The role of estrogen receptor (ER) in hepatocellular carcinoma (HCC) and the surrounding liver is not fully clarified. This study included 79 patients who had undergone curative hepatic resection between 1983 and 1991. ER concentrations were measured by a binding assay method for 79 HCCs and 49 surrounding liver tissues. The ER status in tumor and liver was retrospectively analyzed in terms of clinicopathological factors and intrahepatic recurrence (IHR) of the tumor. ERs were found in 24 (30%) of 79 HCC samples and in 26 (53%) of 49 liver samples, averaging 1.77±4.07 (range 0–25.6) and 2.51±3.57 (range 0–18.6) fmol/mgp, respectively. There were three types of changes in the tumor ER contents as compared to the surrounding liver. The tumor ER contents were unchanged in 39% (19/49) where ER was undetectable in both tumor and the surrounding liver. A decrease in the tumor ER contents was found in 45% (22/49), while the remaining 16% (8/49) had an increase in the tumor ER concentrations. There were no significant differences in the clinicopathological data between ER-positive and ERnegative HCCs. Although the patients in the last group had the poorest IHR-free survival rate, the multivariate analysis with Cox proportional hazard model could not identify ERs in HCC and the surrounding liver to be independent prognostic factors for IHR-free survival. The tumor ER contents can decrease, increase or remain unchanged. However, the majority of HCCs lack ERs. Estrogens may not be involved in tumor development in cases in which the liver has already lost ER. ERs in HCC or liver may not be a useful prognostic indicator after curative hepatic resection.