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diffusion limited

irregular distribution of

tumor vessels lead to

limited O2 diffusion within

the tumor at distances

>100–200 µm.

Hypoxia in solid tumors

duration:

days to weeks

chronically

hypoxic cells

aerobic

cells

functional

blood

vessel

necrotic cells

perfusion limited

changes in vascular stability

+ dynamic fluctuations in

micro-regional tumor

perfusion within tortuous

blood vessels.

further affected by the

surrounding interstitial fluid

pressure

acutely

hypoxic

cells

transiently

occluded

blood vessel

duration:

minutes to few hrs

Horsman & Overgaard 1992