Introduction: The oncoplastic conservative surgery was developed as a natural evolution of traditional surgery, attempting to improve the therapeutic and aesthetic outcomes where tumor resection could be followed by not-adequate results. Our primary aim is to evaluate how patient satisfaction and quality-of-life after conservative oncoplastic surgery, using BREAST-Q (BCT Module), change pre- and post-operatively. The secondary aim is to compare patient-reported outcome after oncoplastic or traditional conservative surgery. Patients and methods: We enrolled 647 patients who underwent traditional conservative surgery or oncoplastic surgery from January 2020 to December 2022. Only 232 women (35.9%) completed the BREAST-Q questionnaire on a web-based platform, at the preoperative phase and 3 months after treatment. Results: The average score of “Psychosocial well-being” and “Satisfaction with Breasts” 3 months after surgery showed a statistically significant improvement, while the average score for “Physical well-being: Chest” at 3 months showed a worsening compared to the baseline. “Sexual well-being” did not show statistically significant change. A significant difference between the post-operative outcome of oncoplastic surgery and traditional surgery was observed only for Physical well-being (better for traditional surgery). Conclusions: The study showed significant improvement in patient-reported outcomes 3 months after the surgery, except for physical discomfort that increases especially after oncoplastic surgery. Furthermore, our data, as well as many others, point to the appropriateness of using OCS where there is an effective indication, while the perspective of patients cannot find significant superiority over TCS in any of the areas analyzed.

Background: Collodion baby syndrome (CBS) is a rare neonatal dermatological disorder characterized by a restrictive membrane covering the infant’s skin, impairing thermoregulation, increasing infection risk, and causing significant pain. Early parent-infant bonding and breastfeeding are challenging due to the fragile skin barrier, with limited evidence on safe approaches to enable these critical interventions. This report explores the use of sterile polyethylene wrap to facilitate kangaroo care (KC) and breastfeeding in a neonate with CBS. Materials and Methods: A full-term female newborn diagnosed with CBS was admitted to the NICU in stable condition. Skin was encased by a shiny, tight membrane with mild ectropion. Initial management included humidified incubator care, fluid and electrolyte monitoring, and topical emollients. From day two, KC was initiated using sterile polyethylene wrap as a protective barrier to prevent skin trauma. Pain was assessed systematically using the EDIN and N-PASS scales at baseline, during, and after KC sessions. Results: Kangaroo care sessions under polyethylene wrap were safely conducted with continuous cardiorespiratory monitoring. Both pain scales demonstrated a significant reduction in pain scores during KC compared to baseline. The polyethylene wrap maintained thermal stability and skin integrity while allowing safe breastfeeding and enhancing parental bonding. No adverse events or infections occurred and the neonate was discharged with good clinical condition after progressive skin healing. Conclusion: Sterile polyethylene wrap is a feasible, safe, and effective method to enable early kangaroo care and breastfeeding in neonates with CBS, addressing the unique challenges of skin fragility and pain management. This approach supports optimal pain control, thermal stability, and parental bonding, bridging medical care with psychosocial needs. Further studies are warranted to establish standardized protocols for this vulnerable population.

The 2026 Andes virus (ANDV) outbreak aboard the MV Hondius cruise ship, with 13 confirmed or probable cases and three deaths, brought hantaviruses back to global attention and exposed a persistent gap in the literature: the paediatric perspective. Hantaviruses cause two major syndromes, haemorrhagic fever with renal syndrome (HFRS) in Europe and Asia, and hantavirus cardiopulmonary syndrome (HCPS) in the Americas, both potentially severe across all age groups. In children, reported incidence is lower than in adults, but this likely reflects diagnostic underrecognition rather than biological resistance: clinical features are frequently atypical, overlapping with gastroenteritis, nephritis, or viral respiratory illness, and thrombocytopenia with acute organ involvement may be the only laboratory signal. No confirmed paediatric cases emerged from the Hondius outbreak, a finding that reflects the demographics of this expedition cruise rather than any reassuring epidemiological pattern. ANDV's capacity for human-to-human transmission via respiratory secretions during close contact, combined with an incubation period of up to 42 days, makes family exposure scenarios, and delayed paediatric diagnosis, entirely plausible.

INTRODUCTION Infections involving salivary glands in newborns, especially when affecting the parotid gland, are uncommon but can arise from secretory stasis and bacterial superinfection, typically caused by Staphylococcus aureus or Streptococcus species. The main risk factors include dehydration, prematurity and immunodeficiency. Clinical manifestations commonly involve swelling, tenderness and purulent discharge. Management generally consists of intravenous antibiotics with surgical intervention reserved for complications. Ultrasound plays a critical role in diagnosis and management of the disease, especially when there is no purulent material from Stensen's duct available for analysis. Early recognition and appropriate treatment are crucial for preventing severe outcomes in these cases. CASE REPORT We report a case of a 7-day-old full-term, breastfed girl admitted with right preauricular swelling and poor feeding. Born without complications, her symptoms also included irritability and purulent discharge from the right Stensen’s duct. Lab tests showed elevated white blood cells and neutrophilia, and ultrasound confirmed an enlarged right parotid gland with an abscess. Empirical antibiotics, clindamycin and cefotaxime, were initiated. Cultures identified Staphylococcus aureus in both the Stensen’s duct discharge and the mother’s milk. Antibiotics were adjusted to clindamycin and later cefaclor. Further investigations for congenital infections through brain ultrasound revealed cysts and vascular abnormalities, and CMV was diagnosed from urine and salivary samples, despite maternal immunity. The patient responded well to antibiotics, showing reduced swelling and normal feeding. She was discharged after 10 days, fully recovered, with follow-up for CMV ongoing. CONCLUSION In neonates with acute parotitis, especially with neurological signs, CMV should be considered due to its multiorgan involvement and link to immunodeficiency. Adequate imaging and laboratory studies are crucial for early diagnosis, guiding treatment and preventing long-term complications.