Lump next to spine on back

Patient : My husband has had a hard lump in middle of his back for about 5 years. What could this be?
Symptoms:  Burns deep inside when messed with. Kind of hurts. It started out like a pimple but never came to a head. Ive squeezed it and put hot composes on it but only irritated it and got bigger. Its been there now for more than 5 years
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