Acoustic neuroma epidemiology and demographics: Difference between revisions

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{{Acoustic neuroma}}
{{Acoustic neuroma}}
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==Overview==
==Overview==
The [[incidence]] of acoustic neuroma ranges from 0.3 to 1 per 100, 000 individuals. The [[prevalence]] of acoustic neuroma is approximately 0.2 per 100,000 individuals. Women are more commonly affected by acoustic neuroma than men. Most cases of acoustic neuroma develop in individuals between 30 and 60 years of age.


The true incidence of Acoustic neuromas has been difficult to estimate.<ref>Ho SY, Kveton JF. Acoustic neuroma assessment and management. Otolaryngol Clin North Am 2002;35:393-404</ref> <ref>Tos M, Charabi S, Thomsen J. Clincial experience with vestibular schwannomas: epidemiology, symptomatology, diagnosis, and surgical results. Eur Arch Otorhinolaryngol 1998;255:1-6.</ref>  The incidence has been reported to range from 1 to 20 per million per year.<ref> Howitz MF, Johansen C, Tos M, Charabi S, Olsen JH. Incidence of Vestibular Schwannoma in Denmark, 1977-1995. Am J Otol 2000;21:690-694</ref> <ref>Tos M, Charabi S, Thomsen J. Clincial experience with vestibular schwannomas: epidemiology, symptomatology, diagnosis, and surgical results. Eur Arch Otorhinolaryngol 1998;255:1-6.</ref> <ref>Tos M, Stangerup SE, Cayé-Thomasen P, Tos T, Thomsen J. What is the real incidence of vestibular schwannoma? Arch Otolaryngol Head Neck Surg 2004;130:216-220</ref> A study of acoustic neuromas in a review of 24,000 brain MRIs reported a prevalence of 0.07%. When comparing the clinical incidence
==Epidemiology and Demographics==
of acoustic neuromas to the prevalence of occult acoustic neuromas ascertained from histopathological studies of temporal bones, it can be concluded that the vast majority of tumors that exist are never clinically manifested.<ref>Thomsen J, Tos M. Acoustic neuroma: clinical aspects, audiovestibular assessment, diagnostic delay, and growth rate. Am J Otol 1990;11:12-19.</ref> <ref>Rosenberg SI. Natural history of acoustic neuromas. Laryngoscope 2000;110:497-508.</ref> Acoustic neuromas are most commonly diagnosed between the ages of 30 and 68.<ref>Strasnick B, Glasscock ME, Haynes D, McMenomey SO, Minor LB. The natural history of untreated acoustic neuromas. Laryngoscope1994;104:1115-1119.</ref> <ref>Hart RG, Davenport J. Diagnosis of acoustic neuroma. Neurosurgery 1981;9:450-463.</ref> Reported cases of acoustic neuroma in childhood are rare and in such patients other evidence of NF2 should be investigated. In a study of 146 cases of acoustic neuromas, the median age of cases was 52 years.<ref>Edwards CG, Schwartzbaum JA, Lönn S, Ahlbom A, Feychting M. Exposure to loud noise and risk of acoustic neuroma. Am J Epidemiol 2006;163:327-333.</ref> In a second study of 793 cases of Acoustic neuroma, the median age of the cases was 54 years. The sex ratio (females/males) for acoustic neuromas has been reported to be >1 <ref>Inskip PD, Tarone RE, Hatch EE, et al. Sociodemographic indicators and risk of brain tumours. Int J Epidemiol 2003;32:225-233.</ref> <ref>Howitz MF, Johansen C, Tos M, Charabi S, Olsen JH. Incidence of Vestibular Schwannoma in Denmark, 1977-1995. Am J Otol 2000;21:690-694.</ref> <ref>Chandler CL, Ramsden RT. Acoustic schwannoma. Br J Hosp Med 1993;49:336-343.</ref> <ref>Spoelhof GD. When to suspect acoustic neuroma. Am Fam Physician 1995;52:1768-1774.</ref>
Acoustic neuroma accounts for 7 - 8% of all primary [[Cranium|intracranial]] [[tumors]] and 75 - 90% of [[cerebellopontine]] angle masses. [[Bilateral]] vestibular [[schwannomas]] are highly suggestive of [[neurofibromatosis type 2|neurofibromatosis type 2 (NF2)]], although [[bilateral]] [[tumors]] are encountered in the [[familial]] form of acoustic [[Schwannoma|schwannomas]] in the absence of other stigmata of [[Neurofibromatosis type II|NF2]].<ref name="radio">Acoustic Schwannoma. Radiopedia(2015) http://radiopaedia.org/articles/acoustic-schwannoma Accessed on October 2 2015</ref><ref>{{Cite journal|last=Thomas J. Gal, MD, MPH, Jennifer Shinn, PhD, and Bin Huang, PhD, Lexington, KY|first=|date=2010|title=Current epidemiology and management trends in acoustic neuroma|url=|journal=Otolaryngology–Head and Neck Surgery|volume=|pages=|via=}}</ref><ref name="Medline Plus">Acoustic neuroma. Medline Plus(2015) https://www.nlm.nih.gov/medlineplus/ency/article/000778.htm Accessed on October 2 2015</ref>
However, data from the Central Brain Tumor Registry of the United States (CBTRUS) do not support a female/male difference<ref>Propp JM, McCarthy BJ, Davis FG, Preston-Martin S. Descriptive epidemiology of vestibular schwannomas. Neuro-oncol 2006;8:1-11.</ref> Nevertheless,some of the studies that analyzed Swedish data, the sex ratio (females/males) of acoustic neuromas in the Nordic counties has been shown to be >1. This sex ratio may indicate that hormones play a role in the etiology of acoustic neuromas<ref>Schlehofer B, Blettner M, Wahrendorf J. Association between brain tumors and menopausal status. J Natl Cancer Inst 1992;84:1346-1349</ref> <ref>Howitz MF, Johansen C, Tos M, Charabi S, Olsen JH. Incidence of Vestibular Schwannoma in Denmark, 1977-1995. Am J Otol 2000;21:690-694.</ref> The tumor has been reported to be higher in whites than in non-whites<ref>Propp JM, McCarthy BJ, Davis FG, Preston-Martin S. Descriptive epidemiology of vestibular schwannomas. Neuro-oncol 2006;8:1-11.</ref> as well as being uncommon in individuals of African ancestry<ref>Chandler CL, Ramsden RT. Acoustic schwannoma. Br J Hosp Med 1993;49:336-343..</ref> According to some studies the incidence of acoustic neuromas has been
increasing. This may be due to several factors. Steady improvements in
diagnosis, such as the introduction of auditory brainstem response, CT, and MRI could
explain part of the increased incidence. Increased awareness among physicians
and patients of the symptoms of acoustic neuromas may have caused an increase in the
reporting of the tumor. Changes in classification or coding may also explain some
of the trend, whereby registries may have misclassified nonvestibular schwannomas as
acoustic neuromas. Or, there may be a true increase in the incidence of these
tumors. The trend may also lend support to the emerging hypotheses regarding an
environmental cause of these tumors. Established and hypothesized risk factors have been
reported extensively in the literature and include ionizing radiation exposure, cellular
telephone use, specific occupations, a possible hormonal cause, and loud noise exposure.


<div><div><div><div>'''Average annual incidence rates, overall and by gender and race, CBTRUS (1995–1999) and LACCSP (1995–1998)'''</div></div></div></div><div>
{| style="border: 3px; margin: 1px; font-size: 90%; width: 400px; align=" center "
{| cellspacing="3" cellpadding="2"
! colspan="3" style="background: #5579ff; width 400px; " | {{fontcolor|#FFF|Age-adjusted incidence rates across demographic variables}}
|-
|-
| align="center" |
! colspan="2" style="background: #4479ba; " | {{fontcolor|#FFF| demographic variables}}
| align="center" |
! style="background: #4479ba; " | {{fontcolor|#FFF| Rate (per 100,000)}}
| align="center" |
|-
| align="center" | '''Gender'''
! rowspan="2" style="padding: 4px 4px; background: #00AF89; " | {{fontcolor|#FFF| Gender}}
 
! style="padding: 3px 3px; background: #B0E0E6; " | Male
----
! style="padding: 3px 3px; background: #E0FFFF; " | 1.1
| align="center" | '''Race'''
|-
 
! style="padding: 3px 3px; background: #B0E0E6; " | Female
----
! style="padding: 3px 3px; background: #E0FFFF; " | 1.0
|-
! rowspan="3" style="padding: 4px 4px; background: #00AF89; " | {{fontcolor|#FFF| Race}}
! style="padding: 3px 3px; background: #B0E0E6; " | White
! style="padding: 3px 3px; background: #E0FFFF; " | 1.1
|-
! style="padding: 3px 3px; background: #B0E0E6; " | Black
! style="padding: 3px 3px; background: #E0FFFF; " | 0.4
|-
! style="padding: 3px 3px; background: #B0E0E6; " | Other
! style="padding: 3px 3px; background: #E0FFFF; " | 1.3
|-
! rowspan="5" style="padding: 3px 3px; background: #00AF89 " | {{fontcolor|#FFF| Age (yrs), all}}
! style="padding: 3px 3px; background: #B0E0E6; " | <20
! style="padding: 3px 3px; background: #E0FFFF; " | 0.1
|-
! style="padding: 3px 3px; background: #B0E0E6; " | 20-39
! style="padding: 3px 3px; background: #E0FFFF; " | 0.6
|-
! style="padding: 3px 3px; background: #B0E0E6; " | 40-49
! style="padding: 3px 3px; background: #E0FFFF; " | 1.5
|-
! style="padding: 3px 3px; background: #B0E0E6; " | 50-64
! style="padding: 3px 3px; background: #E0FFFF; " | 2.7
|-
! style="padding: 3px 3px; background: #B0E0E6; " | 65+
! style="padding: 3px 3px; background: #E0FFFF; " | 2.0
|-
! rowspan="5" style="padding: 3px 3px; background: #00AF89; " | {{fontcolor|#FFF| Age (yrs), Male}}
! style="padding: 3px 3px; background: #B0E0E6; " | <20
! style="padding: 3px 3px; background: #E0FFFF; " | 0
|-
! style="padding: 3px 3px; background: #B0E0E6; " | 20-39
! style="padding: 3px 3px; background: #E0FFFF; " | 0.5
|-
! style="padding: 3px 3px; background: #B0E0E6; " | 40-49
! style="padding: 3px 3px; background: #E0FFFF; " | 1.6
|-
|-
| '''Type of Tumor'''
! style="padding: 3px 3px; background: #B0E0E6; " | 50-64
| align="center" | '''Total Number of Tumors (N)'''
! style="padding: 3px 3px; background: #E0FFFF; " | 2.6
| align="center" | '''Overall Rate (CI)'''
| align="center" | '''Male'''
| align="center" | '''Female'''
| align="center" | '''White'''
| align="center" | '''Nonwhite'''
|-
|-
| colspan="7" rowspan="1" | ''CBTRUS, 1995–1999''
! style="padding: 3px 3px; background: #B0E0E6; " | 65+
! style="padding: 3px 3px; background: #E0FFFF; " | 2.4
|-
|-
| rowspan="1" colspan="1" | Nerve sheath
! rowspan="5" style="padding: 3px 3px; background: #00AF89; " | {{fontcolor|#FFF| Age (yrs), Female}}
| align="center" rowspan="1" colspan="1" | 2,811
! style="padding: 3px 3px; background: #B0E0E6; " | <20
| align="center" rowspan="1" colspan="1" | 1.08 (1.04–1.12)
! style="padding: 3px 3px; background: #E0FFFF; " | 0.1
| align="center" rowspan="1" colspan="1" | 1.10 (1.04–1.16)
| align="center" rowspan="1" colspan="1" | 1.07 (1.02–1.13)
| align="center" rowspan="1" colspan="1" | 1.13 (1.08–1.17)
| align="center" rowspan="1" colspan="1" | 0.56 (0.48–0.63)
|-
|-
| rowspan="1" colspan="1" | Vestibular schwannoma
! style="padding: 3px 3px; background: #B0E0E6; " | 20-39
| align="center" rowspan="1" colspan="1" | 1,424
! style="padding: 3px 3px; background: #E0FFFF; " | 0.7
| align="center" rowspan="1" colspan="1" | 0.55 (0.52–0.58)
| align="center" rowspan="1" colspan="1" | 0.56 (0.52–0.60)
| align="center" rowspan="1" colspan="1" | 0.55 (0.51–0.58)
| align="center" rowspan="1" colspan="1" | 0.58 (0.55–0.61)
| align="center" rowspan="1" colspan="1" | 0.23 (0.18–0.28)
|-
|-
| colspan="7" rowspan="1" | ''LACCSP, 1995–1998''
! style="padding: 3px 3px; background: #B0E0E6; " | 40-49
! style="padding: 3px 3px; background: #E0FFFF; " | 1.3
|-
|-
| rowspan="1" colspan="1" | Nerve sheath
! style="padding: 3px 3px; background: #B0E0E6; " | 50-64
| align="center" rowspan="1" colspan="1" | 352
! style="padding: 3px 3px; background: #E0FFFF; " | 2.8
| align="center" rowspan="1" colspan="1" | 1.11 (0.99–1.22)
| align="center" rowspan="1" colspan="1" | 1.15 (0.97–1.32)
| align="center" rowspan="1" colspan="1" | 1.07 (0.91–1.23)
| align="center" rowspan="1" colspan="1" | 1.21 (1.08–1.36)
| align="center" rowspan="1" colspan="1" | 0.68 (0.50–0.87)
|-
|-
| rowspan="1" colspan="1" | Vestibular schwannoma
! style="padding: 3px 3px; background: #B0E0E6; " | 65+
| align="center" rowspan="1" colspan="1" | 256
! style="padding: 3px 3px; background: #E0FFFF; " | 1.7
| align="center" rowspan="1" colspan="1" | 0.82 (0.71–0.92)
| align="center" rowspan="1" colspan="1" | 0.83 (0.68–0.99)
| align="center" rowspan="1" colspan="1" | (0.66–0.94)0.80
| align="center" rowspan="1" colspan="1" | 0.89 (0.77–1.01)
| align="center" rowspan="1" colspan="1" | 0.51 (0.36–0.67)
|}
|}
</div><div><div>Rates are per 100,000 person-years and are age adjusted to the year 2000 U.S. standard population.</div><div>Abbreviations: CBTRUS, Central Brain Tumor Registry of the United States; CI, confidence interval; LACCSP, Los Angeles County Cancer Surveillance Program.</div></div>


==References==
===Incidence===
The [[incidence]] of acoustic neuroma ranges from 0.3 to 1 per 100, 000 individuals.<ref>{{Cite journal
| author = [[Doris Lin]], [[Joseph L. Hegarty]], [[Nancy J. Fischbein]] & [[Robert K. Jackler]]
| title = The prevalence of "incidental" acoustic neuroma
| journal = [[Archives of otolaryngology--head & neck surgery]]
| volume = 131
| issue = 3
| pages = 241–244
| year = 2005
| month = March
| doi = 10.1001/archotol.131.3.241
| pmid = 15781765
}}</ref><ref>{{Cite journal
| author = [[M. Tos]] & [[J. Thomsen]]
| title = Epidemiology of acoustic neuromas
| journal = [[The Journal of laryngology and otology]]
| volume = 98
| issue = 7
| pages = 685–692
| year = 1984
| month = July
| pmid = 6747450
}}</ref><ref>{{Cite journal
| author = [[M. F. Howitz]], [[C. Johansen]], [[M. Tos]], [[S. Charabi]] & [[J. H. Olsen]]
| title = Incidence of vestibular schwannoma in Denmark, 1977-1995
| journal = [[The American journal of otology]]
| volume = 21
| issue = 5
| pages = 690–694
| year = 2000
| month = September
| pmid = 10993460
}}</ref><ref>{{Cite journal
<nowiki> </nowiki><nowiki>|</nowiki> author = [[R. Y. Seedat]], [[A. J. Claassen]] & [[D. A. Mol]]
| title = Incidence and management of acoustic neuromas in South Africa
| journal = [[Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology]]
<nowiki> </nowiki><nowiki>|</nowiki> volume = 23
<nowiki> </nowiki><nowiki>|</nowiki> issue = 6
<nowiki> </nowiki><nowiki>|</nowiki> pages = 996–998
<nowiki> </nowiki><nowiki>|</nowiki> year = 2002
<nowiki> </nowiki><nowiki>|</nowiki> month = November
<nowiki> </nowiki><nowiki>|</nowiki> pmid = 12438869
}}</ref>


{{reflist|2}}
===Prevalence===
The [[prevalence]] of acoustic neuroma is approximately 0.2 per 100,000 individuals.<ref>{{Cite journal
| author = [[Doris Lin]], [[Joseph L. Hegarty]], [[Nancy J. Fischbein]] & [[Robert K. Jackler]]
| title = The prevalence of "incidental" acoustic neuroma
| journal = [[Archives of otolaryngology--head & neck surgery]]
| volume = 131
| issue = 3
| pages = 241–244
| year = 2005
| month = March
| doi = 10.1001/archotol.131.3.241
| pmid = 15781765
}}</ref>
===Mortality rate===
The in-hospital [[mortality rate]] of [[surgery]] for acoustic neuroma in the United States is 0.5%.<ref name="McClellandKim2017">{{cite journal|last1=McClelland|first1=Shearwood|last2=Kim|first2=Ellen|last3=Murphy|first3=James D.|last4=Jaboin|first4=Jerry J.|title=Operative Mortality Rates of Acoustic Neuroma Surgery|journal=Otology & Neurotology|volume=38|issue=5|year=2017|pages=751–753|issn=1531-7129|doi=10.1097/MAO.0000000000001362}}</ref>


{{Nervous tissue tumors}}  
===Age===
* Most cases of acoustic neuroma develop in individuals between the ages of 30 and 60.
* Although quite rare, they can also develop in children.<ref>{{Cite journal
| author = [[Xiang Huang]], [[Jian Xu]], [[Ming Xu]], [[Liang-Fu Zhou]], [[Rong Zhang]], [[Liqin Lang]], [[Qiwu Xu]], [[Ping Zhong]], [[Mingyu Chen]], [[Ying Wang]] & [[Zhenyu Zhang]]
| title = Clinical features of intracranial vestibular schwannomas
| journal = [[Oncology letters]]
| volume = 5
| issue = 1
| pages = 57–62
| year = 2013
| month = January
| doi = 10.3892/ol.2012.1011
| pmid = 23255894
}}</ref>


[[de:Akustikusneurinom]]
===Gender===
[[fr:Neurinome#Neurinome acoustique]]
Acoustic neuroma can affect women more often than men.<ref>{{Cite journal
[[nl:Brughoektumor]]
| author = [[Xiang Huang]], [[Jian Xu]], [[Ming Xu]], [[Liang-Fu Zhou]], [[Rong Zhang]], [[Liqin Lang]], [[Qiwu Xu]], [[Ping Zhong]], [[Mingyu Chen]], [[Ying Wang]] & [[Zhenyu Zhang]]
| title = Clinical features of intracranial vestibular schwannomas
| journal = [[Oncology letters]]
| volume = 5
| issue = 1
| pages = 57–62
| year = 2013
| month = January
| doi = 10.3892/ol.2012.1011
| pmid = 23255894
}}</ref>


==References==
{{reflist|2}}
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2] Mohsen Basiri M.D.Sabawoon Mirwais, M.B.B.S, M.D.[3]

Overview

The incidence of acoustic neuroma ranges from 0.3 to 1 per 100, 000 individuals. The prevalence of acoustic neuroma is approximately 0.2 per 100,000 individuals. Women are more commonly affected by acoustic neuroma than men. Most cases of acoustic neuroma develop in individuals between 30 and 60 years of age.

Epidemiology and Demographics

Acoustic neuroma accounts for 7 - 8% of all primary intracranial tumors and 75 - 90% of cerebellopontine angle masses. Bilateral vestibular schwannomas are highly suggestive of neurofibromatosis type 2 (NF2), although bilateral tumors are encountered in the familial form of acoustic schwannomas in the absence of other stigmata of NF2.[1][2][3]

Age-adjusted incidence rates across demographic variables
demographic variables Rate (per 100,000)
Gender Male 1.1
Female 1.0
Race White 1.1
Black 0.4
Other 1.3
Age (yrs), all <20 0.1
20-39 0.6
40-49 1.5
50-64 2.7
65+ 2.0
Age (yrs), Male <20 0
20-39 0.5
40-49 1.6
50-64 2.6
65+ 2.4
Age (yrs), Female <20 0.1
20-39 0.7
40-49 1.3
50-64 2.8
65+ 1.7

Incidence

The incidence of acoustic neuroma ranges from 0.3 to 1 per 100, 000 individuals.[4][5][6][7]

Prevalence

The prevalence of acoustic neuroma is approximately 0.2 per 100,000 individuals.[8]

Mortality rate

The in-hospital mortality rate of surgery for acoustic neuroma in the United States is 0.5%.[9]

Age

  • Most cases of acoustic neuroma develop in individuals between the ages of 30 and 60.
  • Although quite rare, they can also develop in children.[10]

Gender

Acoustic neuroma can affect women more often than men.[11]

References

  1. Acoustic Schwannoma. Radiopedia(2015) http://radiopaedia.org/articles/acoustic-schwannoma Accessed on October 2 2015
  2. Thomas J. Gal, MD, MPH, Jennifer Shinn, PhD, and Bin Huang, PhD, Lexington, KY (2010). "Current epidemiology and management trends in acoustic neuroma". Otolaryngology–Head and Neck Surgery.
  3. Acoustic neuroma. Medline Plus(2015) https://www.nlm.nih.gov/medlineplus/ency/article/000778.htm Accessed on October 2 2015
  4. Doris Lin, Joseph L. Hegarty, Nancy J. Fischbein & Robert K. Jackler (2005). "The prevalence of "incidental" acoustic neuroma". Archives of otolaryngology--head & neck surgery. 131 (3): 241–244. doi:10.1001/archotol.131.3.241. PMID 15781765. Unknown parameter |month= ignored (help)
  5. M. Tos & J. Thomsen (1984). "Epidemiology of acoustic neuromas". The Journal of laryngology and otology. 98 (7): 685–692. PMID 6747450. Unknown parameter |month= ignored (help)
  6. M. F. Howitz, C. Johansen, M. Tos, S. Charabi & J. H. Olsen (2000). "Incidence of vestibular schwannoma in Denmark, 1977-1995". The American journal of otology. 21 (5): 690–694. PMID 10993460. Unknown parameter |month= ignored (help)
  7. {{Cite journal | author = R. Y. Seedat, A. J. Claassen & D. A. Mol | title = Incidence and management of acoustic neuromas in South Africa | journal = [[Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology]] | volume = 23 | issue = 6 | pages = 996–998 | year = 2002 | month = November | pmid = 12438869 }}
  8. Doris Lin, Joseph L. Hegarty, Nancy J. Fischbein & Robert K. Jackler (2005). "The prevalence of "incidental" acoustic neuroma". Archives of otolaryngology--head & neck surgery. 131 (3): 241–244. doi:10.1001/archotol.131.3.241. PMID 15781765. Unknown parameter |month= ignored (help)
  9. McClelland, Shearwood; Kim, Ellen; Murphy, James D.; Jaboin, Jerry J. (2017). "Operative Mortality Rates of Acoustic Neuroma Surgery". Otology & Neurotology. 38 (5): 751–753. doi:10.1097/MAO.0000000000001362. ISSN 1531-7129.
  10. Xiang Huang, Jian Xu, Ming Xu, Liang-Fu Zhou, Rong Zhang, Liqin Lang, Qiwu Xu, Ping Zhong, Mingyu Chen, Ying Wang & Zhenyu Zhang (2013). "Clinical features of intracranial vestibular schwannomas". Oncology letters. 5 (1): 57–62. doi:10.3892/ol.2012.1011. PMID 23255894. Unknown parameter |month= ignored (help)
  11. Xiang Huang, Jian Xu, Ming Xu, Liang-Fu Zhou, Rong Zhang, Liqin Lang, Qiwu Xu, Ping Zhong, Mingyu Chen, Ying Wang & Zhenyu Zhang (2013). "Clinical features of intracranial vestibular schwannomas". Oncology letters. 5 (1): 57–62. doi:10.3892/ol.2012.1011. PMID 23255894. Unknown parameter |month= ignored (help)

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