Exosomes, which are 30-to 120-nm vesicles, are released by most types of cells, including tumor cells. In hematological malignancies, exosome-mediated expulsion of a number of key proteins and micro RNAs, resulting in infl uence of major tumor-related pathways. Emerging evidence suggests that the component secreted by exosomescan promote tumor survival,angiogenesis and metastasis, and also mediate tumor microenvironment induced drug resistance and immune escape. Furthermore, exosomes contain a great variety of bioactive molecules and are emerging as rich reservoirs of hematological tumor-specifi c biomarkers for the detection and therapeutics.This comprehensive review highlights the advancements in understanding of the pathogenesis of exosomes secretion and the consequence onhematological malignancies development. Full knowledge of the contribution of exosomes to the potential medical application ofdiagnosis and treatment will depend on the ingenuity of future investigators and their insight into biological processes.