Objective To investigate the expression levels and clinical significance of (forkhead box Q1) FOXQ1 and E-cadherin in esophageal squamous cell carcinoma (ESCC). Methods Expression levels of FOXQ1 and E-cadherin were in ESCC tissues (ESCC group, n=42) and adjacent normal esophageal tissues (control group, n=42) were detected using immunohistochemistry. Correlations of FOXQ1 and E-cadherin expressions with clinical pathological parameters and prognosis were analyzed between two groups. Results The expression level of FOXQ1 was significantly higher in ESCC group than that in control group (64.29% vs 28.57%, χ²=5.384, P<0.05). The expression level of E-cadherin was significantly lower in ESCC group than that incontrol group (52.38% vs 90.48%, χ²=7.691, P<0.05). There were significant differences in FOXQ1 expressions between different TNM stages and whether lymph node metastasis is involved within ESCC group. There were significant differences in expression of E-cadherin between different tumor differentiation, depth of invasion, TNM stage and whether lymph node metastasis is involved within ESCC group. The expression of FOXQ1 was negatively correlated with E-cadherin in ESCC (r=-0.412, P < 0.05). The 5-year survival rates were significantly lower with high expression of FOXQ1 or with low expression of FOXQ1 (18.52% vs 66.67%, χ²=9.737, P < 0.05). The 5-year survival rates were significantly higher with high expression of E-cadherinor low expression of E-cadherin (59.09% vs 10.00%, χ²=10.996, P < 0.05). A multivariate Cox's proportional hazard regression analysis indicated that high FOXQ1 expression, low E-cadherin expression and lymph node metastasis were independent prognostic factors for ESCC. Conclusion The expression of FOXQ1 and E-cadherin showed a good correlation with ESCC. And examining expressions of both FOXQ1 and E-cadherin in ESCC may have practical values in estimating the prognosis of ESCC and directing future treatment. [ABSTRACT FROM AUTHOR]