According to uniCox analysis and KM curves of OS and PFI, high expression of SAAL1 was significantly associated with poor prognosis in ACC, ESCA, KICH, KIRC, LGG, LIHC, LUAD, MESO, PCPG, UVM, KIRP, PRAD, and UCS. Here, SAAL1 is linked to adrenal cortex carcinoma.