Review Question - QID 214723

A 35-year-old woman presents to the dermatology clinic for the evaluation of a mole on her abdomen. She first noticed the mole about a year ago and notes that it has grown in size since then. She was not concerned about it until it started itching and bleeding intermittently 3 months ago. She is otherwise healthy. She has smoked a 1/2 pack of cigarettes per day for the last 10 years and drinks a glass of wine with dinner daily. She works as a secretary and is an avid golfer. Her father has a history of actinic keratosis on his scalp. She has no significant past medical history and takes no medications. Her temperature is 98.6°F (37.0°C), blood pressure is 130/90 mmHg, pulse is 90/min, and respirations are 12/min. On physical exam, there is a slightly raised, 6 mm papule on her abdomen shown in Figure A. Which of the following is the most appropriate next step in management?