How would you manage this lesion on a woman's back?

This week's case discussion, submitted by Dr Mehwish Shaikh, features a 67-year-old female patient who presents for a skin check. She has a previous history of superficial spreading melanoma.

Please review the clinical and dermatoscopic images below. What dermatoscopic or clinical features do you use to differentiate solar lentigo from naevi and melanoma?

Update

Here is the pathology result.

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