Grossly, ganglioneuroma may have a trabecular or whorled appearance resembling a leiomyoma. The cut surface is homogenous pink-tan or gray-white. Larger tumors may show areas of hemorrhage and necrosis. Note the circumscribed nature of the tumor and the rim of adrenal cortical tissue stretched over the tumor in this case. Image courtesy of Dr. Montemor Netto, Brazil; Used with permission.