We present a decomposition of the generalized binomial coefficients associated with Jack polynomials into two factors: a stem, which is described explicitly in terms of hooks of the indexing partitions, and a leaf, which inherits various recurrence properties from the binomial coefficients and depends exclusively on the skew diagram. We then derive a direct combinatorial formula for the leaf in the special case where the two indexing partitions differ by at most two rows. This formula also exhibits an unexpected symmetry with respect to the lengths of the two rows.