How would you manage this skin lesion on the left shoulder?

In this case discussion, submitted by Dr Leanne Drew, we look at a lesion on the left anterior shoulder of a 60-year-old female patient who presented for her annual skin check.

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

Update

Here is the pathology report. While excision is entirely appropriate, what other options exist for the treatment of superficial multifocal BCC?