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Graph anomaly detection (GAD) has become a critical research area, with successful applications in financial fraud and telecommunications. Traditional Graph Neural Networks (GNNs) face significant challenges: at the topology level, they suffer from over-smoothing that averages out anomalous signals; at the feature level, discriminative models struggle when fraudulent nodes obfuscate their features to evade detection. In this paper, we propose a Conditional Graph Anomaly Diffusion Model (CGADM) that addresses these issues through the iterative refinement and denoising reconstruction properties of diffusion models. Our approach incorporates a prior-guided diffusion process that injects a pre-trained conditional anomaly estimator into both forward and reverse diffusion chains, enabling more accurate anomaly detection. For computational efficiency on large-scale graphs, we introduce a prior confidence-aware mechanism that adaptively determines the number of reverse denoising steps based on prior confidence. Experimental results on benchmark datasets demonstrate that CGADM achieves state-of-the-art performance while maintaining significant computational advantages for large-scale graph applications.