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'very few cases' is correct and usable in written English.
You can use it when you want to indicate that there are not many instances or examples of something. For example, "Very few cases of the disease have been reported in the area."
Exact(60)
I personally can remember only a very few cases.
In a very few cases, they offer it already.
Very few cases are investigated, let alone punished.
All of that results in very few cases of hanging.
Very few cases of malignant adrenal pheochromocytoma metastatic to vertebrae exist.
Tubular duplication is extremely rare, with esophageal communication in very few cases.
Until now, the NEF has been used only in a very few cases for atmospheric studies.
However, in very few cases have such pedagogical strategies been applied to graduate-level instruction.
Very few cases ever make it to trial, according to court records and borrowers' lawyers.
Yet in very few cases does that party represent more than half of those who voted.
In very few cases can these injustices be blamed on a corporation.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com