For decades, neutrophils were considered to be a significant infection defender for both innate and acquired immune systems. It was understood that neutrophils act in two ways: either by releasing antimicrobial proteins through degranulation into extracellular space or by phagocytosis of pathogenic microbes. However, a series of recent findings suggest that neutrophils could play their roles in another way: neutrophils extracellular traps (NETs) (1). NETs were first found in 2004 (2). When neutrophils are activated, they can form extracellular fibrous structures composed of DNA and some proteins from azurophilic, specific and tertiary granules derived from activated neutrophils. Among these components, histones comprise the highest proportion of NETs (3). The remainder of proteins that exist on the DNA scaffold include granular protein, cytoplasmic proteins, cytoskeletal proteins, and some other enzymes. Most of these molecules have been shown to participate in both direct and indirect pathogen-killing mechanisms. With such a number of proteins, as a result, NETs can influence the internal environment in different ways (4). Although NETs play an important role in killing pathogenic microbes like bacteria or fungi, in some conditions when it is excessively generated, NETs can do harm to the human body (5). For instance, evidence showed that is can promote vasculitis and thrombosis. Moreover, NETs have been implicated in sterile inflammation diseases such as rheumatoid arthritis and systematic lupus erythematosus (6). Recently, some studies have found that NETs are also involved with tumors. Nevertheless, these results go in two different directions: one is NETs can promote tumor proliferation, invasion, and metastasis, while the other suggests that NETs can inhibit cancer cell proliferation and invasion. Since this research was performed under different experimental conditions and the diseases being studied were different, there is not a clear conclusion on how NETs affect tumors or whether it is a pro-tumor factor or an anti-tumor factor. Summary Significant advances in our understanding of neutrophil biology were made in the past several years. A newly discovered mechanism was discovered, the formation of neutrophils extracellular traps (NETs). The structure of NETs is composed of the DNA strand and neutrophil granule proteins. NETs were found to have an association with tumor progression. This review highlights the latest knowledge about the controversial effect on tumors of NETs. Pro-tumor and anti-tumor effects are described respectively. The probable mechanisms of the anti-tumor effect are related to its direct killing of cancer cells or stimulation of the immune system to fight against the tumor. The pro-tumor effect has a correlation with matrix metalloproteinase 9 (MMP-9), cathepsin G, and neutrophil elastase (NE). Moreover, the structure of the NETs makes it able to catch the circulating tumor cells, which could lead to metastasis. This review summarizes our knowledge about the proven roles of NETs in th...