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Reply to "Pouchoscopy--No biopsies taken"

The risk of cancer in a non-inflamed cuff is probably rather small. I could see a reasonable *clinical* (not cost) decision to leave it alone. The cancer risk in UC is large partly because there's so much colonic tissue at risk, with each cell having an elevated chance of transforming into cancer. Even if the rectal cuff cells each have an equally elevated risk, there are far fewer of them.
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