Extracellular vesicles (EVs) have emerged as promising tools in cancer therapy due to their natural ability to transport biomolecules and mediate intercellular communication. A study by Wiklander demonstrated the potential of antibody-displaying EVs as targeted delivery systems for cancer therapy, highlighting their modularity in targeting various tissues by decorating them with specific immunoglobulin G antibodies (ref: Wiklander doi.org/10.1038/s41551-024-01214-6/). This approach capitalizes on the inherent properties of EVs to enhance the precision of therapeutic interventions. Additionally, research by Yu revealed that exosomes derived from pulmonary metastatic sites can significantly enhance osteosarcoma lung metastasis by transferring specific microRNAs that target MARCKS, thereby elucidating the role of EVs in tumor progression and metastasis (ref: Yu doi.org/10.1016/j.apsb.2024.01.016/). Furthermore, Wen introduced a novel diagnostic and prognostic approach for cholangiocarcinoma using exosomal circRNA signatures, which could facilitate early detection and monitoring of this aggressive cancer (ref: Wen doi.org/10.1038/s41392-024-01814-3/). Collectively, these studies underscore the multifaceted roles of EVs in cancer therapy, from targeted delivery to biomarker discovery, while also highlighting the need for further exploration of their mechanisms and applications in clinical settings.