Dro1/Ccdc80 has been identified as a tumor suppressor gene in colorectal, thyroid, and ovarian cancer. Dro1/ Ccdc80 is ubiquitously expressed and has, next to its tumor suppressive role, been implicated in a wide range of biological processes, including adipogenesis, lens development, and skeletogenesis. DRO1/CCDC80 is a secreted protein that assembles with the extracellular matrix and promotes cell adhesion. The biological mechanisms by which DRO1/CCDC80 exerts its various functions are still widely unknown. DRO1/ CCDC80 inhibits malignant growth properties of cancer cells, mediates sensitization to apoptosis, regulates E-cadherin expression, and acts as a binding partner for Janus kinase 2 and cyclic GMP-dependent protein kinase 1. Moreover, DRO1 has been linked to MEK/ERK, fibroblast growth factor (FGF), Hedgehog, and Wnt/β-catenin signaling. In the following, DRO1/CCDC80 is presented as a novel tumor suppressor of colorectal carcinogenesis.