What happens when cell-cell communication breaks down? In the body, disrupted communication between cells can undermine the systems that maintain health and balance. For cancer, this breakdown becomes a tool for survival. Tumors manipulate communication pathways to reshape their surroundings, ensuring their growth, survival, and ability to evade treatment. This breakdown of communication is especially critical in the tumor microenvironment (TME), where intricate interactions between cancer cells and their surroundings drive disease progression. Understanding these interactions is critical to uncovering how tumors grow, adapt, and resist treatment.