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Dr. Sanziana Alina Roman, MD

(1 Rating)

Specializes in: General Surgery and Surgical Oncology (Cancer Surgery)

Columbia University, College of Physicians and Surgeons (1994)

Professional interests include: thyroid nodules, endocrine surgery, hyperthyroidism (overactive thyroid), and more.

1600 Divisadero Street
San Francisco, CA

(415) 476-1000

Dr. Sanziana Alina Roman, MD is a general surgeon in San Francisco, CA specializing in general surgery and surgical oncology (cancer surgery). She graduated from Columbia University, College of Physicians and Surgeons in 1994 and has 31 years of experience. Dr. Sanziana Alina Roman, MD is affiliated with UCSF Health, U.S. Department of Veterans Affairs, UCSF Benioff Children's Hospitals and UCSF DEPT OF SURGERY.

Office Locations

Address:

1600 Divisadero Street
San Francisco, CA

Address:

3100 San Pablo Avenue
Berkeley, CA

Unable to locate address.

Address:

4150 Clement Street San Francisco Vamc (662)
San Francisco, CA 94121

Address:

505 Parnassus Avenue
San Francisco, CA 94143

Some issues Dr. Sanziana Alina Roman, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

In The News

“UCSF Dr. Sanziana Roman displays a custom-made mask for opera singers at Marin Center during a February walkthrough of the space in San Rafael.”—"Marin County will be first in the Bay Area to lift indoor mask mandate", San Francisco Chronicle, October 2021

“The company has adhered to a rigorous regimen of testing and masking; wind players have used specially designed masks, and in rehearsals the singers wore masks developed by Dr. Sanziana Roman, an...”—"Rossini at the Drive-In, as San Francisco Opera Returns", New York Times, April 2021

“Oddly enough, the design of the mask didn't originate in the opera house -- it came from UCSF -- and the mind of opera-singing surgery professor Dr. Sanziana Roman.”—"SF Opera Develops New COVID-19 Singing Mask for Rehearsals", NBC Bay Area, March 2021

doctor visit	32
endocrine surgery	8
neck surgery	10

**Ethnicity**
Non-Hispanic White	36
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	37
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	72
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	31
Depression	20
Chronic Kidney Disease	20
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	33
Dementia	0
Cancer	0

doctor visit	56

**Gender**
Male	28
Female	51

**Ethnicity**
Non-Hispanic White	52
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	39
From 75 to 84	0
85 and over	0
Less than 65	20

Hypertension	75
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	25
Depression	24
Chronic Kidney Disease	29
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	38
Dementia	0
Cancer	14

doctor visit	65
endocrine surgery	32
neck surgery	23

**Gender**
Male	54
Female	140

**Ethnicity**
Non-Hispanic White	120
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	52
85 and over	0
Less than 65	0

Hypertension	74
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	26
Depression	20
Chronic Kidney Disease	34
Asthma	18
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	15
Chronic Obstructive Pulmonary Disease	11
Diabetes	38
Dementia	0
Cancer	11

doctor visit	75
endocrine surgery	30
lobectomy	11
neck surgery	20

**Gender**
Male	28
Female	66

**Ethnicity**
Non-Hispanic White	62
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	50
From 75 to 84	0
85 and over	0
Less than 65	23

Hypertension	69
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	27
Depression	20
Chronic Kidney Disease	24
Asthma	18
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	0
Diabetes	39
Dementia	12
Cancer	12

doctor visit	52
endocrine surgery	9

**Gender**
Male	24
Female	48

**Ethnicity**
Non-Hispanic White	55
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	0
85 and over	0
Less than 65	13

Hypertension	68
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	18
Depression	25
Chronic Kidney Disease	35
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	22
Chronic Obstructive Pulmonary Disease	0
Diabetes	44
Dementia	0
Cancer	0

**Gender**
Male	15
Female	18

**Ethnicity**
Non-Hispanic White	22
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	18
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	73
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	33
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

endocrine surgery	8
neck surgery	10

**Gender**
Male	13
Female	19

**Ethnicity**
Non-Hispanic White	19
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	18
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	69
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

endocrine surgery	13
neck surgery	15

**Ethnicity**
Non-Hispanic White	22
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	16
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	71
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	0
Depression	38
Chronic Kidney Disease	38
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Average Medicare Procedure Volume From 2013 - 2020

Volume of procedures performed by Dr. Sanziana Alina Roman, MD for Medicare patients.

The highest averages for the top procedures that Dr. Sanziana Alina Roman, MD treated as a general surgeon in San Francisco, CA were endocrine surgery, neck surgery and lobectomy.

doctor visit	58
endocrine surgery	18
lobectomy	11
neck surgery	15

Average Medicare Patient Data From 2013 - 2020

Information about Medicare patients treated by Dr. Sanziana Alina Roman, MD.

**Gender**
Male	17
Female	38

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	38
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	0
75 to 84	5
Less than 65	5
65 to 74	31

Average of Total of Conditions of Medicare patients treated by Dr. Sanziana Alina Roman, MD From 2013 - 2020

The highest averages of the most common conditions of Medicare patients that Dr. Sanziana Alina Roman, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	57
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	12
Depression	14
Chronic Kidney Disease	21
Asthma	3
Osteoporosis	0
Heart Failure	5
Chronic Obstructive Pulmonary Disease	1
Diabetes	19
Atrial Fibrillation	0
Dementia	1
Cancer	3

Education & Training

Dr. Sanziana Alina Roman, MD graduated from Columbia University, College of Physicians and Surgeons in 1994. She completed residency at Yale University Affiliated Hospitals. She is certified by the Board Certifications Surgery, American Board of Surgery and has a state license in Connecticut.

Medical School: Columbia University, College of Physicians and Surgeons (1994)

Residency: Yale University Affiliated Hospitals (1999)

Board Certification: Board Certifications Surgery, American Board of Surgery

Licensed In: Connecticut

Affiliations & Hospitals

Dr. Sanziana Alina Roman, MD is associated with these hospitals and organizations:

UCSF Health

U.S. Department of Veterans Affairs

UCSF Benioff Children's Hospitals

UCSF DEPT OF SURGERY

Ratings & Reviews

Dr. Sanziana Alina Roman, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Sanziana Alina Roman, MD from all over the web to help you find the right in San Francisco, CA.

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General Payments

These charts describe general payments received by Dr. Sanziana Alina Roman, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Onyx Pharmaceuticals, Inc., an Amgen subsidiary	$1,000 Nexavar $1,000
Intuitive Surgical, Inc.	$863 Da Vinci Surgical System $863
Covidien LP	$444 LigaSure $94	$350
Covidien Sales LLC	$29 Vessel Sealing $29

**Types of Payments**
Consulting Fee	$1,000
Travel and Lodging	$810
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$350
Food and Beverage	$176

Biography

Dr. Sanziana Roman is a general surgery and surgical oncology (cancer surgery) specialist in San Francisco, CA and Berkeley, CA. Dr. Roman's education and training includes medical school at Columbia University, College of Physicians and Surgeons and residency at a hospital affiliated with Yale University. These areas are among her clinical interests: cushing's syndrome, hyperparathyroidism, and hyperthyroidism (overactive thyroid). She is professionally affiliated with UCSF Benioff Children's Hospitals, UCSF Health, and U.S. Department of Veterans Affairs.