How would you manage this lesion on the back of the neck?

In this week's discussion, we revisit a case from Dr Madgy Malek featuring a 5x5mm lesion discovered on the back of the neck of a 68-year-old male patient during a full skin examination.  

Please review the dermoscopy image below. What would you do next?

Update

Following a shave biopsy, histopathology revealed lentigo maligna.

The lesion was completely excised with wide excision 5mm margin.

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