Case report
Giant pericardial cyst mimicking dextrocardia on chest X-ray
Quisto pericárdico gigante a imitar dextrocardia na telerradiografia de tórax
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mimicking dextrocardia on chest X-ray" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "49" "paginaFinal" => "52" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Hamad M. Hamad, Ana Galrinho, João Abreu, Bruno Valente, Luis Bakero, Rui C. Ferreira" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Hamad M." "apellidos" => "Hamad" "email" => array:1 [ 0 => "hamadmahmoud77@hotmail.com" ] "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" => "Ana" "apellidos" => "Galrinho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "João" "apellidos" => "Abreu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Bruno" "apellidos" => "Valente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Luis" "apellidos" => "Bakero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Rui C." "apellidos" => "Ferreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Serviço de Cardiologia, Hospital de Santa Marta, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Serviço de Cirurgia Cardiotorácica, Hospital de Santa Marta, Lisboa, Portugal" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Quisto pericárdico gigante a imitar dextrocardia na telerradiografia de tórax" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 653 "Ancho" => 1925 "Tamanyo" => 116479 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Echocardiography, subcostal view, with a 87 mm × 88 mm mass containing a septum, suggesting a diagnosis of large pericardial cyst.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 30-year-old man reported dysphagia and weight loss (15 kg) during the previous four months. Palpitations and chest pain unrelated to physical or emotional stress began two months later. A routine annual visit to the occupational medicine clinic revealed normal physical examination and laboratory tests. The chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A) suggested a diagnosis of dextrocardia that was not observed on previous annual chest X-rays, and the ECG (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B) was normal. Outpatient echocardiography was also normal. The patient was referred to the cardiology department for further investigation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Computed tomography (CT) scan (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) showed a large well-defined mass 11.2 cm × 7.4 cm in diameter projecting into the right costophrenic angle, suggesting a diagnosis of pericardial cyst or bronchogenic cyst.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Echocardiography (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>) was repeated and revealed an echo-free structure containing a septum, pushing on the right atrium and visualized only from subcostal view, which showed a large pericardial cyst, and no other abnormal findings.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Magnetic resonance imaging (MRI) (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>) identified a non-enhanced, well-defined bilobed mass in the right costophrenic angle containing clear fluid with a volume of 70.4 ml, compatible with a giant pericardial cyst.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The patient underwent surgical excision of the mass (<a class="elsevierStyleCrossRef" href="#fig0025">Figure 5</a>) without complications. Histological examination confirmed the diagnosis of pericardial cyst. After three months of follow-up, he was symptom-free and the chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0030">Figure 6</a>) showed no signs of dextrocardia.</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discussion</span><p id="par0030" class="elsevierStylePara elsevierViewall">Pericardial cysts are rare benign structures, most frequently located in the right costophrenic angle, but may also appear in the left costophrenic angle, hilum and superior mediastinum. They may be unilocular or multilocular with diameters ranging between 1 and 5 cm.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In our case the pericardial cyst was very large, almost 9 cm in diameter, which makes it even more rare. The incidence of pericardial cysts is 1:100<span class="elsevierStyleHsp" style=""></span>000 and they represent 6–7% of total mediastinal masses.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> They must be differentiated from cardiac chamber enlargement, diaphragmatic hernia, malignant tumors and bronchogenic cysts.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Pericardial cysts are usually asymptomatic and discovered incidentally on chest X-ray or echocardiography,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> while MRI and CT can differentiate between pericardial cyst and other solid mediastinal masses.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> The former appears as a thin-walled, well-defined mass filled with clear fluid without intravenous contrast enhancement.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Giant pericardial cysts may cause chest pain, dyspnea and cough secondary to airway compression. They may produce symptoms mimicking tricuspid stenosis, pulmonary stenosis or constrictive pericarditis.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Atrial fibrillation,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> cardiac tamponade<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and even sudden death after a stress test<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> have been reported. To the best of our knowledge, symptoms of dysphagia and significant weight loss, as in our case, have not previously been reported.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Treatment for symptomatic patients with large cysts includes surgical excision or percutaneous aspiration and alcohol sclerosing injection to prevent recurrence. Asymptomatic patients should be followed to monitor for possible future symptoms.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Ethical disclosures</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Protection of human and animal subjects</span><p id="par0075" class="elsevierStylePara elsevierViewall">The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki).</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidentiality of data</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Right to privacy and informed consent</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:9 [ 0 => array:2 [ "identificador" => "xres250309" "titulo" => "Abstract" ] 1 => array:2 [ "identificador" => "xpalclavsec237876" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "xres250308" "titulo" => "Resumo" ] 3 => array:2 [ "identificador" => "xpalclavsec237875" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Case report" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Discussion" ] 6 => array:3 [ "identificador" => "sec0015" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0020" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0030" "titulo" => "Right to privacy and informed consent" ] ] ] 7 => array:2 [ "identificador" => "sec0035" "titulo" => "Conflicts of interest" ] 8 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-04-02" "fechaAceptado" => "2012-04-09" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec237876" "palabras" => array:2 [ 0 => "Pericardial cyst" 1 => "Chest X-ray" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec237875" "palabras" => array:2 [ 0 => "Quisto pericárdico" 1 => "Telerradiografia de tórax" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pericardial cysts are rare benign congenital malformations, usually small, asymptomatic and detected incidentally on chest X-ray as a mass located in the right costophrenic angle. Giant pericardial cysts are very uncommon and produce symptoms by compressing adjacent structures. In this report, the authors present a case of a symptomatic giant pericardial cyst incorrectly diagnosed as dextrocardia on chest X-ray.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os quistos pericárdicos são malformações congênitas benignas raras. Habitualmente. são de pequena dimensão, assintomáticos e detectados de forma acidental na telerradiografia de tórax, como uma massa localizada no ângulo costofrênico direito. Grandes quistos pericárdicos são ainda mais raros e produzem sintomas por compressão de estruturas adjacentes. Neste artigo, os autores apresentam um caso clínico de um quisto pericárdico gigante e sintomático previamente diagnosticado como uma dextrocardia em telerradiografia de tórax.</p>" ] ] "multimedia" => array:6 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 662 "Ancho" => 1925 "Tamanyo" => 97255 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray showing pericardial cyst projecting into the right costophrenic angle mimicking dextrocardia; (B) ECG without abnormalities suggesting dextrocardia.</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" => 792 "Ancho" => 950 "Tamanyo" => 95422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Large mass (*) in the right costophrenic angle on CT scan.</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" => 653 "Ancho" => 1925 "Tamanyo" => 116479 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Echocardiography, subcostal view, with a 87 mm × 88 mm mass containing a septum, suggesting a diagnosis of large pericardial cyst.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 643 "Ancho" => 1945 "Tamanyo" => 112001 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Magnetic resonance image showing a bilobed mass (*) containing clear fluid in the right costophrenic angle.</p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1187 "Ancho" => 1579 "Tamanyo" => 171947 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Pericardial cyst after excision.</p>" ] ] 5 => array:7 [ "identificador" => "fig0030" "etiqueta" => "Figure 6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 1250 "Ancho" => 1583 "Tamanyo" => 109117 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Chest X-ray three months after surgery.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guidelines on the diagnosis and management of pericardial diseases executive summary. 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| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 15 | 10 | 25 |
| 2024 Outubro | 72 | 37 | 109 |
| 2024 Setembro | 73 | 25 | 98 |
| 2024 Agosto | 50 | 31 | 81 |
| 2024 Julho | 44 | 34 | 78 |
| 2024 Junho | 37 | 31 | 68 |
| 2024 Maio | 69 | 22 | 91 |
| 2024 Abril | 55 | 46 | 101 |
| 2024 Maro | 67 | 25 | 92 |
| 2024 Fevereiro | 60 | 32 | 92 |
| 2024 Janeiro | 67 | 40 | 107 |
| 2023 Dezembro | 69 | 32 | 101 |
| 2023 Novembro | 75 | 43 | 118 |
| 2023 Outubro | 55 | 29 | 84 |
| 2023 Setembro | 64 | 29 | 93 |
| 2023 Agosto | 58 | 17 | 75 |
| 2023 Julho | 51 | 16 | 67 |
| 2023 Junho | 67 | 19 | 86 |
| 2023 Maio | 55 | 23 | 78 |
| 2023 Abril | 54 | 5 | 59 |
| 2023 Maro | 58 | 23 | 81 |
| 2023 Fevereiro | 58 | 20 | 78 |
| 2023 Janeiro | 47 | 22 | 69 |
| 2022 Dezembro | 47 | 24 | 71 |
| 2022 Novembro | 72 | 20 | 92 |
| 2022 Outubro | 68 | 23 | 91 |
| 2022 Setembro | 50 | 30 | 80 |
| 2022 Agosto | 75 | 35 | 110 |
| 2022 Julho | 59 | 39 | 98 |
| 2022 Junho | 54 | 26 | 80 |
| 2022 Maio | 59 | 29 | 88 |
| 2022 Abril | 54 | 23 | 77 |
| 2022 Maro | 53 | 28 | 81 |
| 2022 Fevereiro | 90 | 15 | 105 |
| 2022 Janeiro | 93 | 20 | 113 |
| 2021 Dezembro | 51 | 29 | 80 |
| 2021 Novembro | 67 | 38 | 105 |
| 2021 Outubro | 73 | 42 | 115 |
| 2021 Setembro | 83 | 32 | 115 |
| 2021 Agosto | 91 | 31 | 122 |
| 2021 Julho | 63 | 27 | 90 |
| 2021 Junho | 56 | 25 | 81 |
| 2021 Maio | 53 | 36 | 89 |
| 2021 Abril | 74 | 35 | 109 |
| 2021 Maro | 88 | 9 | 97 |
| 2021 Fevereiro | 101 | 18 | 119 |
| 2021 Janeiro | 51 | 10 | 61 |
| 2020 Dezembro | 47 | 9 | 56 |
| 2020 Novembro | 63 | 9 | 72 |
| 2020 Outubro | 62 | 16 | 78 |
| 2020 Setembro | 56 | 10 | 66 |
| 2020 Agosto | 55 | 15 | 70 |
| 2020 Julho | 59 | 10 | 69 |
| 2020 Junho | 56 | 10 | 66 |
| 2020 Maio | 50 | 6 | 56 |
| 2020 Abril | 51 | 24 | 75 |
| 2020 Maro | 54 | 6 | 60 |
| 2020 Fevereiro | 149 | 20 | 169 |
| 2020 Janeiro | 40 | 9 | 49 |
| 2019 Dezembro | 50 | 18 | 68 |
| 2019 Novembro | 27 | 4 | 31 |
| 2019 Outubro | 26 | 6 | 32 |
| 2019 Setembro | 60 | 9 | 69 |
| 2019 Agosto | 19 | 6 | 25 |
| 2019 Julho | 27 | 12 | 39 |
| 2019 Junho | 38 | 15 | 53 |
| 2019 Maio | 28 | 17 | 45 |
| 2019 Abril | 25 | 23 | 48 |
| 2019 Maro | 22 | 30 | 52 |
| 2019 Fevereiro | 32 | 14 | 46 |
| 2019 Janeiro | 19 | 7 | 26 |
| 2018 Dezembro | 32 | 13 | 45 |
| 2018 Novembro | 119 | 13 | 132 |
| 2018 Outubro | 230 | 23 | 253 |
| 2018 Setembro | 67 | 14 | 81 |
| 2018 Agosto | 115 | 14 | 129 |
| 2018 Julho | 59 | 9 | 68 |
| 2018 Junho | 85 | 7 | 92 |
| 2018 Maio | 92 | 11 | 103 |
| 2018 Abril | 90 | 12 | 102 |
| 2018 Maro | 109 | 6 | 115 |
| 2018 Fevereiro | 56 | 7 | 63 |
| 2018 Janeiro | 64 | 2 | 66 |
| 2017 Dezembro | 100 | 10 | 110 |
| 2017 Novembro | 64 | 7 | 71 |
| 2017 Outubro | 82 | 17 | 99 |
| 2017 Setembro | 77 | 25 | 102 |
| 2017 Agosto | 100 | 11 | 111 |
| 2017 Julho | 72 | 13 | 85 |
| 2017 Junho | 56 | 20 | 76 |
| 2017 Maio | 59 | 5 | 64 |
| 2017 Abril | 48 | 2 | 50 |
| 2017 Maro | 72 | 2 | 74 |
| 2017 Fevereiro | 108 | 8 | 116 |
| 2017 Janeiro | 83 | 9 | 92 |
| 2016 Dezembro | 45 | 12 | 57 |
| 2016 Novembro | 44 | 13 | 57 |
| 2016 Outubro | 113 | 16 | 129 |
| 2016 Setembro | 69 | 17 | 86 |
| 2016 Agosto | 39 | 8 | 47 |
| 2016 Julho | 56 | 13 | 69 |
| 2016 Junho | 2 | 12 | 14 |
| 2016 Maio | 9 | 6 | 15 |
| 2016 Abril | 83 | 3 | 86 |
| 2016 Maro | 139 | 17 | 156 |
| 2016 Fevereiro | 139 | 21 | 160 |
| 2016 Janeiro | 144 | 10 | 154 |
| 2015 Dezembro | 128 | 10 | 138 |
| 2015 Novembro | 147 | 8 | 155 |
| 2015 Outubro | 152 | 11 | 163 |
| 2015 Setembro | 134 | 10 | 144 |
| 2015 Agosto | 154 | 17 | 171 |
| 2015 Julho | 173 | 4 | 177 |
| 2015 Junho | 151 | 8 | 159 |
| 2015 Maio | 115 | 7 | 122 |
| 2015 Abril | 154 | 10 | 164 |
| 2015 Maro | 211 | 9 | 220 |
| 2015 Fevereiro | 163 | 5 | 168 |
| 2015 Janeiro | 139 | 12 | 151 |
| 2014 Dezembro | 181 | 11 | 192 |
| 2014 Novembro | 147 | 8 | 155 |
| 2014 Outubro | 212 | 11 | 223 |
| 2014 Setembro | 181 | 21 | 202 |
| 2014 Agosto | 192 | 7 | 199 |
| 2014 Julho | 166 | 14 | 180 |
| 2014 Junho | 157 | 11 | 168 |
| 2014 Maio | 180 | 3 | 183 |
| 2014 Abril | 192 | 14 | 206 |
| 2014 Maro | 233 | 19 | 252 |
| 2014 Fevereiro | 250 | 12 | 262 |
| 2014 Janeiro | 225 | 17 | 242 |
| 2013 Dezembro | 186 | 22 | 208 |
| 2013 Novembro | 187 | 16 | 203 |
| 2013 Outubro | 164 | 13 | 177 |
| 2013 Setembro | 120 | 15 | 135 |
| 2013 Agosto | 110 | 28 | 138 |
| 2013 Julho | 141 | 23 | 164 |
| 2013 Junho | 102 | 16 | 118 |
| 2013 Maio | 100 | 22 | 122 |
| 2013 Abril | 138 | 46 | 184 |
| 2013 Maro | 108 | 41 | 149 |
| 2013 Fevereiro | 97 | 51 | 148 |
| 2013 Janeiro | 43 | 21 | 64 |
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