emphasized would to regular check-ups after operation.