Jerry,
I'm sure we will see more emotional outbursts from our patients.
Personally I would rather see a false positve and know that a suspicious area is nothing than finding out later after "observing" that it's something bad.
After all, a biopsy is much kinder than the surgery.
I often wonder exactly what people expect us to do in these cases. There is no recipe book. I can sleep at night knowing that I would treat my mother, my wife, my daughter or my son the way I would expect to treated, so that is my standard of care for people who are under my care. I'm much more agressive with abnormal lesions than 99% of my colleagues. I did some quick math, I recommended 243 patients have abnormal looking areas biopsied; 187 took my advice and had a biopsy, 17 were OC, 68 were other benign conditions that required treatment and follow-up ( lichen planus, cicitricial phemphegoid etc.), and the remainder came back OK.
I am not at all uncomfortable with these stats. My opimion of what I see has to be the same, so if I would have my own Dr. biopsy it if I had it then I must make that recommendation to my patient.
Rambling...I know but I hope I made my point.
You can't drive a car with your eyes closed and you can't categorize abnormal tissue without a microscope.

Just my own humble opinion.
( When in doubt, cut it out!! Then you can actually name the doubt and if all goes well it won't be OC.)

Cheers,

Mike