Many cancer investigations have focussed on the eradication of the cancer c
ell itself and in doing so, overlook the inherent complexity and heterogene
ity of solid tumors. Here, we argue that, in many cases, it is the altered
communication within the tumor, rather than mutations per se, that is the d
efining characteristic of cancer. As a result, tumorigenesis can be indirec
tly initiated by environmental or inherited factors that affect the stromal
cells. We propose that anticancer research might be more effective if aime
d at eradicating the cause of abnormality rather than just treating the end
result.