Contrary to what the first set of symptoms suggested, the young man did not suffer from tuberculosis. Instead, the patient was presented to the urology clinic because of the testicular findings. An ultrasound performed at the clinic found an 8 x 4 x 5 cm tumour mass on the right testicle. Four days later, a radical orchiectomy was performed. At the same time, the tissue mass from the lung was identified as a metastasis of a primary testicular tumour after biopsy. Another metastasis was found in the right kidney.
Due to the heavy involvement of the heart and the high metastatic burden, the patient received 5 days of platinum-based chemotherapy without further surgical intervention. Although there was a decrease in metastasis size, the patient generally tolerated the therapy very poorly. His condition also deteriorated rapidly. Finally, the young man died as a result of acute renal and liver failure.