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Small extracellular vesicles (sEVs), typically ranging from 30 to 200 nm in diameter, are naturally secreted by cells into biological fluids and carry proteins, lipids, and nucleic acids indicative of their cell of origin1,2,3. As non-invasive biomarkers present in saliva, urine, and other body fluids4, they hold promise for early disease diagnosis, prognosis, and therapeutic monitoring, especially in oncology5,6,7. However, their clinical translation is....