How would you manage this large pigmented lesion?

In this week's case discussion from Dr Terry Harvey, this 20x17mm pigmented lesion is present on the anterior leg of a 70-year-old man. He states it has been growing over years, with a new area centrally that has become raised.

How do you manage this patient?

Update

A broad shave sample revealed this lesion to be a combined solar lentigo and seborrhoeic keratosis with no evidence of a melanocytic proliferation.

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