Case and Research Letter
Doppler Ultrasound of Aneurysmal Dermatofibroma
Ecografía Doppler en el dermatofibroma aneurismático
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B: Doppler color, eje longitudinal, 18<span class="elsevierStyleHsp" style=""></span>Mhz: Tumoración localizada en tejido celular subcutáneo, bien delimitada, constituida por áreas lacunares anecoicas delimitadas por tabiques hipoecoicos con flujo en su interior en la zona central e izquierda de la imagen y zonas hipoecoicas desestructuradas en el margen derecho. C: Imagen macroscópica tras la extirpación donde se pueden apreciar las estructuras lacunares visibles con la ecografía. D: Hematoxilina-eosina 100x. Ectasias sin endotelio con hematíes en el interior rodeadas de células de hábito fibrohistiocitario.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Echeverría-García, C. García-Donoso, J.C. Tardío, J. Borbujo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Echeverría-García" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "García-Donoso" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Tardío" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Borbujo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219016303511" "doi" => "10.1016/j.adengl.2016.12.011" "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/S1578219016303511?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731016303337?idApp=UINPBA000044" "url" => "/00017310/0000010800000002/v1_201702250114/S0001731016303337/v1_201702250114/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219016303523" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.12.012" "estado" => "S300" "fechaPublicacion" => "2017-03-01" "aid" => "1514" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2017;108:161-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 902 "formatos" => array:3 [ "EPUB" => 50 "HTML" => 698 "PDF" => 154 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Familial Mediterranean Fever: Diagnostic Difficulties in an Atypical Case" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "161" "paginaFinal" => "164" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fiebre mediterránea familiar. Dificultades diagnósticas en un caso atípico" ] ] "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" => 1164 "Ancho" => 1650 "Tamanyo" => 458565 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Edema associated with a moderate inflammatory infiltrate of lymphocytes and neutrophils in the superficial dermis, with occasional images of leukocytoclasia. No extravasation of red blood cells is observed, nor the presence of hemosiderophages or lesions of fibrinoid necrosis in the vessel walls. Hematoxylin and eosin, original magnification<span class="elsevierStyleHsp" style=""></span>×20.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Loidi Pascual, M. Larrea García, C. Llanos Chávarri, J.I. Yanguas Bayona" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Loidi Pascual" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Larrea García" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Llanos Chávarri" ] 3 => array:2 [ "nombre" => "J.I." 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"tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "158" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Cicatriz o tumor?" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 623 "Ancho" => 1299 "Tamanyo" => 82022 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Pérez-Plaza, G. Solano-López, E. Vargas" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Pérez-Plaza" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Solano-López" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Vargas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731016300199" "doi" => "10.1016/j.ad.2015.12.012" "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/S0001731016300199?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901630350X?idApp=UINPBA000044" "url" => "/15782190/0000010800000002/v1_201702250104/S157821901630350X/v1_201702250104/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Doppler Ultrasound of Aneurysmal Dermatofibroma" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "159" "paginaFinal" => "161" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "B. Echeverría-García, C. García-Donoso, J.C. Tardío, J. Borbujo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "B." "apellidos" => "Echeverría-García" "email" => array:1 [ 0 => "begona.echeverria@salud.madrid.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" => "C." "apellidos" => "García-Donoso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.C." "apellidos" => "Tardío" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Borbujo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ecografía Doppler en el dermatofibroma aneurismático" ] ] "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" => 1100 "Ancho" => 1467 "Tamanyo" => 409906 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Case 1. A, Nodule in the mesogastric region. B, Color Doppler, longitudinal axis, 18<span class="elsevierStyleHsp" style=""></span>Mhz. In the subcutaneous cellular tissue, a well-defined tumor formed of anechoic lacunae surrounded by hypoechoic septa with flow in their interior (center and left of the image) and destructured hypoechoic areas (right side of the image). C, Macroscopic appearance of the tumor after surgical excision, showing the lacunar structures visible on ultrasound. D, Ectasias containing red blood cells but with no endothelium, surrounded by cells of fibrohistiocytic appearance. Hematoxylin and eosin, original magnification<span class="elsevierStyleHsp" style=""></span>x100.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Güngör et al.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> recently published the dermoscopic and confocal microscopy findings of an aneurysmal dermatofibroma (ADF). In this paper we describe the usefulness of Doppler in the diagnosis of this entity.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case 1</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 64-year-old man was seen for a 1-year history of an abdominal wall tumor that presented episodes of increase in size, redness, and pain. The patient had undergone surgery 2 years earlier for squamous cell carcinoma of the pharynx; the metastatic work-up had shown no signs of recurrence or distant tumor spread.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Physical examination revealed a tender violaceous tumor of 3.5<span class="elsevierStyleHsp" style=""></span>cm in diameter in the mesogastric region (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Ultrasound showed a well-defined lesion measuring 37<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>15.7<span class="elsevierStyleHsp" style=""></span>mm in the subcutaneous cellular tissue. The lesion was composed of anechoic lacunae separated by hypoechoic septa. These septa were enhanced on color Doppler (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The histopathologic diagnosis after excision of the lesion was ADF (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, C and D).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Case 2</span><p id="par0020" class="elsevierStylePara elsevierViewall">This patient was a woman aged 34 years. She presented a lesion that had arisen on her right arm 2 years earlier and that had become pruritic in the previous 4 months. She had a past history of surgery for ectopic breast tissue and polycystic ovary syndrome on treatment with oral contraceptives.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Physical examination revealed a nontender violaceous papule of 5<span class="elsevierStyleHsp" style=""></span>mm in diameter. On ultrasound we observed a well-defined, hypoechoic lesion with a central anechoic area (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A). Color Doppler revealed complete filling of the lesion with the exception of a small anechoic area. Pulsed Doppler showed a venous wave (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B). The histopathologic diagnosis after excision was ADF (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>C).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Dermatofibroma is a common benign cutaneous tumor. ADF is a rare clinical-pathologic variant described by Santa Cruz and Kyriakos in 1981<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a>; it accounts for less than 1.7% of all dermatofibromas. ADF presents as a violaceous or bluish tumor and is usually larger than the more common variants. It may show a sudden spontaneous increase in size or pain due to intratumoral hemorrhage. These tumors usually arise on the limbs; only 12% are found on the trunk. The postsurgical recurrence rate is 19%, and although the lesions are usually limited to the dermis, they can sometimes extend into the hypodermis and affect lymph nodes or bone.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">3,4</span></a> Histopathology reveals cells with a fibrohistiocytic appearance, blood vessels, and hemosiderin surrounding ectatic blood-filled spaces. These spaces have no endothelial lining.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Dermoscopically, the lesion has been described as a central homogeneous bluish or reddish area, a peripheral pigment network, and central whitish linear structures.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Confocal microscopy shows hyporeflective areas, which correspond to the vascular zones, associated with other hyperreflective areas, which correspond to the more dense cellular zones.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Dermatofibroma has been described on ultrasound as a solid hypoechoic nodule, in the form of a well-defined disc localized in the dermis or hypodermis, usually producing distortion of adjacent hair follicles and occasionally showing peripheral vascularization.<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">6–8</span></a> In the literature we have found no descriptions of the ultrasound findings of ADF, though the findings of angiomatoid fibrohistiocytoma have been published.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a> Hata et al.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a> described a patient aged 77 years with a 4-month history of a lesion in the temporal region that, on ultrasound, presented anechoic structures with no Doppler flow, interpreted as vascular channels filled with blood, and peripheral hypoechoic areas with different degrees of vascularization, which they considered to be more cellular areas with blood vessels. In our first case, we could also make this same ultrasound-histologic correlation, though this was a longer-standing lesion, of larger size, with numerous intratumoral bleeds, and with more ectatic areas. Given the patient's past history, the differential diagnosis included a possible skin metastasis, although the lesion was very homogeneous and of pseudoencapsulated appearance.</p><p id="par0050" class="elsevierStylePara elsevierViewall">In our second case, the marked vascularization present on Doppler led us to consider a differential diagnosis with venous malformations. On ultrasound, venous malformations are seen as tubular structures, occasionally with hyperechoic structures with a posterior shadow (phleboliths), with a venous wave on pulsed Doppler. In this case, as the lesion was small and had not presented episodes of increasing size, we observed a predominance of areas with Doppler flow and a smaller anechoic central region.</p><p id="par0055" class="elsevierStylePara elsevierViewall">In conclusion, Doppler can be a very useful tool for the diagnosis of ADF. The anechoic areas with no flow correspond histologically to the ectatic areas and the regions with Doppler flow correspond to the vascularized and cellular areas.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of Interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case 1" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Case 2" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of Interest" ] 3 => 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: Echeverría-García B, García-Donoso C, Tardío JC, Borbujo J. Ecografía Doppler en el dermatofibroma aneurismático. Actas Dermosifiliogr. 2017;108:159–161.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1100 "Ancho" => 1467 "Tamanyo" => 409906 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Case 1. A, Nodule in the mesogastric region. B, Color Doppler, longitudinal axis, 18<span class="elsevierStyleHsp" style=""></span>Mhz. In the subcutaneous cellular tissue, a well-defined tumor formed of anechoic lacunae surrounded by hypoechoic septa with flow in their interior (center and left of the image) and destructured hypoechoic areas (right side of the image). C, Macroscopic appearance of the tumor after surgical excision, showing the lacunar structures visible on ultrasound. D, Ectasias containing red blood cells but with no endothelium, surrounded by cells of fibrohistiocytic appearance. Hematoxylin and eosin, original magnification<span class="elsevierStyleHsp" style=""></span>x100.</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" => 1100 "Ancho" => 1467 "Tamanyo" => 301123 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Case 2. A, Gray scale: Well-defined hypoechoic lesion situated in the dermis and in the subcutaneous cellular tissue. B, Pulsed Doppler: Filling of the lesion with a venous wave. C, Ectasia containing red blood cells but with no endothelium, surrounded by fibrohistiocytic cells and extravasated red blood cells. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 15 | 10 | 25 |
| 2024 Octubre | 88 | 45 | 133 |
| 2024 Septiembre | 86 | 27 | 113 |
| 2024 Agosto | 103 | 81 | 184 |
| 2024 Julio | 95 | 38 | 133 |
| 2024 Junio | 90 | 49 | 139 |
| 2024 Mayo | 72 | 29 | 101 |
| 2024 Abril | 95 | 35 | 130 |
| 2024 Marzo | 73 | 24 | 97 |
| 2024 Febrero | 79 | 33 | 112 |
| 2024 Enero | 53 | 29 | 82 |
| 2023 Diciembre | 59 | 17 | 76 |
| 2023 Noviembre | 79 | 22 | 101 |
| 2023 Octubre | 77 | 19 | 96 |
| 2023 Septiembre | 66 | 27 | 93 |
| 2023 Agosto | 55 | 15 | 70 |
| 2023 Julio | 66 | 39 | 105 |
| 2023 Junio | 74 | 29 | 103 |
| 2023 Mayo | 56 | 21 | 77 |
| 2023 Abril | 53 | 20 | 73 |
| 2023 Marzo | 58 | 24 | 82 |
| 2023 Febrero | 60 | 26 | 86 |
| 2023 Enero | 45 | 52 | 97 |
| 2022 Diciembre | 62 | 51 | 113 |
| 2022 Noviembre | 37 | 34 | 71 |
| 2022 Octubre | 47 | 16 | 63 |
| 2022 Septiembre | 34 | 37 | 71 |
| 2022 Agosto | 31 | 28 | 59 |
| 2022 Julio | 36 | 37 | 73 |
| 2022 Junio | 33 | 21 | 54 |
| 2022 Mayo | 84 | 43 | 127 |
| 2022 Abril | 65 | 39 | 104 |
| 2022 Marzo | 62 | 50 | 112 |
| 2022 Febrero | 54 | 35 | 89 |
| 2022 Enero | 61 | 45 | 106 |
| 2021 Diciembre | 60 | 46 | 106 |
| 2021 Noviembre | 59 | 44 | 103 |
| 2021 Octubre | 85 | 65 | 150 |
| 2021 Septiembre | 67 | 41 | 108 |
| 2021 Agosto | 70 | 40 | 110 |
| 2021 Julio | 51 | 35 | 86 |
| 2021 Junio | 67 | 38 | 105 |
| 2021 Mayo | 68 | 39 | 107 |
| 2021 Abril | 117 | 78 | 195 |
| 2021 Marzo | 85 | 34 | 119 |
| 2021 Febrero | 64 | 33 | 97 |
| 2021 Enero | 52 | 25 | 77 |
| 2020 Diciembre | 38 | 31 | 69 |
| 2020 Noviembre | 35 | 16 | 51 |
| 2020 Octubre | 51 | 13 | 64 |
| 2020 Septiembre | 41 | 18 | 59 |
| 2020 Agosto | 33 | 24 | 57 |
| 2020 Julio | 28 | 24 | 52 |
| 2020 Junio | 39 | 32 | 71 |
| 2020 Mayo | 16 | 15 | 31 |
| 2020 Abril | 15 | 11 | 26 |
| 2020 Marzo | 25 | 14 | 39 |
| 2020 Febrero | 3 | 0 | 3 |
| 2019 Septiembre | 1 | 0 | 1 |
| 2019 Junio | 2 | 0 | 2 |
| 2019 Mayo | 10 | 0 | 10 |
| 2019 Abril | 0 | 5 | 5 |
| 2019 Febrero | 2 | 0 | 2 |
| 2018 Diciembre | 2 | 0 | 2 |
| 2018 Noviembre | 3 | 0 | 3 |
| 2018 Octubre | 25 | 0 | 25 |
| 2018 Septiembre | 8 | 0 | 8 |
| 2018 Febrero | 78 | 2 | 80 |
| 2018 Enero | 59 | 8 | 67 |
| 2017 Diciembre | 123 | 7 | 130 |
| 2017 Noviembre | 29 | 7 | 36 |
| 2017 Octubre | 31 | 5 | 36 |
| 2017 Septiembre | 25 | 2 | 27 |
| 2017 Agosto | 44 | 9 | 53 |
| 2017 Julio | 26 | 8 | 34 |
| 2017 Junio | 36 | 10 | 46 |
| 2017 Mayo | 42 | 15 | 57 |
| 2017 Abril | 35 | 22 | 57 |
| 2017 Marzo | 150 | 40 | 190 |
| 2017 Febrero | 17 | 11 | 28 |
| 2017 Enero | 2 | 9 | 11 |
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