How would you treat this lesion on the calf?

In this week's case discussion from Dr Leanne Drew, we look at a 46-year-old female patient who presented for her six-month melanoma review. She had a previous melanoma in situ on her neck in 2020.

This lesion was found on her left medial posterior calf during the examination.

What do you think of this lesion? What would you do next?

Update

Here is the pathology report:

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