How would you manage this lesion over a scar?

In this week's case discussion, submitted by Dr David Stewart, we revisit the case of a 70-year-old male patient with a past history of lentigo maligna removal eight years ago, who presents for a skin check with a crusty lesion overlying the lentigo maligna scar.

What do you think of this? How would you proceed?

Update

A shave biopsy was performed, and here is the pathology report.

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