How would you treat this left posterior flank lesion?

In this week's case discussion, submitted by Dr Terry Harvey, a 76-year-old man presented for his first ever skin check as his wife was concerned about a lesion on his left posterior flank.

What do you think, and what would you do next?

Update:

The pathology result showed invasive melanoma, Breslow 2.4mm with ulceration. What next?

Would you like to obtain advice or share your experience with your colleagues and Dr Terry Harvey in the weekly blog case discussion?

Participate with your cases so that we can learn together!

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