A 52-year-old woman with breast cancer experiences urinary frequency. Which part of the brain has metastasis?

Study for the PLAB Endocrinology Test. Prepare with flashcards and multiple-choice questions, each with hints and explanations. Get ready for your exam!

The correct answer is the diencephalon because this region of the brain plays a crucial role in the regulation of various bodily functions, including hormonal balance and the autonomic nervous system, which can affect urinary frequency. In particular, the hypothalamus, which is part of the diencephalon, has a direct influence on the control of the bladder and the sensation of urinary urgency.

Breast cancer is known to metastasize to different parts of the brain, and when these metastases affect the diencephalon, symptoms such as urinary frequency may emerge due to disruption in the brain's regulation of urinary function. By understanding the role of the diencephalon in memory, emotion, and autonomic control, it becomes clearer why metastasis in this area would lead to changes in urinary behavior.

Other regions of the brain listed, such as the brain stem, pons, and medulla, are primarily associated with basic life functions, such as respiration and heart rate, rather than the complex urinary control mechanisms seen with hypothalamic involvement in the diencephalon.

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