How would you manage this lesion on the deltoid?

In this week's case discussion from Dr Terry Harvey's practice, we look at a lesion on the deltoid of a 60-year-old patient.

What do you think of the clinical and dermoscopic images below?

Update

The lesion was biopsied and the result was of a pigmented intraepidermal carcinoma. What options exist for the treatment of pigmented IEC on low risk sites?

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