Angioleiomyoma, or vascular leiomyoma, is a rare, benign, smooth muscle tumor, originated in the tunica media of veins. It is predominantly found as a solitary painful or tender intracutaneous or subcutaneous nodule, on the anterior aspect of the leg, especially in middle aged women. It should be included in the differential diagnosis of subcutaneous masses of the extremities. A case of recurrence at the right heel is described. The recurrence of this tumor is unusual, and it should be treated as a low-grade malignancy and excised widely rather than be shelled out.