Cancer
remains the leading cause of death and rapidly evolving
disease worldwide. The understanding of disease pathophysiology has
improved through advanced research investigation, and several therapeutic
strategies are being used for better cancer treatment. However, the
increase in cancer relapse and metastatic-related deaths indicate
that available therapies and clinically approved chemotherapy drugs
are not sufficient to combat cancer. Further, the constant crosstalk
between tumor cells and the tumor microenvironment (TME) is crucial
for the development, progression, metastasis, and therapeutic response
to tumors. In this regard, phytochemicals with multimodal targeting
abilities can be used as an alternative to current cancer therapy
by inhibiting cancer survival pathways or modulating TME. However,
due to their poor pharmacokinetics and low bioavailability, the success
of phytochemicals in clinical trials is limited. Therefore, developing
phytochemical-based nanomedicine or phytonanomedicine can improve
the pharmacokinetic profile of these phytochemicals. Herein, the molecular
characteristics and pharmacological insights of the proposed phytonanomedicine
in cancer therapy targeting tumor tissue and altering the characteristics
of cancer stem cells, chemoresistance, TME, and cancer immunity are
well discussed. Further, we have highlighted the clinical perspective
and challenges of phytonanomedicine in filling the gap in potential
cancer therapeutics using various nanoplatforms. Overall, we have
discussed how clinical success and pharmacological insights could
make it more beneficial to boost the concept of nanomedicine in the
academic and pharmaceutical fields to counter cancer metastases and
drug resistance.