How would you manage this lesion in the ear?

In this week's case discussion, submitted by Dr Randa Al-Hajali, we revisit the case of a 75-year-old male patient who presents with a growing lesion on the right concha (ear).

The lesion has been painful and frequently bleeds.

What do you think of the dermoscopy image, and what would you do next?

Update

Here is the pathology report. What next?

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