This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'Which of the following features are not seen a case of carcinoma of penis ? \nSelect and explain. \nA. Circumcision is protective, B. Lesion is painless to begin with, C. Commonest site is glans penis, D. Distant metastasis is common', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The tumor has a tendency to metastasis to inguinal lymphnodes. Distant metastasis is rare.', 'role': 'assistant'}]