I think what you're seeing on cell towers is flexible waveguide ("Heliax"):
These systems could be used to distribute signals throughout a city, or to distribute signals to distant communities in rural areas. In the
1970s and early 80s, hundreds of these systems were in use.These systems used the same off-the-shelf RF transmission components -- antennas, radomes, waveguide, connectors -- that manufacturers were making for other industries. At the time, Andrew was the biggest manufacturer in the business. You could see those big Andrew microwave antennas (easily identified by the red "lightning flash" logo on the radome) hanging on water towers in small towns all across America.
Most of the radio equipment was manufactured by Hughes Aircraft Company. When I first got into the cable business, I was surprised to learn that a big defense contractor like Hughes was making stuff for the cable industry. But in retrospect, it makes sense: the stuff Hughes was building for the cable industry wasn't much different from the stuff they were building for other purposes. The basic components were essentially the same.
Of course, once fiber came along, all this microwave stuff suddenly became obsolete. Most of the old microwave systems have been replaced with fiber, and the equipment has been removed. Some of it has been sold to cable companies in South America, but most of it has been recycled or junked.
Neal McLain Retired Cable Guy