Microsatellite instability caused by defective mismatch repair machinery is observed in up to one fifth of colorectal adenocarcinomas. When the aberrant number of short tandem repeats in the tumor cells when compared to the germline genome are detected in 30% or higher in the examined microsatellite loci, it is referred to as microsatellite instability-high (MSI-H). I find no good explanation so far to explain why MSI-H tumor is more likely originated from the right-sided colon whereas, left-sided colon got more microsatellite stable (MSS) tumors? Strange.