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 When children are between the ages of 8 and 12, parents often ask dermatologists this question. If you’re a parent trying to answer this question, you’ve come to the right place.  In three easy steps, you can figure out how often a child between 8 and 12 years of age needs to shampoo.  Step 1: Consider your child’s traits To determine how often your child needs to shampoo, you first need to consider your child’s: Hair type (straight, curly, oily, dry) Age Activity level Step 2: Find your child’s traits on the following chart Shampoo guidelines: Children 8 to 12 years old Shampoo every other day or daily 12 years of age or starting puberty Oily, straight hair Active: Plays outdoors, plays sports, or swims Exception: Hair is dry and curly Shampoo 1 or 2 times per week 8 to 11 years of age Exception: Hair is dry and curly Shampoo every 7 to 10 days Dry and curly hair, even hair with braids or weaves After heavy sweating or swimming, rinse and condition the hair Step 3: Fine tune to get

What Types of Breast Cancer Have the Highest Recurrence Rates?

 What types of breast cancer are most likely to recur?

Aggressive breast cancers are harder to treat, more likely to spread, and more likely to recur. The two types of breast cancer most likely to recur are inflammatory breast cancer (IBC) and triple-negative breast cancer (TNBC). These cancers are described in more detail below.

IBC: IBC is a rare and invasive type of breast cancer. About 1–5%Trusted Source of all people’s breast cancer is IBC. IBC causes cancer cells to block lymph vessels in your breast tissue. Lymph vessels are the small tubes that drain lymph fluid from your breast. IBC spreads quickly and is usually stage 3 at the time of diagnosis.

TNBC: About 10–15%Trusted Source of all people’s breast cancer is TNBC. Cancer cells that cause TNBC don’t have estrogen receptors (ERs) or progesterone receptors (PRs) and don’t make any, or much, of a breast cancer-associated protein called HER2. TNBC spreads faster than most other types of breast cancer and has few treatment options.

What other risk factors influence recurrence?

The type of breast cancer you have is a large risk factor for recurrence, but it’s not the only one. There are many other factors that can increase your chances of recurrence. These include:

Stage at diagnosis: The stage of your cancer at diagnosis influences your risk of recurrence. A high stage increases your risk.

Lymph node involvement: Cancers that spread to your lymph nodes are more likely to recur.

Tumor size: Large tumors increase your risk of recurrence.

Tumor margins: A tumor margin is a border between a tumor and the healthy tissue that surrounds it. After a tumor is removed, a sample of the border area is removed and studied in a lab. If any cancer cells are found in this area, it’s called a “positive tumor margin.” This increases your risk of recurrence.

ER status: ER-positive breast cancer cells can use estrogen to grow and reproduce. These cancers have a higher risk of recurrence and can sometimes recur decades later.

HER2 status: HER2 is a protein often found in people who have breast cancer. High amounts of this protein can increase your risk of recurrence.

BRCA status: Having BRCA1 and BRCA2 gene mutations puts you at a greater risk of recurrence and developing other types of cancers.

Radiation therapy: Electing not to have radiation therapy after a lumpectomy can increase your risk of recurrence. Not completing or receiving other recommended treatments, such as chemotherapy, immunotherapy, endocrine therapy, or targeted therapy, can also increase your risk of recurrence.

Endocrine therapy: If you have hormone-positive breast cancer, your doctor will typically recommend receiving endocrine therapy treatment. Not completing or receiving other recommended treatments, such as chemotherapy, immunotherapy, radiation therapy, or targeted therapy, can also increase your risk of recurrence.

Age: Developing breast cancer while younger than 35 years of age increases your risk of developing breast cancer again.

Obesity: A higher body mass index (BMI) increases your risk of recurrence.

Sedentary lifestyle: A sedentary lifestyle can increase your risk of recurrence.

Smoking: SmokingTrusted Source can also increase your risk of recurrence.


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