How would you manage this lesion on the posterior leg?

In this week's case discussion from Dr Terry Harvey, this 5x4mm flat pigmented lesion is found during a routine skin check on the posterior right leg of a 65-year-old female.

What do you think of the dermoscopy image? How do you manage this patient?

Update

An excisional biopsy with 2mm margins was performed and revealed melanoma in situ of superficial spreading subtype.

A wide local excision to achieve 5mm clinical margins was then undertaken with no complications or recurrence to date.

Interested in skin cancer medicine?

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