Breast reconstruction represents an integral component of contemporary breast cancer management, with substantial impact on patients’ psychological well-being, body image, and overall quality of life. Given the profound symbolic and personal significance of the breast, mastectomy—whether total or partial—extends beyond oncologic resection and may result in considerable aesthetic, functional, and psychosocial consequences. For this reason, reconstructive planning should be incorporated into the initial multidisciplinary treatment strategy while ensuring that oncologic safety and adjuvant therapies are never compromised. Breast reconstruction may be achieved using autologous tissue, implant-based techniques, or a combination of both approaches. Each method carries specific advantages, limitations, and potential complications and must be tailored to the individual patient’s oncologic status, anatomy, and expectations. This article provides a historical overview of the evolution of breast cancer treatment and reconstructive techniques. It further examines the principles, benefits, and challenges associated with different reconstructive modalities, highlighting key considerations in clinical decision-making and long-term outcomes.

Persistent thumb sucking beyond early childhood may be associated with dental, dermatologic, and psychosocial complications and can prove resistant to conventional behavioral interventions. This case report describes the use of clinical hypnosis for persistent thumb sucking in nearly 6-year-old monozygotic twin girls. During the first session, Twin A and Twin B participated simultaneously in a developmentally adapted hypnotic intervention. At the second session, Twin A declined further hypnosis and engaged instead in a supportive therapeutic conversation, while Twin B received an additional hypnotic intervention. Following the completion of the intervention, the mother reported an almost complete cessation of thumb sucking in both children, with the improvement largely maintained at the 1-year follow-up. Beyond symptom reduction, the mother also reported increased differentiation between the twins and more individualized relational patterns within the family. Although outcomes were based on maternal report, this case highlights the potential clinical value of brief pediatric hypnosis and the possible relevance of twin and sibling dynamics in the treatment of shared habitual behaviors.

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is the most prevalent behavioral disorder in children. Physical activity (PA) and hypnosis-based mindfulness training (HBMT) have both been proposed as complementary approaches in the management of ADHD. The present study examined the effects of a combined PA and HBMT intervention on ADHD symptoms, perceptual-motor abilities, and balance in children with ADHD. Methods: The sample comprised 20 participants in the experimental group (EG) and 19 in the control group (CG). All participants were boys diagnosed with ADHD, aged 8–11 years. The intervention in the EG included PA and HBMT, whereas the CG received unsystematic education about emotions. The program was conducted twice weekly for 60 min over a period of three months. The severity of ADHD symptoms was assessed using the ASEBA TRF/6–18 questionnaires. Perceptual-motor abilities were evaluated using the Test of Perceptual-Motor Skills. Static balance was measured using a tensiometric force platform, and dynamic balance was assessed with the Biodex Balance System. For variables in which no statistically significant baseline differences between groups were observed, intervention effects were analyzed using a two-way repeated-measures analysis of variance (ANOVA). For variables showing statistically significant baseline differences, analysis of covariance (ANCOVA) was applied to examine the influence of initial intergroup differences on post-intervention outcomes, as well as on follow-up assessments conducted three and six months after the completion of the intervention. Results: Participants in the EG demonstrated significant short-term and long-term reductions in ADHD symptom severity. In addition, improvements were observed in perceptual-motor abilities and dynamic balance, while static balance improved immediately following the intervention. Conclusions: The findings suggest that a structured program combining physical activity and hypnosis-based mindfulness may represent a promising complementary intervention for children with ADHD. However, larger randomized controlled trials are needed to confirm these findings and further evaluate their long-term clinical relevance.

Breast reconstruction is an integral component of comprehensive breast cancer care rather than a merely aesthetic adjunct. For many women, reconstruction is associated with meaningful improvements in body image, psychosocial well-being, and quality of life after mastectomy. Nevertheless, it is not a mandatory part of treatment and represents a preference-sensitive decision. This article presents a clinical perspective, informed by selected literature, clinical guidelines, and institutional practice, on why patients with non-metastatic breast cancer in whom mastectomy is a realistic possibility should be offered reconstructive consultation before surgery. At that stage, reconstructive options remain open, patients have time to reflect, and expectations can be discussed realistically. Counseling should present all legitimate pathways, including implant-based and autologous reconstruction, immediate and delayed timing, the implications of postmastectomy radiotherapy, and no reconstruction with an appropriately planned primary closure. The final plan should be individualized according to oncologic safety, anticipated adjuvant treatment, anatomy, comorbidities, and the surgical burden acceptable to the patient, while also incorporating the patient’s expectations and priorities. Reconstructive consultation should therefore support shared decision-making rather than promote reconstruction, with the final informed choice remaining the patient’s own. Psychological and quality-of-life benefits vary among individuals. The success of early reconstructive involvement should not be measured by reconstruction rates, but by whether patients are able to make informed, realistic, and preference-concordant decisions. We propose a consultation framework addressing oncologic context, reconstructive feasibility, patient priorities, expectation management, treatment decisions, and alternative planning, explicitly including no reconstruction with appropriately planned primary closure when preferred. The framework has not yet undergone formal evaluation.