Allelic imbalance of the insulin-like growth factor II (IGF II) gene expression is often seen in hepatocellular carcinoma (HCC).Insulin-like growth factor II (IGF II) is a single-chain polypeptide that exerts its growth-stimulative effect through the IGF I receptor. The IGF II is speculated to serve as an autocrine growth factor in various cancers, because they often coexpress the IGF II and the IGF I receptor. [1][2][3][4] The IGF II gene expression is monoallelic in all the normal tissues other than the liver because of the imprinting of the maternal allele. However, interestingly, most of the cancers arising in these tissues, such as lung cancers, breast cancers, esophageal cancers, Wilms' tumor, and cervical cancers, are reported to show biallelic expression (relaxation) of the IGF II gene. [5][6][7][8][9][10]