We describe a locally aggressive glomus tumor that occurred in the nasal region of a 32-year-old woman. The neoplasm recurred six times over a period of 14 years following the initial excision. This aggressive behavior resulted in problems with the diagnosis of the neoplasm. Although grossly cystic, the tumor contained large areas with a solid growth pattern and exhibited an infiltrative margin. There was no cytological atypia, mitoses were scanty, and necrosis was absent. The neoplasm did not metastasize.