ARMC5 and adrenal cortex carcinoma: PMAH with ARMC5 mutations(PMAHw) vs without ARMC5 mutations (PMAHwt) had thefewest DEPs, 12 upregulated and 4 downregulated proteins in PMAHw.These findings were validated using an independent ACC cohort fromSeoul National University Hospital, which showed 99.8% overall similarityand with no significant disparities.