Case and Research Letters
Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma
PAAF y BAG ecoguiadas en metástasis ganglionar y subcutánea de adenocarcinoma de pulmón
Read
4545
Timeswas read the article
1532
Total PDF
3013
Total HTML
Share statistics
array:25 [ "pii" => "S1578219020300743" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.04.002" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "2277" "copyright" => "AEDV" "copyrightAnyo" => "2019" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:335-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S0001731019303795" "issn" => "00017310" "doi" => "10.1016/j.ad.2018.09.021" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "2277" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:335-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científico-clínica</span>" "titulo" => "PAAF y BAG ecoguiadas en metástasis ganglionar y subcutánea de adenocarcinoma de pulmón" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "335" "paginaFinal" => "336" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 605 "Ancho" => 805 "Tamanyo" => 58153 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Metástasis ganglionar en axila derecha.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Vidal, M. Pujol" "autores" => array:2 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Vidal" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Pujol" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219020300743" "doi" => "10.1016/j.adengl.2020.04.002" "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/S1578219020300743?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019303795?idApp=UINPBA000044" "url" => "/00017310/0000011100000004/v3_202009220625/S0001731019303795/v3_202009220625/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S1578219020300755" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.04.003" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "2227" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:337-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Acquired Facial Dermal Melanocytosis of the Sun's Nevus Type: A Case Report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "337" "paginaFinal" => "338" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Melanocitosis dérmica facial adquirida tipo nevo de Sun. Reporte de un caso" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 679 "Ancho" => 905 "Tamanyo" => 97407 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dermal spindle melanocytes located between collagen and perivascular fibers (S100 staining, original magnification ×20).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Marín Hernández, Y. Calderón Ponce de León, V. Bautista Piña, L. Sánchez Rodríguez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Marín Hernández" ] 1 => array:2 [ "nombre" => "Y." "apellidos" => "Calderón Ponce de León" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Bautista Piña" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Sánchez Rodríguez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731019301929" "doi" => "10.1016/j.ad.2019.02.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019301929?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300755?idApp=UINPBA000044" "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300755/v1_202006060751/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S1578219020300731" "issn" => "15782190" "doi" => "10.1016/j.adengl.2018.08.006" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "2283" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:333-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Severe Rhabdomyolysis Associated With Low-Dose Isotretinoin Therapy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "333" "paginaFinal" => "335" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rabdomiolisis grave asociada al tratamiento con bajas dosis de isotretinoína" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Morgado-Carrasco, A. del Rosario, X. Fustà-Novell, P. Giavedoni" "autores" => array:4 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Morgado-Carrasco" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "del Rosario" ] 2 => array:2 [ "nombre" => "X." "apellidos" => "Fustà-Novell" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Giavedoni" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731019303850" "doi" => "10.1016/j.ad.2018.08.016" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731019303850?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300731?idApp=UINPBA000044" "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300731/v1_202006060751/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Ultrasound-Guided Fine-Needle Aspiration Biopsy and Core Needle Biopsy of Lymph Node and Subcutaneous Metastases From Lung Adenocarcinoma" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "335" "paginaFinal" => "336" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "D. Vidal, M. Pujol" "autores" => array:2 [ 0 => array:4 [ "nombre" => "D." "apellidos" => "Vidal" "email" => array:1 [ 0 => "david.vidal@sanitatintegral.org" ] "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" => "M." "apellidos" => "Pujol" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "PAAF y BAG ecoguiadas en metástasis ganglionar y subcutánea de adenocarcinoma de pulmón" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 606 "Ancho" => 806 "Tamanyo" => 59697 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymph node metastasis in the right armpit.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 55-year-old female smoker was seen for 3 subcutaneous nodules that had appeared during the preceding month. The patient had a history of colon cancer (6 years earlier) but was cancer-free at the time of the consultation. Physical examination revealed 3 firm nodules of 1<span class="elsevierStyleHsp" style=""></span>cm in diameter located beneath healthy-looking skin on the upper chest, rib cage, and armpit on the right side of the body (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Doppler ultrasound revealed 3 ovoid hypoechoic lesions in the subcutaneous tissue that lacked posterior reinforcement, exhibited internal vascularization, and were compatible with 2 subcutaneous metastases and 1 lymph node metastasis. After providing written informed consent, the patient underwent fine-needle aspiration (FNA) of the axillary adenopathy with a 21-G needle and core-needle biopsy (CNB) of the lesion on the upper chest with an 18-G needle. The procedures were performed under local anesthesia with ultrasound guidance in the operating room of the dermatology service on the same day as the consultation, with no complications. FNA cytology was positive for malignant cells (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Histology of the CNB was diagnostic of adenocarcinoma metastasis (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>) and the immunohistochemistry profile (CK7<span class="elsevierStyleSup">+</span>, TTF-1<span class="elsevierStyleSup">+</span>, CK20<span class="elsevierStyleSup">−</span>, CDX2<span class="elsevierStyleSup">−</span>) was compatible with a pulmonary origin. Computed tomography revealed findings compatible with lung cancer and the patient was referred to the oncology service for further studies and treatment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In cases involving subcutaneous nodules with suspected malignancy the usual practice is to perform an incisional biopsy with a scalpel. Because our patient had 3 lesions, we opted to perform ultrasound-guided FNA and CNB in parallel in order to examine 2 lesions with minimal morbidity. FNA can be performed rapidly and causes minimal pain, and the corresponding pathology report can be rapidly obtained. In some cases, the small sample volume obtained by FNA can complicate the job of the pathologist and can give rise to false negatives. CNB is a better diagnostic technique than FNA as it yields one or more cylinders of histological tissue, from which multiple sections can be obtained and stained.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Ultrasound-guided FNA and CNB are routinely performed by radiologists,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> but can also be performed by other well-trained ultrasound specialists (e.g. endocrinologists).<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Our dermatology service has had an ultrasound scanner available for consultations for the past 5 years, and we regularly carry out ultrasound-guided procedures. Consequently, our patient was able to benefit from these diagnostic techniques on the day of her consultation. In conclusion, this case illustrates the value of knowledge and experience in performing ultrasound-guided FNA and CNB, which can help dermatologists to rapidly diagnose subcutaneous metastases.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of Interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of Interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Vidal D, Pujol M. PAAF y BAG ecoguiadas en metástasis ganglionar y subcutánea de adenocarcinoma de pulmón. Actas Dermosifiliogr. 2020;111:335–336.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 606 "Ancho" => 806 "Tamanyo" => 59697 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymph node metastasis in the right armpit.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 606 "Ancho" => 806 "Tamanyo" => 78446 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Malignant epithelial cells. Fine-needle aspiration smear (Giemsa staining).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 606 "Ancho" => 806 "Tamanyo" => 128865 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Metastatic adenocarcinoma of the lung. Core-needle biopsy obtained using an 18-G needle (hematoxylin-eosin staining).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Meta-analysis of the diagnostic accuracy of ultrasound-guided fine-needle aspiration and core needle biopsy in diagnosing axillary lymph node metastasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "I. Balasubramanian" 1 => "C.A. Fleming" 2 => "M.A. Corrigan" 3 => "H.P. Redmond" 4 => "M.J. Kerin" 5 => "A.J. Lowery" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/bjs.10920" "Revista" => array:6 [ "tituloSerie" => "Br J Surg" "fecha" => "2018" "volumen" => "105" "paginaInicial" => "1244" "paginaFinal" => "1253" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29972239" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sonographically guided percutaneous needle biopsy of soft tissue masses with histopathologic correlation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Soudack" 1 => "A. Nachtigal" 2 => "E. Vladovski" 3 => "O. Brook" 4 => "D. Gaitini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7863/jum.2006.25.10.1271" "Revista" => array:6 [ "tituloSerie" => "J Ultrasound Med" "fecha" => "2006" "volumen" => "25" "paginaInicial" => "1271" "paginaFinal" => "1277" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16998099" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incorporación de la ecografía y la punción de tiroides a la actividad de endocrinología en una consulta de alta resolución" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Tofé Povedano" 1 => "I. Argüelles Jiménez" 2 => "H. García Fernández" 3 => "J. Quevedo Juanals" 4 => "S. Díaz Medina" 5 => "G. Serra Soler" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.endonu.2009.12.001" "Revista" => array:6 [ "tituloSerie" => "Endocrinol Nutr" "fecha" => "2010" "volumen" => "57" "paginaInicial" => "43" "paginaFinal" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20138596" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011100000004/v1_202006060751/S1578219020300743/v1_202006060751/en/main.assets" "Apartado" => array:4 [ "identificador" => "6157" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case and Research Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011100000004/v1_202006060751/S1578219020300743/v1_202006060751/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300743?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 5 | 12 |
| 2024 October | 70 | 35 | 105 |
| 2024 September | 72 | 20 | 92 |
| 2024 August | 83 | 64 | 147 |
| 2024 July | 74 | 35 | 109 |
| 2024 June | 96 | 41 | 137 |
| 2024 May | 74 | 44 | 118 |
| 2024 April | 74 | 18 | 92 |
| 2024 March | 83 | 37 | 120 |
| 2024 February | 68 | 27 | 95 |
| 2024 January | 69 | 32 | 101 |
| 2023 December | 63 | 16 | 79 |
| 2023 November | 76 | 24 | 100 |
| 2023 October | 58 | 19 | 77 |
| 2023 September | 56 | 33 | 89 |
| 2023 August | 49 | 21 | 70 |
| 2023 July | 45 | 25 | 70 |
| 2023 June | 58 | 21 | 79 |
| 2023 May | 64 | 33 | 97 |
| 2023 April | 47 | 26 | 73 |
| 2023 March | 60 | 35 | 95 |
| 2023 February | 56 | 22 | 78 |
| 2023 January | 55 | 25 | 80 |
| 2022 December | 66 | 31 | 97 |
| 2022 November | 38 | 27 | 65 |
| 2022 October | 35 | 26 | 61 |
| 2022 September | 32 | 38 | 70 |
| 2022 August | 23 | 35 | 58 |
| 2022 July | 26 | 31 | 57 |
| 2022 June | 23 | 24 | 47 |
| 2022 May | 50 | 38 | 88 |
| 2022 April | 64 | 22 | 86 |
| 2022 March | 72 | 44 | 116 |
| 2022 February | 48 | 25 | 73 |
| 2022 January | 72 | 34 | 106 |
| 2021 December | 44 | 26 | 70 |
| 2021 November | 67 | 40 | 107 |
| 2021 October | 70 | 43 | 113 |
| 2021 September | 54 | 38 | 92 |
| 2021 August | 81 | 25 | 106 |
| 2021 July | 80 | 19 | 99 |
| 2021 June | 61 | 23 | 84 |
| 2021 May | 65 | 39 | 104 |
| 2021 April | 76 | 35 | 111 |
| 2021 March | 42 | 18 | 60 |
| 2021 February | 42 | 18 | 60 |
| 2021 January | 25 | 16 | 41 |
| 2020 December | 18 | 12 | 30 |
| 2020 November | 25 | 10 | 35 |
| 2020 October | 21 | 12 | 33 |
| 2020 September | 34 | 19 | 53 |
| 2020 August | 35 | 23 | 58 |
| 2020 July | 46 | 12 | 58 |
| 2020 June | 86 | 51 | 137 |
| 2020 May | 35 | 20 | 55 |
Show all
