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Lump on the back of my head Should I go to the ER?

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I have a lump on the back of my head the size of a nickle. It's been there for more than a year and never hurt until the pass few days. I went to the Doctor once and he said not to worry but now that it hurt and I no longer have insurance I'm worried. It hurts when I touch it and when I lean my head on anything. Should I go to the ER or something.
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