This case involves a 45-year-old female patient who had a biopsy done of a growth on her neck. The specimen was described as basal cell carcinoma but the patient’s mass was not surgically resected at the time of diagnosis. Two months later, the patient saw significant growth in the area and consulted another pathologist for a second opinion. The pathologist diagnosed the patient’s chest mass as advanced hidradenocarcinoma, which required immediate surgical intervention. Following removal of the tumor, the patient did not respond positively to her radiation or chemotherapy treatment. She eventually relapsed and succumbed to her cancer. A radiation oncologist was sought to review the records and determine whether the delay in initiating radiation therapy might have affected prognosis.