How would you manage this lesion on the eye?

This week we discuss a case from Dr Terry Harvey, featuring a lesion on the left lateral canthus of a 50-year-old male.

What do you think of it? What would you do next?

Update

The lesion is a presumed nodular basal cell carcinoma. The patient cancelled their planned biopsy appointment and is now uncontactable by phone. What are your obligations legally and ethically in this scenario?

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