A 27-year-old man arrives to the emergency department complaining of bloody diarrhea and rectal urgency. He reports a normal appetite, and has not lost any significant weight. After initial workup yields no findings, he is referred to a gastroenterologist for a colonoscopy. He is found to have pseudopolyps in his colon, and subsequent biopsy results confirm ulcerative colitis. He is started on corticosteroids and sulfasalazine, which is able to control his symptoms. Which of the following is true regarding colon cancer and screening in patients with ulcerative colitis?
(A) Screening for colon cancer is not necessary
(B) Screening colonoscopy with random biopsies 8 years after disease onset
(C) Screening colonoscopy with biopsy only if a suspicious polyp is seen
(D) Screening colonoscopy annually once diagnosis is established
(E) The risk of colon cancer is much less than with Crohn's disease