Abstract
A 44-yr-old patient with histologically proven bilateral ulcerated lymph node metastases from a carcinoma of the penis was treated by sequenced combined chemotherapy and radical irradiation. Methotrexate and bleomycin were administered at weekly intervals for 5 wk, followed by radiation with a split-course coning-down technique. The patient remains well and clinically disease-free 63 mo. after commencing therapy.