Conversation: The conversation between human and AI assistant.
[|Human|] I have a possible sarcoma that was diagnosed as a lipoma in 2008. I was told because I do not have insurance that they would rather watch the lipoma and see if it grows to determine sarcoma. For 1 year i couldnt tell if the tumor was growing. It is going on 2 years and a lump that was 5mm in size is palpable from a standing, sitting and especially laying position. I was laying on my right side and felt the lower left abdominal mass sticking out. It is about 2" deep spaning around 3" across I cannot differentiate all areas of the mass. Over all I believe it is about the size of a raquet ball deep and 2 raquetballs side by side. I am afraid. I dont want to be turned away due to lack of insurance. I am a 36 year old female with 3 children. I have had 3 previous c-sections with no complications other than adhesions. I have had 2 adhesion removal surgeries from my c-section scar. This mass is from the level of the scar to about 2.5" above the scar and about 4" across. I have called my doctor but I do nt trust his team anymore. The last time I saw his recomended general surgeon she had not looked at my ct scan and told me this was really a CYA appointment. After I inquired what CYA meant she told me cover your ass. So my doctor could cover his ass in diagnosing lipoma. This surgeon did call after she reviewed my ct scan and told me this was just c-section scar tissue. I also have autoimmune chronic pancreatitis with a recent bout of diverticulitis, fibromyalgia and degenerative joint disease. Please point me in the right direction to go
[|AI|]  First, you need to rule out a hernia since the swelling is in the region of the incision. A hernia is just a defect in the abdominal wall with resulting protrusion of the contents within. This can be ascertained based on an abdominal ultrasound. So, get that done first. If it is not a hernia but a soft tissue lesion, then get an FNAC (needle test) done from the lump. This will ascertain whether it is indeed a lipoma or something more serious. A lipoma can be ignored unless it is causing pain or other symptoms.