How would you manage this lesion on the anterior arm?

This week's case discussion from Dr Terry Harvey features this lesion on the anterior arm of a 55-year-old with a history of three previous melanomas.

Please review the clinical and dermoscopic images below. What are your thoughts?

Update

This lesion was excised and confirmed as a melanoma in situ.

Did you miss Dr Terry Harvey's recent webinar on the golden rules of skin cancer management? Catch up here.

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