Abstract: Objective Three different doses of diethylnitrosamine (DEN)were used to establish a rat primary liver cancer ( PLC) model to establish an efficient, stable, and economical animal model of PLC. Methods Forty-five male SD rats were randomly divided into four groups: normal group, DEN 50 mg / kg dose group (low dose group),70 mg / kg dose group (medium dose group), and 200 mg / kg dose group (high dose group). There were 6 animals in the normal group and 13 animals in each of the other groups. The normal control group received no treatment. The model group and low dose groups were injected intraperitoneally twice a week during weeks 1 ~ 4 and once a week during weeks 5 ~ 12; the medium dose group was injected intraperitoneally once a week for 16 consecutive weeks; and the high dose group was administered only once in the first week. The rats in each group were then followed for 16 weeks. The establishment of the model and optimal evaluation were verified by survival rate,pathological tests, biochemical tests, liver and spleen index calculation, immunohistochemistry, enzyme-linked immunosorbent assay ( ELISA), and other assays. Results The survival rate was 100% in the normal group,46. 15% in the low dose group, 69. 23% in the medium dose group, and 84. 61% in the high dose group. The liver tissues of the rats in the normal group showed no abnormality to the naked eye; the liver of the rats in the low dose group became darker in color, rougher in surface, with a small number of cancerous nodules and slightly hard texture;the liver of the rats in the medium dose group was rough in surface, with several small cancerous nodules and scattered massive occupying nodules and hard texture; The liver of rats in the high dose group became lighter in color, slightly rougher in surface, with no obvious cancerous nodules; HE staining showed that the liver tissues of rats in the low and medium dose groups were structurally disorganized, with large cellular heterogeneity and tumor cells. HE staining showed that the liver tissues of rats in the low and medium dose groups were structurally disorganized, with large cellular heterogeneity and tumor cell formation, while the structure of the liver lobules of the high dose group was unclear, with different degrees of edema, degeneration and necrosis of liver cells, and no obvious tumor cell formation was seen. Compared with the normal group, serum liver function alanine aminotransferase ( ALT ), aspartate aminotransferase(AST), and total bilirubin(TBIL) were elevated in the low, medium, and high dose groups; ALT and AST were significantly elevated in the low dose group (P<0. 05), the difference was statistically significant,ALT, AST and TBIL were significantly elevated in the medium dose group ( P<0. 05 ), the difference was statistically significant, and the difference was statistically significant, although liver function in the high dose group was elevated, he increase was not significant, the difference was not statistically significant (P>0. 05); compared with the normal group, the international normalized ratio (INR)of coagulation function was significantly higher in the low dose group, with a statistically significant difference (P<0. 05), and the activated partial thromboplastin time (APTT), prothrombin time ( PT), and alpha-fetoprotein ( AFP ) levels were increased ( P<0. 05), and the difference was not statistically significant; serum APTT, PT, INR, and AFP levels were significantly increased in the medium dose group (P<0. 05), and the difference was statistically significant; serum PT and AFP levels were increased in the high dose group (P<0. 05), the difference was statistically significant, and plasma APTT levels were slightly increased (P>0. 05), the difference was not statistically significant; liver and spleen indexes were increased in the medium dose group (P<0. 05), the spleen index increased in the low dose group (P<0. 05), and the liver index increased in the high dose group (P<0. 05), the difference was statistically significant; the optical density value of liver tissue AFP increased significantly in the low, medium and high dose groups (P<0. 05), the difference was statistically significant. Conclusions Both the low and medium dose groups could successfully induce the PLC rat model, but the pathological changes and biochemical findings of the medium dose group were more consistent with the pathogenesis of human liver tissue from liver injury to hepatic fibrosis to cirrhosis to hepatocellular carcinoma, and the number of administrations of the drug is less, and the survival rate of the rats is higher so that a more cost-effective and superior PLC model can be established.