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
Which of the following features are not seen a case of carcinoma of penis ? 
Select and explain. 
A. Circumcision is protective, B. Lesion is painless to begin with, C. Commonest site is glans penis, D. Distant metastasis is common
D: Distant metastasis is common
Answer: D: Distant metastasis is common 
Explanation: The tumor has a tendency to metastasis to inguinal lymphnodes. Distant metastasis is rare.