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Early

vs

Late Progressors:

Mechanistic Hypothesis

Rapidly progressing adenocarcinomas depend more strongly on

vascularization for oxygen and nutrient supply than slowly growing tumors

High-level production

of angiogenic growth

factors by tumor cells

High intrinsic rate of tumor cell proliferation

(oncogenome-dependent)

Rapid disease

progression

High-level angiogenesis

NINTEDANIB