Visual Studio has a /diff command in version 11 (2012).
And I found how to get it running: instead of /diff I had to use \diff (GitExtensions seams to switch all slashes).
Of course, there are lighter tools than Visual Studio. But we do perform commit reviews (one developer showing the changes made to another before committing). And in this situation it is very comfortable to have full Intellisense and code highlighting to make additional changes to the code during the review.
But unfortunately, on every diff, a new Visual Studio instance is started, making the process very slow and therefore unusable :-(
Thanks
Urs