Rare cases of adrenal ganglioneuromas have been reported to contain Leydig cells as seen here. Such tumors may present with virilizing symptoms in female patients. References: 1) Godlewski G et al. Acta Chir Belg 1993 Jul-Aug; 93(4):181-4. 2) Aguirre P, Scully RE. Am J Surg Pathol 1983 Oct; 7(7):699-705.