Carcinoma of the penis has a well documented metastatic pattern, regio
nal lymph nodes being the predominant site of involvement. Distant met
astasis is extremely rare, with a reported incidence of 1-10%. Osseous
metastasis is even rarer and no case of metastasis to the spine has b
een reported previously. We present a case of carcinoma of the penis m
etastasizing to the spine.