These results illustrated up-regulation of CAFs genes could play a precondition role in activating specific signaling pathways such as angiogenesis, epithelial mesenchymal transition, coagulation, hypoxia, and uv-response-down, etc. This alternation influenced the tumor microenvironment and leaded to poorer prognosis in head and neck squamous cell carcinoma patients. This evidence concerns the gene TBX1 and head and neck squamous cell carcinoma.