How would you manage this lesion on the leg of a 95-year-old?

This week's case discussion from Dr Terry Harvey features a lesion identified on the left lateral leg of a 95-year-old patient with significant medical comorbidities and peripheral muscle wasting.

What do you suspect it is, and what would you do next?

Update

The lesion was sampled with a 3x3mm shave biopsy, which revealed intraepidermal carcinoma. What is the rate of progression of intraepidermal carcinoma to invasive SCC per year? What would you recommend to this patient for management?

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