H epatocellular carcinoma (HCC), the fifth most common cancer worldwide with 564,000 new cases each year, is also the third most common cause of cancer-related death. 1 HCC arises most frequently in males with cirrhosis, which is most often a consequence of chronic hepatitis infection or alcohol abuse. 2 Recent reports from different countries suggest that the incidence of HCC is increasing, probably as a consequence of the increased prevalence of hepatitis C virus (HCV) infection, although increased alcohol consumption may be significant. 3 The only effective approaches for patients with HCC are resection or liver transplantation. Following transplantation, there is an 83% 4-year recurrence-free survival in highly selected patients (single tumor Ͻ5 cm in diameter or fewer than three tumors Ͻ3 cm in diameter). 4 However, the majority of patients do not meet such strict criteria or have other contraindications. Local therapies such as percutaneous ethanol injection, thermal ablation, and intra-arterial chemoembolization are less successful, 5 and less than 10% of patients with moderate disease (Okuda stage 2) survive for 3 years. 6 Immunological mechanisms are important in the surveillance of malignancy and control of tumor progression. Cytotoxic CD8 ϩ lymphocytes (CTLs) and natural killer cells are potential effector cells in the control of tumor growth, although both require CD4 ϩ T helper 1 immune responses for optimal function. 7 Tumor-infiltrating lym-