How would you treat this lower back lesion?

In this week's case discussion, submitted by Dr Magdy Malek, we look at a 73-year-old male patient who presented for a full-body skin cancer check and this pigmented lesion was found on his lower back. The patient has a history of multiple melanomas in the past.

What do you think of the dermoscopy, and what would you do?

Update

The lesion was shaved and histopathology revealed a Clark 2 melanoma with Breslow thickness 0.4mm. What next?

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