This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Surgery
Squamous cell carcinoma of the lip is least likely to develop in which of the following? 
Select and explain. 
A. Scandinavian fisherman, B. Redheaded pornographic actress with a gorgeous year-round tan, C. Man from Lohatchie, AL, who smokes a clay pipe, D. Brunette secretary who constantly drinks tea
D: Brunette secretary who constantly drinks tea
Answer: D: Brunette secretary who constantly drinks tea 
Explanation: Squamous carcinoma of the lip comprises 15-20% of all malignant tumors of the oral cavity. In approximately 30%, there is a clear association with heavy exposure to the sun. The incidence increases in those areas where there is more southerly latitude, the air is dry, and the altitude is higher.