Conversation: The conversation between human and AI assistant.
[|Human|] I found an almond sized lump on my left butt cheek. It has now been there for a couple months. It hasnt gotten any bigger, but I cant help but be concerned.  It doesnt hurt but I can feel that its there and its sometimes slightly sore especially when I exercise. Should I be concerned?
[|AI|]  Hi this is Chat Doctor. Thanks for the opportunity to help you. As per your description of swelling it is fitting the diagnosis of lipoma or sebaceous cyst. As it is difficult for you to confirm its location it is advisable to show to your general surgeon and follow his advice. Still I will guide you :-1) if it is a neurolipoma causing pain then you can get it surgically removed. As the size is small so it won't take much time.it will be a minor surgery and your surgeon can decide about biopsy. You can leave it also if your surgeon after examining you clinically confirm lipoma.2)if it is a sebaceous cyst excision has to be done otherwise it will get infected and form abscess. There can also be a possibility of papilloma, evolving abscess from a pre-existing hematoma etc. If papilloma excision biopsy is ideal. If evolving abscess then initially higher antibiotic coverage. Rarely it may totally resolve. Normally the abscess localizes and small I and d is perfect. An USG of the gluteal region or FNAC from the swelling as per the surgeons advise will be ideal.is there any discharge from the swelling?kindly let me know if the consultation was beneficial. Regards