Adipose stromal cells (ASCs) are the major source for some adipose tissue-derived, tumor-promoting factors including estrogens and various cytokines. Emerging evidence indicates that circulating ASCs are distinctly associated with obese individuals, in particular obese cancer patients. Functionally, circulating ASCs can travel to tumor stroma in distant organs to promote tumor progression. However, as circulating ASCs are relatively rare, they are unlikely to outnumber resident ASCs that are often abundantly present in tumor stroma.