Steven J. Fishman, MD
Surgeon-in-Chief and Chief of Surgery; Stuart and Jane Weitzman Family Chair in Surgery; Co-Director, Vascular Anomalies Center (VAC)
Robert E. Gross Professor of Surgery, Harvard Medical School
Image
Steven J. Fishman, MD
Surgeon-in-Chief and Chief of Surgery; Stuart and Jane Weitzman Family Chair in Surgery; Co-Director, Vascular Anomalies Center (VAC)
Robert E. Gross Professor of Surgery, Harvard Medical School
Medical Services
Languages
English
Education
Medical School
Northwestern University Medical School
1986
Chicago
IL
Internship
Hospital of University of Pennsylvania
1987
Philadelphia
PA
Residency
Hospital of University of Pennsylvania
1992
Philadelphia
PA
Fellowship
Surgery
University of Pennsylvania School of Medicine
1990
Philadelphia
PA
Fellowship
Pediatric Surgery
Boston Children's Hospital
1994
Boston
MA
Media
Caregiver Profile
Meet Dr. Steven J. Fishman
Certifications
American Board of Surgery (General)
American Board of Surgery (Pediatric Surgery)
Professional History
Steven J. Fishman, M.D. is Professor of Surgery at Harvard Medical School and the Stuart and Jane Weitzman Family Chair in Surgery at Boston Children's Hospital. He obtained his B.S. and M.D. degrees at Northwestern University and completed his training in General Surgery at the University of Pennsylvania and in Pediatric Surgery at Boston Children's Hospital. He is active in the practice and teaching of the broad spectrum of Pediatric Surgery, with particular clinical and research focus in the area of Vascular Anomalies. He is Co-Director of the Vascular Anomalies Center at Boston Children's Hospital. This multidisciplinary group evaluates approximately 1700 patients annually with hemangiomas, rare vascular tumors and vascular malformations of all types. He is President of the International Society for the Study of Vascular Anomalies. Dr. Fishman created and hosts an international registry of hepatic hemangiomas. He has authored over 175 scientific publication and chapters and two books, including a recent comprehensive reference work on Vascular Anomalies with Drs. John Mulliken and Patricia Burrows. He is an Editorial Consultant for the Journal of Pediatric Surgery and on the Editorial Board of the Journal of Pediatric Surgery Case Reports. He has chaired the Publications Committee of the Surgical Section of the AAP. Dr. Fishman frequently serves as visiting professor and speaker nationally and internationally. In addition, he advises several patient/family-oriented support groups and frequently participates in their gatherings and clinics. At Boston Children's, Dr. Fishman serves in many leadership roles including as President of the Physician's Organization, a member of the Board of Trustees and the Hospital Executive Committee and as Vice-Chair of Surgery for Clinical Operations.
Dr. Fishman has a particular focus on developing an understanding and approach to visceral vascular anomalies. Though these anomalies are extremely rare, an international referral practice has facilitated the recognition of patterns in clinical presentation and opportunities for treatment. He has focused on developing evaluation and intervention techniques including innovative operative procedures for the treatment of visceral vascular anomalies. The utility of a modified endorectal pull-through technique for the treatment of colorectal venous malformations has been demonstrated. A surgical technique to eradicate gastrointestinal bleeding in the Blue Rubber Bleb Nevus Syndrome has been developed and proven successful. Dr. Fishman has extensive experience with resecting, debulking and reconstructing vascular malformations and associated overgrown tissues of the torso, genitalia, neck and extremities. In addition, the role of dynamic contrast lymphangiography of the thoracic duct has allowed for novel treatments and reconstruction of thoracic duct anomalies. Recognizing the limitations of surgical techniques, he is also focusing on understanding the biologic mechanisms involved in the development and progression of these lesions.
Publications
The Natural History of Congenital Hepatic Hemangiomas. View Abstract
Using 360-degree feedback to identify actionable strategies to improve surgeon intraoperative non-technical skills. View Abstract
Gaining Insight into Operative Performance: Analysis of an Automated 360-Degree Feedback Tool Among Perioperative Staff. View Abstract
Immunohistochemical Expression of Lymphatic Endothelial Markers in Blue Rubber Bleb Nevus Syndrome. View Abstract
Spectrum of lymphatic anomalies in patients with RASA1-related CM-AVM. View Abstract
Asymptomatic azygos phlebectasia associated with CLOVES (congenital lipomatous overgrowth, vascular malformations, epidermal nevis, spinal/skeletal anomalies/scoliosis) syndrome. View Abstract
Surgical Resection of Vulvar Labial Venous Malformations: A Single Center Experience. View Abstract
Staple aneurysmorrhaphy and suture venoplasty for repair of large bilateral external iliac vein aneurysms in an adolescent. View Abstract
Kaposiform Lymphangiomatosis: Pathologic Aspects in 43 Patients. View Abstract
Cerebrospinal fluid leak in epidural venous malformations and blue rubber bleb nevus syndrome. View Abstract
Parkes Weber syndrome with lymphedema caused by a somatic KRAS variant. View Abstract
Verrucous Venous Malformation-Subcutaneous Variant. View Abstract
The use of the internal mammary vein for central venous access. View Abstract
Pediatric hepatic vascular tumors. View Abstract
Arteriovenous malformation phenotype resembling congenital hemangioma contains KRAS mutations. View Abstract
Congenital Disseminated Pyogenic Granuloma: Characterization of an Aggressive Multisystemic Disorder. View Abstract
Surgical Management of Fibroadipose Vascular Anomaly of the Lower Extremities. View Abstract
Clinical and radiological characteristics of patients with retroperitoneal infantile hemangiomas. View Abstract
Intramuscular fast-flow vascular anomaly contains somatic MAP2K1 and KRAS mutations. View Abstract
Characterization of lymphatic malformations using primary cells and tissue transcriptomes. View Abstract
Fibroadipose Vascular Anomaly in the Upper Extremity: A Distinct Entity With Characteristic Clinical, Radiological, and Histopathological Findings. View Abstract
A somatic activating NRAS variant associated with kaposiform lymphangiomatosis. View Abstract
Guidance Document for Hepatic Hemangioma (Infantile and Congenital) Evaluation and Monitoring. View Abstract
Lymphaticovenous bypass of the thoracic duct for the treatment of chylous leak in central conducting lymphatic anomalies. View Abstract
Thoracoscopic esophagomyotomy for achalasia in the pediatric population: A retrospective cohort study. View Abstract
Pulmonary thromboembolic events in patients with congenital lipomatous overgrowth, vascular malformations, epidermal nevi, and spinal/skeletal abnormalities and Klippel-Trénaunay syndrome. View Abstract
Mesenteric Artery Growth Improves Circulation (MAGIC) in Midaortic Syndrome. View Abstract
A xenograft model for venous malformation. View Abstract
Preoperative Embolization of Venous Malformations Using n-Butyl Cyanoacrylate. View Abstract
Tissue expander-stimulated lengthening of arteries for the treatment of midaortic syndrome in children. View Abstract
Internal venous anomalies in patients with a genital venous malformation. View Abstract
Late sequelae and long-term outcomes of vascular anomalies. View Abstract
Wilms tumor screening in diffuse capillary malformation with overgrowth and macrocephaly-capillary malformation: A retrospective study. View Abstract
Vascular anomaly cases for the pediatric hematologist oncologists-An interdisciplinary review. View Abstract
Sonographic screening for Wilms tumor in children with CLOVES syndrome. View Abstract
Somatic MAP2K1 Mutations Are Associated with Extracranial Arteriovenous Malformation. View Abstract
Umbilical Venous Catheter Malposition Is Associated with Necrotizing Enterocolitis in Premature Infants. View Abstract
Blue Rubber Bleb Nevus (BRBN) Syndrome Is Caused by Somatic TEK (TIE2) Mutations. View Abstract
Bevacizumab and interferon reduce venous recanalization following sclerotherapy. View Abstract
Somatic Activating Mutations in GNAQ and GNA11 Are Associated with Congenital Hemangioma. View Abstract
Somatic Activating Mutations in GNAQ and GNA11 Are Associated with Congenital Hemangioma. View Abstract
Imaging features of kaposiform lymphangiomatosis. View Abstract
Strain induced esophageal growth in a novel rodent model. View Abstract
Surgical Treatment of Spinal Deformity in Patients With CLOVES Syndrome: A Report of 4 Cases. View Abstract
Gastrointestinal Infantile Hemangioma: Presentation and Management. View Abstract
Tissue expander stimulated lengthening of arteries (TESLA) induces early endothelial cell proliferation in a novel rodent model. View Abstract
Oral administration of non-absorbable delayed release 6-mercaptopurine is locally active in the gut, exerts a systemic immune effect and alleviates Crohn's disease with low rate of side effects: results of double blind Phase II clinical trial. View Abstract
Impact of Screening for Hepatic Hemangiomas in Patients with Multiple Cutaneous Infantile Hemangiomas. View Abstract
Lymphatic and other vascular malformative/overgrowth disorders are caused by somatic mutations in PIK3CA. View Abstract
Capillary-venous malformation in the upper limb. View Abstract
Diffuse capillary malformation in association with fetal pleural effusion: report of five patients. View Abstract
Risk factors for mortality in patients with multifocal and diffuse hepatic hemangiomas. View Abstract
Management of visceral vascular anomalies. View Abstract
Male genital lymphedema: clinical features and management in 25 pediatric patients. View Abstract
Hepatic vascular tumors. View Abstract
Safety and efficacy of bleomycin sclerotherapy for microcystic lymphatic malformation. View Abstract
Overgrowth syndromes with complex vascular anomalies. View Abstract
Vascular anomalies in infants and children. Preface. View Abstract
ISSVA classification. View Abstract
RASA1 functions in EPHB4 signaling pathway to suppress endothelial mTORC1 activity. View Abstract
Abstract 63: expression of follicle-stimulating hormone receptor in vascular anomalies. View Abstract
Expression of follicle-stimulating hormone receptor in vascular anomalies. View Abstract
Abstract 75: expression of follicle-stimulating hormone receptor in vascular anomalies. View Abstract
Subfascial involvement in glomuvenous malformation. View Abstract
Magnetic resonance lymphography of the thoracic duct after interstitial injection of gadofosveset trisodium: a pilot dosing study in a porcine model. View Abstract
Intramuscular capillary-type hemangioma: radiologic-pathologic correlation. View Abstract
Fibro-adipose vascular anomaly: clinical-radiologic-pathologic features of a newly delineated disorder of the extremity. View Abstract
Kaposiform lymphangiomatosis: a distinct aggressive lymphatic anomaly. View Abstract
Melanoma arising in a tattoo: case report and review of the literature. View Abstract
Ductus venosus closure results in transient portal hypertension--is this the silent trigger for necrotizing enterocolitis? View Abstract
Capillary-venous malformation in the lower limb. View Abstract
Midaortic syndrome: 30 years of experience with medical, endovascular and surgical management. View Abstract
Gorham-Stout disease and generalized lymphatic anomaly--clinical, radiologic, and histologic differentiation. View Abstract
Transjugular retrograde cannulation of the portal vein via patent ductus venosus: alternative access for endovascular hepatic interventions. View Abstract
A novel treatment for the midaortic syndrome. View Abstract
Kaposiform hemangioendothelioma: atypical features and risks of Kasabach-Merritt phenomenon in 107 referrals. View Abstract
Expression of androgen, estrogen, progesterone, and growth hormone receptors in vascular malformations. View Abstract
Somatic mosaic activating mutations in PIK3CA cause CLOVES syndrome. View Abstract
PTEN hamartoma of soft tissue: a distinctive lesion in PTEN syndromes. View Abstract
Vascular anomalies in pediatrics. View Abstract
Hepatic mesenchymal hamartoma and infantile hemangioma: a rare association. View Abstract
Venous malformation: risk of progression during childhood and adolescence. View Abstract
Lessons from a liver hemangioma registry: subtype classification. View Abstract
Novel zebrafish model reveals a critical role for MAPK in lymphangiogenesis. View Abstract
Lymphatic malformation: risk of progression during childhood and adolescence. View Abstract
Increased endothelial progenitor cells and vasculogenic factors in higher-staged arteriovenous malformations. View Abstract
Vascular anomalies in 5,621 patients: guidelines for referral. View Abstract
Liver hemangiomas and elevated serum a-fetoprotein: unsolved questions. View Abstract
Sclerotherapy of abdominal lymphatic malformations with doxycycline. View Abstract
Exsanguination by intent: controlled phlebotomy during resection of a giant vascular malformation in a 22-month-old child. View Abstract
Vascular anomalies of the male genitalia. View Abstract
Primary lymphedema: clinical features and management in 138 pediatric patients. View Abstract
Long-term follow-up of patients after antegrade continence enema procedure. View Abstract
Differential diagnosis of lower extremity enlargement in pediatric patients referred with a diagnosis of lymphedema. View Abstract
Complex spinal-paraspinal fast-flow lesions in CLOVES syndrome: analysis of clinical and imaging findings in 6 patients. View Abstract
Evaluation of terminology for vascular anomalies in current literature. View Abstract
Expression of angiogenic and vasculogenic factors in human lymphedematous tissue. View Abstract
Thyroid nodules and cancer in children with PTEN hamartoma tumor syndrome. View Abstract
Management of combined vascular malformations. View Abstract
Magnetic resonance lymphangiography with a nano-sized gadolinium-labeled dendrimer in small and large animal models. View Abstract
Metastatic neuroblastoma mimicking infantile hemangioma. View Abstract
Portal vascular anomalies in Down syndrome: spectrum of clinical presentation and management approach. View Abstract
Klippel-Trenaunay syndrome and spinal arteriovenous malformations: an erroneous association. View Abstract
Portomesenteric venous thrombosis associated with rectal venous malformations. View Abstract
CLOVES syndrome with thoracic and central phlebectasia: increased risk of pulmonary embolism. View Abstract
Extracranial arteriovenous malformations: natural progression and recurrence after treatment. View Abstract
Small intestinal volvulus caused by loose surgical staples. View Abstract
Neonatal hemochromatosis and patent ductus venosus: clinical course and diagnostic pitfalls. View Abstract
Macrocystic lymphatic malformation in the pulmonary parenchyma. View Abstract
Long-term clinical outcome after botulinum toxin injection in children with nonrelaxing internal anal sphincter. View Abstract
Pharmacological treatment of a diffuse arteriovenous malformation of the upper extremity in a child. View Abstract
Atypical manifestation of patent ductus venosus in a child: intervening against a paradoxical presentation. View Abstract
Infantile hemangiomas involving the neuraxis: clinical and imaging findings. View Abstract
Vascular lesions of bone in children, adolescents, and young adults. A clinicopathologic reappraisal and application of the ISSVA classification. View Abstract
A lethal form of Gorham disease associated with extensive musculoskeletal pneumatosis: case report and review of the literature. View Abstract
Congenital dermal sinus tract in the lateral buttock: unusual presentation of a typically midline lesion. View Abstract
Newborn and toddler intestinal obstruction owing to congenital mesenteric defects. View Abstract
The burden of unintentional injuries among the under-five population in South Asia. View Abstract
Comparison of pediatric emergency physicians' and surgeons' evaluation and diagnosis of appendicitis. View Abstract
Risk of vascular anomalies with Down syndrome. View Abstract
Percutaneous sclerotherapy of lymphatic malformations with doxycycline. View Abstract
Transmissibility of swine flu at Fort Dix, 1976. View Abstract
The spectrum of vascular anomalies in patients with PTEN mutations: implications for diagnosis and management. View Abstract
Hepatic hemangiomas: subtype classification and development of a clinical practice algorithm and registry. View Abstract
Hydrostatic stretch-induced growth facilitating primary anastomosis in long-gap esophageal atresia. View Abstract
Vascular anomalies of the female external genitalia. View Abstract
Extracellular matrix dynamics associated with tissue-engineered intravascular sclerotherapy. View Abstract
Vascular anomalies. View Abstract
Complex pancreatic vascular anomalies in children. View Abstract
Evidence by molecular profiling for a placental origin of infantile hemangioma. View Abstract
Mesogonadal shunts for extrahepatic portal vein thrombosis and variceal hemorrhage. View Abstract
A clinical decision rule to identify children at low risk for appendicitis. View Abstract
Neonatal thoracoscopic repair of congenital diaphragmatic hernia: selection criteria for successful outcome. View Abstract
Childhood asymmetric labium majus enlargement: mimicking a neoplasm. View Abstract
Cutaneovisceral angiomatosis with thrombocytopenia. View Abstract
Iliac artery stenosis in a child with cutis marmorata telangiectatica congenita. View Abstract
Increased expression of urinary matrix metalloproteinases parallels the extent and activity of vascular anomalies. View Abstract
Air embolism during intraoperative endoscopic localization and surgical resection for blue rubber bleb nevus syndrome. View Abstract
An injectable tissue-engineered embolus prevents luminal recanalization after vascular sclerotherapy. View Abstract
Fetal surgery in otolaryngology: a new era in the diagnosis and management of fetal airway obstruction because of advances in prenatal imaging. View Abstract
Kaposiform hemangioendothelioma without Kasabach-Merritt phenomenon. View Abstract
Effects of race, insurance status, and hospital volume on perforated appendicitis in children. View Abstract
Blue rubber bleb nevus syndrome: surgical eradication of gastrointestinal bleeding. View Abstract
Enhancement of intravascular sclerotherapy by tissue engineering: short-term results. View Abstract
Congenital absence of the right upper lobe bronchus with double segmental tracheal bronchi. View Abstract
Oropharyngeal teratoma: prenatal diagnosis and assessment using sonography, MRI, and CT with management by ex utero intrapartum treatment procedure. View Abstract
Esophageal atresia, duodenal atresia, and unilateral lung agenesis: a case report. View Abstract
Wilms tumor screening is unnecessary in Klippel-Trenaunay syndrome. View Abstract
Infantile hepatic hemangiomas: clinical and imaging findings and their correlation with therapy. View Abstract
Contouring buttock reconstruction after sacrococcygeal teratoma resection. View Abstract
Diagnosis of acute appendicitis in children using a clinical practice guideline. View Abstract
Management of spontaneous colonic perforation in Ehlers-Danlos syndrome type IV. View Abstract
The effect of hospital volume of pediatric appendectomies on the misdiagnosis of appendicitis in children. View Abstract
Death from drowning: defining a new challenge for child survival in Bangladesh. View Abstract
Imaging characteristics of blue rubber bleb nevus syndrome. View Abstract
Internal anal sphincter achalasia in children: clinical characteristics and treatment with Clostridium botulinum toxin. View Abstract
Stimulation with fatty meal (Lipomul) to assess gallbladder emptying in children with chronic acalculous cholecystitis. View Abstract
Effect of an imaging protocol on clinical outcomes among pediatric patients with appendicitis. View Abstract
Abdominal wall defects. View Abstract
The placenta as a cell source in fetal tissue engineering. View Abstract
Angiographic features of rapidly involuting congenital hemangioma (RICH). View Abstract
Prenatal diagnosis of vascular anomalies. View Abstract
Cardiac relocation and chest wall reconstruction after separation of thoracopagus conjoined twins with a single heart. View Abstract
Visceral vascular anomalies. View Abstract
Laparoscopic and thoracoscopic esophagomyotomy for children with achalasia. View Abstract
Aggressive multimodal treatment of pleuropulmonary blastoma. View Abstract
Life-threatening anomalies of the thoracic duct: anatomic delineation dictates management. View Abstract
Extrapleural thoracoscopic anterior spinal fusion: a modified video-assisted thoracoscopic surgery approach to the pediatric spine. View Abstract
Perioperative considerations in a hypothyroid infant with hepatic haemangioma. View Abstract
Nonfixation of an atretic colon predicts Hirschsprung's disease. View Abstract
Costs and effectiveness of ultrasonography and limited computed tomography for diagnosing appendicitis in children. View Abstract
Tc-99m red blood cell imaging of blue rubber bleb nevus syndrome. View Abstract
Separation of conjoined twins with the twin reversed-arterial-perfusion sequence after prenatal planning with three-dimensional modeling. View Abstract
Vascular anomalies. View Abstract
Thalidomide for Crohn's disease. View Abstract
Severe hypothyroidism caused by type 3 iodothyronine deiodinase in infantile hemangiomas. View Abstract
Perforated appendicitis: prospective outcome analysis for 150 children. View Abstract
Endorectal pull-through abates gastrointestinal hemorrhage from colorectal venous malformations. View Abstract
Microlaparoscopy with conscious sedation in adolescents with suspected pelvic inflammatory disease. View Abstract
Human brain activation under controlled thermal stimulation and habituation to noxious heat: an fMRI study. View Abstract
Vascular anomalies of the mediastinum. View Abstract
Prolonged local myometrial blockade prevents preterm labor after fetal surgery in a leporine model. View Abstract
Fetal response to neutral gas and liquid media for intraamniotic distension. View Abstract
Lung abscess versus necrotizing pneumonia: implications for interventional therapy. View Abstract
Elevated serum vascular endothelial growth factor in children and young adults with Crohn's disease. View Abstract
Allergic colitis: a mimic of Hirschsprung disease. View Abstract
Long-term remission of Crohn's disease treated with thalidomide: a seminal case report. View Abstract
Vascular anomalies. A primer for pediatricians. View Abstract
Fetal carotid blood flow during videofetoscopy. View Abstract
Gastrointestinal manifestations of vascular anomalies in childhood: varied etiologies require multiple therapeutic modalities. View Abstract
Acute plasticity in the human somatosensory cortex following amputation. View Abstract
Videofetoscopically assisted fetal tissue engineering: skin replacement. View Abstract
Videofetoscopically assisted fetal tissue engineering: bladder augmentation. View Abstract
Serum basic fibroblast growth factor in pediatric Crohn's disease. Implications for wound healing. View Abstract
The effects of Carmeda Bioactive Surface on human blood components during simulated extracorporeal circulation. View Abstract
Congenital fibrosarcoma masquerading as congenital hemangioma: report of two cases. View Abstract
Occult fetal bowel obstruction: ileal atresia presenting in a newborn infant after normal antenatal sonography. View Abstract
Hemangiomas and vascular malformations of infancy and childhood. View Abstract
Cellular angiolipoma of the breast. View Abstract
Myoelectric and body-powered prostheses. View Abstract
Power to the portables. View Abstract
Pulsed high-dose corticosteroids and melphalan as an alternative therapy for refractory cutaneous T-cell lymphoma. View Abstract
Photopheresis in coexistent cutaneous T cell lymphoma and sickle cell disease. View Abstract
Eosinophilia from food dye added to enteral feedings. View Abstract
Immunofluorescence and electron microscopic findings in a congenital arrector pili hamartoma. View Abstract
Icelandic-Swedish-New York above-knee prosthetic sockets: pediatric experience. View Abstract
Reliability of observational kinematic gait analysis. View Abstract
Characteristics of the child amputee population. View Abstract
Locations