Introduction: Sorafenib, an oral multikinase inhibitor, is the only systemic agent proven to be effective in patients with hepatocellular carcinoma (HCC). There are no approved second line systemic therapies in patients who have had disease progression on or are not eligible to sorafenib.
Case Presentation: We describe two cases of unresectable HCC that were treated with low, "metronomic" doses of capecitabine.