Penile carcinomas constitute 10% of male malignancies with predominantly regional lymph node involvement; distant metastasis is rare (2.3%) via hematogenous route. Common sites: kidneys, adrenal glands, retroperitoneal nodes, lungs, brain, dorsal spine. Metastatic spread patterns: inguinal and iliac nodes most common; distant metastases rare and delayed. Case report: carcinoma of the penis metastasized to tibia. © 2013 Elsevier B.V., All rights reserved.