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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. Virilizing adrenal ganglioneuroma containing Leydig cells. Acta Chir Belg 1993 Jul-Aug; 93(4):181-4.
2) Aguirre P, Scully RE. Testosterone-secreting adrenal ganglioneuroma containing Leydig cells. Am J Surg Pathol 1983 Oct; 7(7):699-705.

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