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We investigate the cell coverage optimization problem for the massive multiple-input multiple-output (MIMO) uplink. By deploying tilt-adjustable antenna arrays at the base stations (BSs), cell coverage optimization can become a promising technique that is able to strike a compromise between covering cell-edge users and pilot contamination suppression. We formulate a detailed description of this optimization problem by maximizing the cell throughput, which is shown to be mainly determined by the user distribution within several key geometrical regions. Then, the formulated problem is applied to different example scenarios. For a network with hexagonal cells and uniformly distributed users, we derive an analytical lower bound of the ergodic throughput in the objective cell; based on this, it is shown that the optimal choice for the cell coverage should ensure that the coverage of different cells does not overlap. For a …