How would you treat this mid-back lesion?

This week's case discussion, submitted by Dr Robert Teunisse, features a 52-year-old male patient who works as a builder. This lesion was found on his right mid-back during a routine skin cancer check.

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

Update

The pathology report result showed:

Sections show a fibroepithelioma like basal cell carcinoma. The lesion extends into mid dermis and focally involves the shave biopsy margin.

How would you proceed?

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