The invention relates to the technical field of
prostate cancer treatment, in particular to an individualized precise treatment method for advanced
prostate cancer, which comprises the following steps: S1, performing
biopsy, namely
pathological and immunohistochemical detection, on CRPC patients, and performing next-generation sequencing, namely sequencing of
oncogene exon mutation sites; s2, determining whether the converted immunophenotype is a CRPC-Adeno
adenocarcinoma type or a CRPC-NEPC neuroendocrine type, and respectively determining whether
gene mutation exists or not; s3, carrying out
standard treatment if no
gene mutation exists, matching a corresponding targeted
drug if
gene mutation exists, and giving an individualized targeted
drug scheme; s4, constructing a miniPDX model, namely a function prediction model for accurate treatment of CRPC
prostate cancer, and efficiently modeling and rapidly testing
drug efficacy through
capsule implantation; s5, mainly recording the PFS, and secondarily recording the relationship between the OS and different
drug resistance mechanisms and the OS of the patient. The detection technology is simple and convenient, the clinical application popularity is relatively high, the miniPDX model can be used for efficiently modeling and rapidly testing the drug
efficacy, and the application value of the miniPDX model in personalized
cancer treatment is powerfully enhanced.