title: [Superficial X-ray therapy of lip cancer after chronic excessive sun exposure of a 47-year-old autistic painter].
abstract: A 47-year-old autistic painter developed lip cancer after chronic excessive sun exposure. As she feared sun withdrawal during inpatient surgical excision, she refused this first-line treatment and therefore received outpatient X-ray therapy. The reason why she developed premature lip cancer and refused to stay in a hospital and the way she illustrated her "sun addiction" in her pictures is presented. Two years later she was free of recurrence. She has remained a sun worshipper until now, but after X-ray therapy she used daily sunscreens with very high sun protection factors, which attenuated the actinic damage. Considering the specific personality of the autistic painter, outpatient radiation therapy was a good alternative to inpatient surgery.
authors.affiliation: Hautklinik der Georg-August-Universität Göttingen. schauder@med.uni-goettinger.de
authors.forename: S
authors.initials: S
authors.lastname: Schauder
authors.forename: H
authors.initials: H
authors.lastname: Palm
mesh_terms: D001321:Autistic Disorder / Q000150:complications; D004781:Environmental Exposure / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008048:Lip Neoplasms / Q000209:etiology* / Q000532:radiotherapy*; D008875:Middle Aged; D009381:Neoplasms, Radiation-Induced / Q000209:etiology* / Q000532:radiotherapy*; D010151:Paintings; D013472:Sunlight / Q000009:adverse effects*; D016896:Treatment Outcome