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In this context, it is referring to follow-ups to the colorectal procedures that you underwent, and since biopsies were taken, a discussion of the results of the biopsies.
There is no standard medical abbreviation of fups that refers to a diagnosis. In addition, it would be very unusual for a letter to contain the name of a diagnosis without an explanation of the diagnosis. Even communicating a diagnosis by letter would be unusual, but to do so without any explanation would be even more unusual.
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