How would you manage this lesion on the temple?

This week's case discussion, submitted by Dr David Stewart, we look at an 88-year-old man with a longstanding lesion on his left temple. He thinks the lesion is getting a bit darker.

Please review the clinical and dermoscopic images below. In this area, what anatomical structures are at risk of injury if an excision is required?

Update

Here is the pathology result.

 

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