Review Question - QID 211049

A 59-year-old man presents to his primary care physician for a wellness checkup. He feels well and has no medical concerns. He lives with his wife, exercises regularly, and is not currently taking any medications. He works as a construction worker, drinks socially, and does not smoke. His temperature is 98.7°F (37°C), blood pressure is 137/82 mmHg, pulse is 76/min, respirations are 12/min, and oxygen saturation is 99% on room air. Physical exam is notable for the finding in Figure A. The patient says he has not noticed this lesion prior to this checkup. Which of the following is the most appropriate next step in management?