“…Additionally, they are rarely present in blood circulation until tumor sizes increase to some degree; therefore, it is difficult to use these molecules for early diagnosis [ 132 , 134 , 135 ]. In fact, various studies indicate an association between EVs and diagnostic potential or prognosis prediction, so nucleic acids in EVs or membrane proteins on the surface of EVs might be novel biomarkers [ 136 , 137 , 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 ]. In this review, we have summarized that EVs mediate the immune evasion of tumors and induce tumor metastasis; below, we will show that EVs might be a diagnostic biomarker of tumor metastasis or an indicator of the immune response to tumors.…”