Exosomes, nano-vesicles secreted from all types of cells in the human body, function as inter-cell communicators. This role of exosomes is fulfilled by their specific content, dependent on the origin of donor cells from which they are secreted. Exosomes contain a plethora of nucleic acids (DNA, RNA and micro RNA), proteins and lipids. These molecules are packed in the donor cells into the exosomes which are subsequently secreted and transferred through various body fluids into the target cells which may be located far from the donor cells. Recently, the issue of exosome research has been widely expanded and data has been accumulated regarding the relevance and involvement of exosomes in cancer. Exosomes play a role in the process of malignant transformation, in avoiding the surveillance of the immune system, the expansion of the tumor and its establishment in the cancer microenvironment. In addition, exosomes promote the process of metastasis formation. Among other subjects, exosomal research focuses around the characterization of the content of cancer-derived exosomes in order to identify markers that can be used for diagnosis and prognosis of cancer patients. Telomerase, a unique reverse transcriptase, has been widely shown to be crucial for the process of malignant transformation and the perpetuation of the malignant clone. In the current review, we describe the importance of exosomes to the various themes of cancer and their potential use as diagnostic and prognostic markers as well as their therapeutic potential. In addition, the results and implications of our study with regards to the secretion of telomerase transcript into exosomes derived from cancer cells will be discussed.