This case involves a middle-aged female patient that was diagnosed with recurrent basal cell cancer. After several years of treatment, the patient informed her dermatologist that her chest had become disfigured. The patient’s dermatologist noted that there were changes to the patient’s chest secondary to radiation, but no further testing was performed. 6 months later, the dermatologist noted significant changes in the patient’s appearance and prescribed a topical medication. In spite of the medication, the patient returned later with worsening symptoms. A biopsy was requested and resulted in a diagnosis of advanced stage recurrent basal cell carcinoma. The patient’s cancer had become so pervasive that it had affected nearby bones. Surgical intervention and resection were required.