<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have ahad a growth that started out about pea size on my back right above right butt cheek hip area it has gotten larger over the last five years and i think that it burst internally today. it is ver tender to the touch and does not feel very big at all now. Should I be concerned. I do not have health insurance and I cannot afford a trip to ER  <response>: Welcome to Chat Doctor. 1. The history suggest the possible cause could be gluteal abscess and collapsed status.2. In this case if you are my patient I would have examined you and ask for an ultrasound scan.3. Ultrasound will assess the lump, status of the lump collapse collection within and its source and exceptions.4. The treatment of choice it this cad will be a course of antibiotics with wound care, but in complicated state a small incision and Chat Doctor. 5. Suggest do not disturb the lump, as you may complicate, see your GP get examined and needful treatment. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask. .comdoctors 