Letter to the Editor
Spinal cord compression due to a brown bone tumour in a patient on haemodialysis
Compresión medular por tumor óseo pardo en paciente en hemodiálisis
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Se manifiesta con señal intermedia en todas las secuencias de pulso y creemos compatible con un tumor pardo (osteoclastoma)<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eva María Rodríguez-Gómez, Francisco Javier Ruiz-Escolano, Carlos Ramos-Font, Rocío Calurano-Casero, Sonia Cruz-Muñoz, María Pilar Bernáldez-Domínguez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Eva María" "apellidos" => "Rodríguez-Gómez" ] 1 => array:2 [ "nombre" => "Francisco Javier" "apellidos" => "Ruiz-Escolano" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Ramos-Font" ] 3 => array:2 [ "nombre" => "Rocío" "apellidos" => "Calurano-Casero" ] 4 => array:2 [ "nombre" => "Sonia" "apellidos" => "Cruz-Muñoz" ] 5 => array:2 [ "nombre" => "María Pilar" "apellidos" => "Bernáldez-Domínguez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2013251415001248" "doi" => "10.1016/j.nefroe.2015.12.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251415001248?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699515001642?idApp=UINPBA000064" "url" => "/02116995/0000003500000006/v1_201512190045/S0211699515001642/v1_201512190045/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S201325141500108X" "issn" => "20132514" "doi" => "10.1016/j.nefroe.2015.07.007" "estado" => "S300" "fechaPublicacion" => "2015-11-01" "aid" => "105" "copyright" => "Sociedad Española de Nefrología" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Nefrologia (English Version). 2015;35:597-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3408 "formatos" => array:3 [ "EPUB" => 295 "HTML" => 2551 "PDF" => 562 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Valvular calcifications in CKD: Mineral and bone disease or previous cardiovascular risk?" 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Javier Ruiz-Escolano, Carlos Ramos-Font, Rocío Calurano-Casero, Sonia Cruz-Muñoz, María Pilar Bernáldez-Domínguez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Eva María" "apellidos" => "Rodríguez-Gómez" "email" => array:1 [ 0 => "erodriguezg69@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Francisco Javier" "apellidos" => "Ruiz-Escolano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Carlos" "apellidos" => "Ramos-Font" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Rocío" "apellidos" => "Calurano-Casero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Sonia" "apellidos" => "Cruz-Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "María Pilar" "apellidos" => "Bernáldez-Domínguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Sección de Nefrología, Hospital Juan Ramón Jiménez, Huelva, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección de Medicina Nuclear, Hospital Juan Ramón Jiménez, Huelva, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Sección de Radiología, Hospital Juan Ramón Jiménez, Huelva, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Compresión medular por tumor óseo pardo en paciente en hemodiálisis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figs. 1 and 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 734 "Ancho" => 994 "Tamanyo" => 117922 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracolumbar MRI: sagittal plane of MRI in T1 and T2 of the thoracolumbar spine showing a focal lesion in the left posterior elements of the D10 vertebra involving the pedicle, pars, and lamina. The lesion has an expansive character and is surrounded by a thin, newly-formed shell of periosteal bone with a maximum diameter of 3.7<span class="elsevierStyleHsp" style=""></span>cm, presenting soft tissue components and invading the spinal canal, resulting in clear cord compression with narrowing. An intermediate signal is observed in all pulse sequences and we believe it is consistent with a brown tumour (osteoclastoma).<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,2</span></a></p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old female patient with a history of high blood pressure, left nephrectomy in 1990 due to hydronephrosis secondary to lithiasis, and chronic kidney disease, who started haemodialysis in 2008 non compliant with the treatment. The patient had severe secondary hyperparathyroidism refractory to medical treatment. She developed brown bone tumour while waiting for a parathyroidectomy. Total parathyroidectomy was performed in July 2013.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In January 2014, she was hospitalised for thoracolumbar pain and lower limb paresis. MRI findings were consistent with a 3.7<span class="elsevierStyleHsp" style=""></span>cm brown tumour in vertebral posterior elements in D10 and a smaller tumour in L2. She also had widespread bone disease with chronic fractures and “rugger jersey” sclerosis (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1 and 2</a>). Persistent severe hyperparathyroidism was observed in lab tests, and so a new imaging study (ECHO and parathyroid scintigraphy) was requested which confirmed the existence of a fifth retrotracheal left paratiroidea gland (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Surgery included complete hemivertebrectomy, tumour dissection and bilateral transpedicular instrumentation of T8-11, with implants of titanium prosthesis. After surgery spinal cord was not longer compressed resulting in an immediate clinical and electrophysiological improvement.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Excision of the left retrotracheal parathyroid gland was conducted following recovery from surgery. The patient developed hungry bone syndrome and the size of the maxillary brown tumour was significantly reduced.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The outcome of biochemical parameters related to severe secondary hyperparathyroidism is summarised in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">A differential diagnosis should be made between brown tumour and giant cell lesions, fibrous dysplasia, and bone tumours (sarcoma or metastatic carcinoma). Treatment should include the management of hyperparathyroidism in order to reverse skeletal abnormalities. Surgery is indicated for patients with symptoms requiring emergency decompression due to the involvement of adjacent anatomical structures, like in our patient.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez-Gómez EM, Ruiz-Escolano FJ, Ramos-Font C, Calurano-Casero R, Cruz-Muñoz S, Bernáldez-Domínguez MP. Compresión medular por tumor óseo pardo en paciente en hemodiálisis. Nefrología. 2015;35:594–596.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figs. 1 and 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 734 "Ancho" => 994 "Tamanyo" => 117922 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracolumbar MRI: sagittal plane of MRI in T1 and T2 of the thoracolumbar spine showing a focal lesion in the left posterior elements of the D10 vertebra involving the pedicle, pars, and lamina. The lesion has an expansive character and is surrounded by a thin, newly-formed shell of periosteal bone with a maximum diameter of 3.7<span class="elsevierStyleHsp" style=""></span>cm, presenting soft tissue components and invading the spinal canal, resulting in clear cord compression with narrowing. An intermediate signal is observed in all pulse sequences and we believe it is consistent with a brown tumour (osteoclastoma).<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,2</span></a></p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1484 "Ancho" => 1750 "Tamanyo" => 242890 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Parathyroid scintigraphy: (A) Planar imaging of head and chest in the anterior projection following administration of 20<span class="elsevierStyleHsp" style=""></span>mCi of <span class="elsevierStyleSup">99m</span>Tc-MIBI (methoxy isobutyl isonitrile) at 20, 60, and 180<span class="elsevierStyleHsp" style=""></span>min, showing increased uptake of the radiotracer next to the lower half of the left thyroid lobe, which was sustained during the long period of examination. (B) Selected axial section of the SPECT/CT image at 60<span class="elsevierStyleHsp" style=""></span>min, SPECT/CT fusion showing a focus of increased uptake of retrotracheal location somewhat to the left, up to D1. Findings are consistent with parathyroid adenoma or hyperplasia. (C) Selected axial section of the SPECT-CT image, based on skull and jaw region. The SPECT, CT, and fusion images show a large area of irregular increased uptake of radiotracer in left maxilla, appearing as expansive osteolytic lesion in the CT scan and consistent with a brown tumour.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a></p>" ] ] 2 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Ca (mg/dl) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">P (mg/dl) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Alkaline phosphatase \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">PTHi \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">1/17/13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">907 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.418 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">06/12/13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">9.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">4.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.397 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.933 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">01/13/13 (following first parathyroidectomy) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.610 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.464 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">03/03/14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.547 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">908 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">03/26/14 (following second parathyroidectomy) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">39 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.078 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">05/06/14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26.06 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">392 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">07/01/14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">3.62 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">244 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1375545.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evolution of biochemical parameters of bone and mineral metabolism.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Brown tumor of the spine and progressive paraplegia in a hemodialysis patient" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 9 | 10 | 19 |
| 2024 October | 51 | 51 | 102 |
| 2024 September | 50 | 25 | 75 |
| 2024 August | 58 | 59 | 117 |
| 2024 July | 38 | 30 | 68 |
| 2024 June | 61 | 36 | 97 |
| 2024 May | 53 | 27 | 80 |
| 2024 April | 54 | 33 | 87 |
| 2024 March | 47 | 23 | 70 |
| 2024 February | 29 | 35 | 64 |
| 2024 January | 37 | 23 | 60 |
| 2023 December | 38 | 15 | 53 |
| 2023 November | 45 | 28 | 73 |
| 2023 October | 53 | 33 | 86 |
| 2023 September | 60 | 20 | 80 |
| 2023 August | 56 | 27 | 83 |
| 2023 July | 39 | 23 | 62 |
| 2023 June | 35 | 18 | 53 |
| 2023 May | 65 | 26 | 91 |
| 2023 April | 38 | 15 | 53 |
| 2023 March | 55 | 15 | 70 |
| 2023 February | 44 | 16 | 60 |
| 2023 January | 43 | 28 | 71 |
| 2022 December | 50 | 24 | 74 |
| 2022 November | 45 | 27 | 72 |
| 2022 October | 42 | 28 | 70 |
| 2022 September | 47 | 24 | 71 |
| 2022 August | 44 | 43 | 87 |
| 2022 July | 35 | 41 | 76 |
| 2022 June | 41 | 24 | 65 |
| 2022 May | 42 | 24 | 66 |
| 2022 April | 40 | 47 | 87 |
| 2022 March | 70 | 48 | 118 |
| 2022 February | 78 | 35 | 113 |
| 2022 January | 64 | 29 | 93 |
| 2021 December | 39 | 51 | 90 |
| 2021 November | 38 | 35 | 73 |
| 2021 October | 56 | 37 | 93 |
| 2021 September | 42 | 29 | 71 |
| 2021 August | 30 | 42 | 72 |
| 2021 July | 48 | 33 | 81 |
| 2021 June | 38 | 23 | 61 |
| 2021 May | 53 | 30 | 83 |
| 2021 April | 92 | 41 | 133 |
| 2021 March | 53 | 35 | 88 |
| 2021 February | 68 | 24 | 92 |
| 2021 January | 50 | 18 | 68 |
| 2020 December | 30 | 19 | 49 |
| 2020 November | 37 | 21 | 58 |
| 2020 October | 18 | 15 | 33 |
| 2020 September | 17 | 14 | 31 |
| 2020 August | 31 | 10 | 41 |
| 2020 July | 32 | 10 | 42 |
| 2020 June | 22 | 19 | 41 |
| 2020 May | 45 | 10 | 55 |
| 2020 April | 29 | 14 | 43 |
| 2020 March | 35 | 11 | 46 |
| 2020 February | 34 | 19 | 53 |
| 2020 January | 35 | 18 | 53 |
| 2019 December | 45 | 27 | 72 |
| 2019 November | 35 | 22 | 57 |
| 2019 October | 20 | 11 | 31 |
| 2019 September | 35 | 17 | 52 |
| 2019 August | 24 | 18 | 42 |
| 2019 July | 34 | 17 | 51 |
| 2019 June | 25 | 10 | 35 |
| 2019 May | 31 | 18 | 49 |
| 2019 April | 68 | 39 | 107 |
| 2019 March | 36 | 22 | 58 |
| 2019 February | 24 | 23 | 47 |
| 2019 January | 35 | 14 | 49 |
| 2018 December | 106 | 32 | 138 |
| 2018 November | 181 | 15 | 196 |
| 2018 October | 221 | 10 | 231 |
| 2018 September | 149 | 12 | 161 |
| 2018 August | 115 | 18 | 133 |
| 2018 July | 78 | 12 | 90 |
| 2018 June | 79 | 15 | 94 |
| 2018 May | 79 | 10 | 89 |
| 2018 April | 94 | 7 | 101 |
| 2018 March | 102 | 19 | 121 |
| 2018 February | 59 | 5 | 64 |
| 2018 January | 52 | 6 | 58 |
| 2017 December | 54 | 7 | 61 |
| 2017 November | 63 | 7 | 70 |
| 2017 October | 46 | 4 | 50 |
| 2017 September | 43 | 10 | 53 |
| 2017 August | 34 | 3 | 37 |
| 2017 July | 51 | 6 | 57 |
| 2017 June | 49 | 4 | 53 |
| 2017 May | 55 | 7 | 62 |
| 2017 April | 49 | 8 | 57 |
| 2017 March | 65 | 3 | 68 |
| 2017 February | 185 | 8 | 193 |
| 2017 January | 51 | 11 | 62 |
| 2016 December | 54 | 9 | 63 |
| 2016 November | 82 | 15 | 97 |
| 2016 October | 158 | 14 | 172 |
| 2016 September | 254 | 4 | 258 |
| 2016 August | 175 | 1 | 176 |
| 2016 July | 173 | 7 | 180 |
| 2016 June | 112 | 0 | 112 |
| 2016 May | 150 | 0 | 150 |
| 2016 April | 129 | 0 | 129 |
| 2016 March | 98 | 0 | 98 |
| 2016 February | 91 | 0 | 91 |
| 2016 January | 52 | 0 | 52 |
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