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Adnexal torsion (AT) occurs most often before the first period of menstruation and seems to be favored by anatomical predispositions. Later, (AT) may be indicative of adnexal pathology, tubal or ovarian , most often a benign tumor, the diagnosis of AT is often late and then results in an adnexectomy, which is why practicing gynecologists must maintain a high level of suspicion in front of any acute pain in teenage girls even if the functional pathology predominates at this age. The twist of para tubal cyst is extremely rare. This pathology is often confused with ovarian torsion, the management in both cases requires emergency surgery to try to keep the ovary. We report a rare case of an adolescent patient operated for a complex para-tubal twisted benign cyst 6cm associated with hemorrhagic corpus luteum, that the diagnosis was difficult.

Breast cancer, characterized by uncontrollable growth of abnormal breast cells forming tumors, can be fatal if unchecked, spreading throughout the body. Originating in breast milk ducts or lobules, its early stages pose no immediate threat, but invasive forms can metastasize to other organs. Its prevalence has surpassed lung cancer globally. Projections suggest 28.4 million cases by 2040. Treatment varies based on the individual, cancer type, and its spread, involving surgery, radiation, and medication. Natural plant products show promise as antitumor and anti-cancer agents, exhibiting reduced toxicity and resistance to conventional drugs. These products leverage antioxidant, anti-inflammatory, and immunomodulatory properties, influencing cancer cell behavior. Some studies highlight herbs\' potential in developing anti-cancer drugs. Notably, breast cancer\'s impact is significant in developing countries. Inadequate medical infrastructure and high treatment costs promote the use of natural products in these countries. Plant-based remedies offer a less toxic alternative, crucial in regions with limited access to conventional treatments. Understanding breast cancer and early diagnosis is critical in managing its impact. Therefore, this review delves into breast cancer intricacies and underscores natural plant products\' potential in mitigating the projected increase in breast cancer-related deaths.

Ovarian leiomyosarcoma is a rare and aggressive cancer that arises from smooth muscles of ovary. Incidence of this cancer is 0.1% in a Million. We presenting a case report of 60-year-old post hysterectomized female who admitted with abdominal pain and diarrhoea since one month and having a history of Type 2 Diabetes Mellitus since 10 years. Radiological examination has revealed a large pelvic-abdominal mass measuring approximately 12 × 16.3 × 16 cm, originating from the left ovary. Surgical excision of a large complex ovarian mass was performed, a detailed histopathological and immunohistochemical analyses confirming the diagnosis of leiomyosarcoma. The report discusses the clinical presentation, diagnostic process, treatment strategy, and postoperative outcome, emphasizing the rarity and diagnostic challenges of this aggressive ovarian malignancy.