How would you manage this brown lesion on the forehead?

In this week's case discussion, from Dr John O'Bryen, we look at a 54-year-old woman with a history of basal cell carcinoma who presents for a six-monthly skin check. This brown macule is noted on her forehead.

What are your thoughts, and what would you do next?

Update

An elliptical excision reports a nodular basal cell carcinoma with clear
margins.

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