Skin

A 78-year-old woman has multiple long-standing lesions on her face and back. These well-circumscribed lesions are tan to brownish, slightly raised with a rough surface, and typically 0.5 to 1.5 cm in diameter. The clinician examining the patient is able to "peel away" pas of the lesion with the dull side of a scalpel blade. Which of the following diagnoses is most likely?