Colorectal cancer is the most common gastrointestinal malignancy in the developed world. India is a vast country consisting of people of different customs and traditions. Hence pattern of large intestinal malignancy varies in different parts of the country. The present study of two years was undertaken to know the spectrum of tumors and tumor like lesions of the large intestine, in and around Davangere district, which is situated in the central part of Karnataka. Relevant data regarding the cases were obtained from the request forms. Large intestinal tumors constituted 0.44% of the total specimens received for histopathology. Females were more frequently affected than males and commonest location was rectum (57.78%). Majority of them showed exophytic (53.13%) growth and adenocarcinoma was the commonest malignancy (93.34%) encountered. Tumors constituted 76.27% and tumor like lesions constituted 23.72% of the total (59) specimens studied. The role of pathologist remains important in evaluation, diagnosis, grading and staging so as to help the clinician in proper management of the disease.
