Think about the meaning of

. It contains all the integers from

down to

. When you write out the entire factorial you must write down each one of those integers, and

is one of them.
As a specific (but small enough to write down) example, look what happens for

. This clearly means

, which is the number I've placed in a box.
Basically, when you write out the factorials in numerator and denominator, the final

factors cancel. Hope this helps.