Derm Dx: A lesion on the cheek from shaving

The patient is an 84-year-old man requesting removal of a lesion on his cheek due to chronic irritation from shaving. The growth has been present for several months and is otherwise asymptomatic. He is a smoker and currently on antihypertensive and lipid-lowering medications. History is negative for cancer. Examination reveals a 2-mm slightly crusted, flesh-colored papule of his left cheek.