TY - CHAP M1 - Book, Section TI - Disorders of the Genital Mucosa A1 - Ball, Russell A. A1 - Ball, Katherine M. A1 - West, Kelly L. A2 - Barnhill, Raymond L. A2 - Crowson, A. Neil A2 - Magro, Cynthia M. A2 - Piepkorn, Michael W. A2 - Kutzner, Heinz A2 - Desman, Garrett T. PY - 2020 T2 - Barnhill's Dermatopathology, 4e AB - This area of study, again, proves that the “biopsy” is not a “laboratory test” but a medical consultation. For this reason, the dermatopathologist is encouraged to communicate with the clinician as clinicopathologic correlation is almost always essential in diagnosis of external genital diseases. This is due to a variety of reasons but most important is that affected patients commonly delay seeking medical attention and often use self-prescribed (over-the-counter) treatment regimens, which often causes the biopsy specimens to exhibit multifactorial pathologic changes; for example, self-induced allergic and irritant contact dermatitis often complicates the histologic picture of other underlying afflictions, especially in the evaluation of biopsies of inflammatory diseases, and sometimes neoplastic lesions. Clinical photos of complex genital lesions can be a valuable tool such that the morphology and distribution of lesions on these specialized mucocutaneous surfaces can provide a better interpretation of the histopathologic findings.1 For example, the term “glazed erythema” may be unfamiliar to the unalerted pathologist as it is a common descriptor for the shiny red lesions of plasma cell (Zoon) mucositis and lichen planus on the genital squamous mucosa. The reader is referred to the authoritative and highly regarded compendium on clinical signs and symptoms of genital disorders—Genital Pathology Atlas and Manual by Lynch and Edwards2—serving as an excellent clinical companion to this chapter. SN - PB - McGraw Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1178409062 ER -