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Reply to "How did you decide it was time for surgery?"

I wasn't taking any medication for UC and was getting along well. Was in great shape working full time and doing whatever. Was getting yearly colonoscopies and low-grade dysplasia was starting to turn up. When high-grade dysplasia started to appear, the gig was up. After 20 years of UC, it was time for a J-pouch. No matter what path you take, make certain to be diligent with surveillance. One of my doctors said the appearance of cancer doesn't always follow the low-grade to high-grade to cancer sequence. Sometimes it can quickly appear after low-grade dysplasia.--Rose

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