Extracellular vesicles (EVs) play a pivotal role in cancer biology, serving as mediators of intercellular communication and influencing tumor progression. One study highlights the potential of neonatal tissue-derived EVs in regenerative medicine, suggesting that these EVs possess unique protein signatures that can be harnessed for precision tissue repair in various injuries (ref: Lou doi.org/10.1002/adma.202300602/). Another investigation delves into the mechanisms of tumor-platelet interactions, revealing that cancer-derived small EVs (sEVs) can activate platelets, leading to the accumulation of cancer-specific RNA markers in platelets of prostate cancer patients, indicating a potential biomarker for disease progression (ref: Dudiki doi.org/10.1161/CIRCRESAHA.122.321861/). Furthermore, the development of engineered exosome-constructed hydrogels for ovarian cancer therapy demonstrates the innovative use of artificial exosomes to target peritoneal macrophages, showcasing a novel therapeutic strategy against advanced ovarian cancer (ref: Li doi.org/10.1021/acsnano.3c00804/). In colorectal cancer, a delivery system utilizing primary tumor-derived exosomes to suppress chemoresistance and liver metastasis underscores the therapeutic potential of exosome-based approaches (ref: Huang doi.org/10.1021/acsnano.3c00668/). Overall, these studies illustrate the diverse applications of EVs in cancer therapy and diagnostics, emphasizing their role in both tumor biology and therapeutic interventions.