Metastasis to the oral region is an uncommon characteristic of hepatocellular carcinoma. As such, diagnosis of these malignancies can be challenging due to clinical similarities with benign lesions. This report describes a 70-year-old woman with a rare case of oral metastasis of hepatocellular carcinoma that manifested in the anterior maxilla. The diagnosis of hepatitis Band C-related hepatocellular carcinoma was made one year before presentation to the authors' clinic. At the time of admission, the patient was undergoing medication with Sorafenib. An erythematous, haemorrhagic, painless lesion exhibited rapid growth in the maxilla over a two-month period. Based on clinical characteristics, the lesion was considered a pyogenic granuloma before pathological examination. After surgical intervention, the healing process in the eight-month follow-up period was uneventful, with no evidence of recurrence. This report highlights the importance of meticulous clinical and pathological evaluations in patients with suspected oral metastatic lesions that may mimic benign conditions.