The tumorigenicity of the tumor cells was measured using a colony-forming assay. Parental M231 cells and M231-derived MTSs cells (M231-MTSs), as well as patient-derived MTSs and RCs derived from the same patient tumor, were trypsinized, harvested, and counted following trypan blue staining (Beyotime). For clonogenic assay in soft agar, 35-mm dishes were coated with 0.5% agarose supplemented with complete DMEM medium. Once the bottom layer was solidified, 2,000 viable single cells in 1.6 mL of complete medium were mixed with 0.15 mL 4% low-melting agarose and evenly spread in the dishes for solidification purposes. For clonogenic assay in Matrigel, 2,000 patient-derived MTSs and RCs cells were resuspended in 50 µL SG-Medium and combined with an equal volume of Matrigel on ice. After dispensing 100 µL of the cell suspension into each well of a 24-well plate, solidification was achieved by incubating at 37°C for 30 minutes and immersed in SG-Medium. Subsequently, the dishes were incubated at 37 °C in an atmosphere containing 5% CO₂ for 14 days. Finally, colonies were enumerated and visualized under a Zoom-stereo microscope SZX16 (OLYMPUS).