Painful growth on right index finger. Subungual glomus tumor.

Glomus tumors (GT) are rare, soft-tissue tumors commonly found on the extremities. Because these tumors occur most often in the subungual region, they can be confused with other subungual pathologies including melanoma. Subungual GTs have a unique presentation and history but biopsy is diagnostic. Various imaging techniques are useful in diagnosis and management. We describe a classical case of subungual GT and discuss its presentation, diagnosis, management, as well as "atypical" or "malignant" variants.